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Vascular Complications After Chin Augmentation Using Hyaluronic Acid

  • Case Report
  • Facial Surgery
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

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).

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Authors and Affiliations

  1. Head and Neck Aesthetic and Plastic Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33# Badachu Road, Shijingshan District, Beijing, 100144, China

    Qianwen Wang & Jiaqi Wang

  2. Private Clinic of Cosmetic Surgery, 1# Hongqiao North Street, Xingqing District, Yinchuan City, Ningxia Hui Autonomous Region, China

    Yongliang Zhao

  3. Private Clinic of Cosmetic Surgery, 29# Shijingshan Road, Shijingshan District, Beijing, China

    Hui Li

  4. Vascular Surgery Department of Beijing Hospital, 1# Dahua Road, Dongdan, Dongcheng District, Beijing, China

    Peng Li

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  1. Qianwen Wang
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  2. Yongliang Zhao
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  3. Hui Li
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  4. Peng Li
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  5. Jiaqi Wang
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Correspondence to Jiaqi Wang.

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Wang, Q., Zhao, Y., Li, H. et al. Vascular Complications After Chin Augmentation Using Hyaluronic Acid. Aesth Plast Surg 42, 553–559 (2018). https://doi.org/10.1007/s00266-017-1036-3

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  • DOI: https://doi.org/10.1007/s00266-017-1036-3

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