Cosmetic Filler-Induced Vascular Occlusion: A Rising Threat Presenting to Emergency Departments

Ann Emerg Med. 2024 Jan;83(1):59-67. doi: 10.1016/j.annemergmed.2023.07.006. Epub 2023 Aug 11.

Abstract

Vascular emergencies from cosmetic filler-induced vascular occlusion represent an iatrogenic etiology that poses a threat to patients, with sequelae that range from disfiguring skin necrosis to blindness and stroke. As cosmetic fillers continue to grow in popularity, the importance of early identification, triaging, and management of these rare but potentially disabling injuries has motivated efforts to educate the public and professional audiences. In this practice review article, we outline components of acute care pertaining to these injuries based on evolving practice guidelines and best evidence recommendations.

Publication types

  • Review

MeSH terms

  • Blindness / etiology
  • Cosmetic Techniques* / adverse effects
  • Dermal Fillers* / adverse effects
  • Emergency Service, Hospital
  • Humans
  • Vascular Diseases* / complications

Substances

  • Dermal Fillers