Unilateral facial edema after filler injection of the lower eyelid

Abstract

The use of hyaluronic acid (HA) gel fillers for rejuvenation of the face has been increasing in popularity over the years. This nonsurgical, temporary technique is commonly used in the periocular region to restore volume. The aim of this study was creating awareness in the potential causes of edema after hyaluronic acid gel filler injections under the eyes. A 32‐year‐old woman presented for a cosmetic consultation to address unilateral swelling of the left check. She states she had an HA filler injected in the tear trough on both sides. Extensive evaluation and ultrasound were performed by physicians of different specialties. Intra‐oral and radiological examination revealed a tooth‐related cause known as apical periodontitis. Removal of this tooth resulted in complete resolution of the patient's presenting symptoms. Familiarity with all the potential causes of adverse events after injections with hyaluronic acid gel fillers accelerates the treatment and healing of the patient with complications. Reporting this case should raise awareness about possible teeth‐related complications.

Delayed Complications following Dermal Filler for Tear Trough Augmentation: A Systematic Review

“…The time of onset of delayed complications in our study ranged from 2 weeks to 9 years. 8,12 We categorized the primary concerns and reported the mean onset time for each complication. However, this data may not be accurate due to heterogeneity in reporting between studies.…”

“…Of the studies that reported on volume of initial injection (n ¼ 11), an average of 1.2 mL was used total, or 0.6 mL per side. 7,[9][10][11][12] Complications A summary of the complications are depicted in ►Figure 5. The most common delayed complication following dermal filler treatment with any dermal filler was swelling (42.3%, 22/52) followed by lumps or nodules (25.0%, 13/52).…”

Infected Facial Tissue Fillers Caused by Dental Infection

“…Although IDFs are usually considered safe, the risk of complications is present; these latter can result as early-or late-onset incidents, and they include granulomas, nodules, material migration, and chronic cellulitis [5][6][7]. For many authors, homogeneous semipermanent or permanent fillers have been associated with many delayed cases of abscesses and granulomas [8][9][10][11][12].…”

Facial Injections and Blindness

“…T he 21st century has gradually entered the era of minimally invasive treatment and minimally invasive plastic surgery, facial injection is one of the most important techniques of minimally invasive plastic surgery. 1 With the development of technology and the pursuit of beauty, people's acceptance of facial injections is also increasing. By injecting the filling material directly into the local or specific part, the effect of improving the physical and mental state is finally achieved.…”

“…The causes of eye blinding complications during facial injection are as follows: (1) the filler accidentally enters the blood vessel; (2) excessive dosage of filler causes local tissue edema to compress blood vessels; (3) the syringe needle pierces the blood vessel wall and initiates the endogenous blood coagulation pathway; (4) local hemorrhage, hematoma, and adjacent tissues compress blood vessels. 6 The injured vessels are mainly the ophthalmic artery and its branches.…”