Abstract：
:Soft tissue filler injections are the second most common non-surgical procedure performed by the plastic surgeon. Embolization of intravascular material after facial injection is a rare but terrifying outcome due to the high likelihood of long-term sequela such as blindness and cerebrovascular accident. The literature is replete with examples of permanent blindness caused by injection with autologous fat, soft tissue fillers such as hyaluronic acid, PLLA, calcium hydroxyl-apatite, and even corticosteroid suspensions. However, missing from the discussion is an effective treatment algorithm that can be quickly and safely followed by injecting physicians in the case of an intravascular injection with impending blindness. In this report, we present the case of a 64-year-old woman who suffered from blindness and hemiparesis after facial cosmetic injections performed by a family physician. We use this case to create awareness that this complication has become more common as the number of injectors and patients seeking these treatments have increased exponentially over the past few years. We share in this study our experience with the incorporation of a "blindness safety kit" in each of our offices to promptly initiate treatment in someone with embolization and impending blindness. The kit contains a step-by-step protocol to follow in the event of arterial embolization of filler material associated with ocular pain and impending loss of vision. 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 www.springer.com/00266 .
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Prado G,Rodríguez-Feliz Jdoi
10.1007/s00266-016-0728-4subject
Has Abstractpub_date
2017-02-01 00:00:00pages
199-203issue
1eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-016-0728-4journal_volume
41pub_type
杂志文章,评审abstract：:The use of large-particle stabilized hyaluronic acid-based gel of nonanimal origin (NASHA™) for facial aesthetic procedures is widespread and increasing. A panel of experts with extensive clinical experience with NASHA based gel recently attended an advisory board meeting to develop guidelines for its use in volumetri...
journal_title：Aesthetic plastic surgery
pub_type： 共识发展会议,杂志文章
doi：10.1007/s00266-009-9433-x
更新日期：2010-02-01 00:00:00
abstract：BACKGROUND:The authors have developed a new digital photogrammetric method of facial analysis known as balanced angular and proportional analysis (BAPA). Using BAPA, the authors analyzed the faces of attractive Korean entertainers. METHODS:The BAPA approach involves 28 landmarks and 14 measurements (10 proportional an...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-008-9257-0
更新日期：2009-03-01 00:00:00
abstract：:There have been many important analyses of prosthesis selection, techniques of implantation, and subpectoral or subglandular pockets, but only a few studies comparing and discussing the different approaches. The best incision must achieve a good and simple approach to the retromammary location, subpectoral or subgland...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900314
更新日期：1999-11-01 00:00:00
abstract：:In completing a satisfactory repair of the prominent ear, the shape of the antihelical fold is often the key to the aesthetic outcome. Correction involves not just creating a fold in the antihelix but also establishing a smooth sweep or antihelical curve anterior to posterior as well. The essential components describe...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF00444251
更新日期：1994-01-01 00:00:00
abstract：BACKGROUND:Advances in suction-assisted lipectomy (SAL) include improved instrumentation, better understanding of fluid dynamics, and an improved concept of appropriate indications. The tumescent technique uses subcutaneous injection of isotonic fluid containing vasoconstrictive and analgesic agents and is proved to be...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-012-9885-2
更新日期：2012-08-01 00:00:00
abstract：:Y-scar vertical mammaplasty is a technical modification of vertical scar breast reduction, which avoids superior areolar scarring. It has been previously shown to be particularly useful in young patients with mild macromastia and minimal or no ptosis. This case report presents a new indication for which to apply this ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-010-9484-z
更新日期：2010-08-01 00:00:00
abstract：BACKGROUND:Rhinoplasty is known to increase attractiveness; however, the influence of observer age and gender are largely undetermined. METHODS:This retrospective cross-sectional study included 20 women who underwent cosmetic rhinoplasty between January 1st, 2012, and December 31st, 2019. A total of 4 surveys were con...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-02030-4
更新日期：2020-10-29 00:00:00
abstract：AIM:In female genital rejuvenation and beautification, interest and demand for combined surgical and non-surgical methods are increasing. This study presents the results of our labia minora reduction technique and a vulvovaginal rejuvenation and beautification concept, where a combination of fat injection into the mons...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-01980-z
更新日期：2020-09-30 00:00:00
abstract：BACKGROUND:One of the undesirable complications that might occur after breast augmentation with silicone implants is capsular contracture. In its etiology, the relations between mast cells and myofibroblasts play an important role in collagen synthesis. Mast cells are able to activate fibroblasts into myofibroblasts, t...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-018-1238-3
更新日期：2019-02-01 00:00:00
abstract：BACKGROUND:Lipoinjection is a promising treatment but has some problems, such as unpredictability and a low rate of graft survival due to partial necrosis. METHODS:To overcome the problems with lipoinjection, the authors developed a novel strategy known as cellassisted lipotransfer (CAL). In CAL, autologous adiposeder...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-01819-7
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Medial osteotomy is an integral part of most rhinoplasty procedures, and when improperly performed, it is associated with postoperative complications and nasal contour deformities. In this article, we present a minimally traumatic and easy-to-perform medial osteoectomy technique with a pair of pliers, as a r...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,评审
doi：10.1007/s00266-017-0954-4
更新日期：2018-02-01 00:00:00
abstract：UNLABELLED:Medpor is a biocompatible, porous, high-density polyethylene implant material used as a skeleton substitute. During the last two decades, it has been successfully applied for aesthetic contour enhancement and at reconstruction of the facial skeleton. Reports on the long-term host tissue tolerance of Medpor a...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-012-9911-4
更新日期：2012-08-01 00:00:00
abstract：: ...
