Purple black necrotic nose after lift

In Hanoi, hoping for a higher-bridged nose, a 30-year-old woman went to a spa to have filler injected into her nasal bridge, leading to necrosis.

After receiving filler injections, the patient's nose turned pale, then reddish, and gradually darkened, requiring admission to Military Central Hospital 108 for treatment. Doctors diagnosed the patient with necrosis of the entire skin area of the nose and forehead due to vascular occlusion, resulting from the injection being administered in the wrong anatomical layer.

Dr. Nguyen Phuong Tien, from the Department of Plastic and Microsurgery, stated that due to the unknown origin of the injected substance, there is no antidote. Treatment mainly focuses on anti-inflammatory medication, wound debridement, and minimizing necrosis. After six months to a year, the patient needs to be re-evaluated, and the level of intervention will vary depending on the deformity.

At the seminar on updating and sharing knowledge in rhinoplasty on May 26th, Assoc. Prof. Dr. Vu Ngoc Lam, Director of the Center for Craniofacial Surgery and Plastic Surgery, added that almost every week, the hospital receives cases of complications from unlicensed facilities. Complications include nasal infections, swelling, pus discharge after filler injections, or asymmetry.

Besides complications from fillers, doctors recently received a patient whose entire nasal bridge, tip, and septum were shortened, upturned, and deformed due to multiple rhinoplasty procedures at spas and private clinics, leading to chronic infection. The patient finally had to go to Hospital 108 for reconstructive surgery using rib cartilage to restore a normal nasal shape.

Doctors note that many cosmetic surgery complications occur at unlicensed beauty salons and spas staffed by non-medical professionals. These individuals lack professional training and experience in performing cosmetic procedures and surgeries, leading to complications when injections are not performed correctly.

"Without proper anatomical knowledge, filler injections can cause vascular occlusion, skin necrosis, and potentially blindness," said Dr. Tien. Furthermore, those without proper training in anesthetic and sedative dosages may inject excessive amounts of medication or use unapproved drugs, leading to unfortunate consequences.

Most patients experiencing complications don't go to the hospital immediately, instead often self-treating or returning to the beauty salon, only seeking emergency medical attention when their condition doesn't improve. This mistake worsens the patient's condition and makes treatment more difficult.

Doctors advise people to choose licensed medical facilities and have procedures performed by doctors specializing in cosmetic interventions.

Le Nga

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