Aesthetic Plastic Surgery

, Volume 42, Issue 2, pp 553–559 | Cite as

Vascular Complications After Chin Augmentation Using Hyaluronic Acid

  • Qianwen Wang
  • Yongliang Zhao
  • Hui Li
  • Peng Li
  • Jiaqi WangEmail author
Case Report Facial Surgery


Vascular complications after hyaluronic acid (HA) filling of the chin have rarely been reported. In this report, two cases of vascular occlusion after HA augmentation of the mentum are presented. The first case involved local skin necrosis that resulted from a massive microcirculatory embolism and/or external compression of the chin skin microvasculature. The second case involved vascular compromise in the tongue that resulted from HA injection in the chin. The diagnosis was established on the basis of interventional angiography findings. Concerning the pathogenesis, we hypothesized that the filler embolus flowed into the branches of the deep lingual artery through the rich vascular anastomoses among the submental, sublingual, and deep lingual arteries, after being accidentally injected into the submental artery (or its branches).

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Chin augmentation Hyaluronic acid Filler injection Vascular complication 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all participants of this study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2017

Authors and Affiliations

  1. 1.Head and Neck Aesthetic and Plastic Surgery Center, Plastic Surgery HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina
  2. 2.Private Clinic of Cosmetic SurgeryYinchuan CityChina
  3. 3.Private Clinic of Cosmetic SurgeryBeijingChina
  4. 4.Vascular Surgery Department of Beijing HospitalBeijingChina

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