journal_title：Aesthetic plastic surgery
pub_type： 信件
doi：10.1007/s00266-018-1289-5
更新日期：2018-12-13 00:00:00
abstract：INTRODUCTION:Psychological factors play a major role in the tendency toward cosmetic surgery. Variety seeking, making changes in one's face and reducing apparent dissatisfaction, improving body image and increasing sexual self-esteem can be considered as some psychological aspects of cosmetic surgery. The present study...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01336-2
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:Aquafilling filler is used for breast and buttock augmentation, which are the most commonly performed cosmetic surgery procedures. However, complications after using Aquafilling filler for breast augmentation have been reported, and there are concerns regarding its use in large areas, such as the buttocks. W...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-01889-7
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Irradiation therapy limits the utilization of silicone implants for breast reconstruction due to a significant risk for capsular contracture. The injection of the collagenase of the bacterium Clostridium histolyticum (CCH) might trivialize this risk by providing a minimal-invasive treatment option by capsula...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-01970-1
更新日期：2020-09-23 00:00:00
abstract：BACKGROUND:Facial and cranial asymmetry is common in bilateral vertebrates, particularly human beings. Through years of injecting fillers and performing face-lift operation on patients, we began to observe that more fillers were required on the right side to reach symmetry and also more loose skin and soft tissue was o...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01526-y
更新日期：2020-02-01 00:00:00
abstract：BACKGROUND:After patients with congenital microtia receive external ear canal plasty, the mastoid area usually has insufficient space for ear reconstruction. Hence, after ear reconstruction, an inferoposterior position deformity of the ear appears to some extent. Using inverted U-shaped purse and rotation flaps can cor...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-012-9884-3
更新日期：2012-06-01 00:00:00
abstract：:Nowadays, oncological breast surgery has to be performed to maximize cosmetic results, and even mastectomies, when unavoidable, should conform to acceptable aesthetics. We investigated surgical approaches to skin-sparing mastectomies. Scar positioning and volume replacement were evaluated. We also discuss nipple-spari...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,评审
doi：10.1007/s00266-009-9382-4
更新日期：2009-09-01 00:00:00
abstract：PURPOSE:Advances in medical technology coupled with rapid growth of web-based mass media and social networking services have considerably increased public access to cosmetic surgery. In South Korea, in particular, the number of people undergoing cosmetic surgery has been rapidly increasing, and studies related to cosme...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,meta分析
doi：10.1007/s00266-019-01515-1
更新日期：2020-02-01 00:00:00
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 compress...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-017-1036-3
更新日期：2018-04-01 00:00:00
abstract：:Active antiretroviral therapy has reduced the mortality of patients with acquired immune deficiency syndrome (AIDS) and increased both the quality of life and the longevity of patients infected with human immunodeficiency virus (HIV). The long-term effects of HIV infection are increasingly observed, particularly chang...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-009-9467-0
更新日期：2010-08-01 00:00:00
abstract：:The gold standard treatment for the many aesthetic aspects of aging has for many years been surgery in its many forms. However, with increasing patient demand for cosmetic rejuvenation and with the strong desire and drive by patients to attain aesthetic enhancement with minimal risk and rapid recovery, there has been ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,评审
doi：10.1007/s00266-009-9361-9
更新日期：2009-05-01 00:00:00
abstract：BACKGROUND:This preliminary ex vivo study aimed to clarify the pathophysiologic mechanisms of fat tissue depletion by subcutaneous drug application. Therefore, the lipolytic effects of phosphatidylcholine plus deoxycholate (Lipostabil) (L) and of deoxycholate (DC) alone were compared with those of sodium chloride (NaCl...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-014-0371-x
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Subcutaneous phosphatidylcholine to cause local lipolysis has been performed effectively and safely in the nonsurgical treatment of periorbital fat pads and also in the treatment of localized fat deposits in the abdomen, neck, arms and thighs. However, the studies do not explain the mechanism through which i...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-005-0170-5
更新日期：2006-07-01 00:00:00
abstract：:A clinical study on the surgical anatomy of the upper-eyelid fat pads was performed on 55 consecutive patients who underwent a blepharoplasty. It was confirmed that the periorbital fat is encapsulated in compartments and that the number of fat pads varies. In 56% of the cases there were two fat pads and in the 44% thr...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF02273862
更新日期：1991-07-01 00:00:00
abstract：:The aim of this study is to analyze the psychological outcomes for patients undergoing non-surgical correction of nasal defects using injections of cross-linked hyaluronic acid. We assessed changes in the subjective perception of nasal appearance after non-surgical rhinoplasty using the Rhinoplasty Outcomes Evaluation...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01538-8
更新日期：2020-02-01 00:00:00
abstract：PURPOSE:This study aimed to introduce a novel approach to study the facial mimetic muscles (FMMs) in relation to the nasolabial fold (NLF) and realize the visualization of complex three-dimensional (3D) structures and spatial relationships of the FMMs. MATERIALS AND METHODS:Nano-computed tomography (nano-CT) and iodin...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01495-2
更新日期：2020-02-01 00:00:00
abstract：:Maxillary and mandibular anterior segmental osteotomies (ASO) are ways to correct disharmony in the lip (contour, lip seal, and profile) and occasional dentoalveolar malocclusion. We performed 23 maxillary setback ASO, three maxillary advancement ASO, 21 mandibular setback ASO, and six mandibular advancement ASO in 28...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF02274734
更新日期：1993-04-01 00:00:00
abstract：:Various techniques are used to repair circular defects in special positions on the face. Simple closure will yield unsatisfactory results because of skin tension. As an ideal method of reconstruction, various flaps are used to provide a versatile and safe alternative. The authors applied double opposing-rhomboid flaps...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-008-9237-4
更新日期：2009-07-01 00:00:00
