Filler injection to correct receding chin, young man's chin is swollen and red as if 'glowing'

According to Mr. L., he had previously had filler injections in Hong Kong many times to improve his receding chin. However, he was not satisfied with the results, so he continued to inject filler to dissolve it. Not stopping there, after just over 2 months, he injected 4cc of new filler into his chin area, causing serious damage to the tissue there.

On the night of July 23, immediately after receiving and examining him, doctors at JW Hospital diagnosed him with necrotizing fasciitis due to an abscess spreading below the chin area - a dangerous complication if not treated promptly. The team immediately activated the emergency surgery procedure that night.

On the morning of July 24, Dr. Nguyen Phan Tu Dung, General Director of JW Hospital, said that during the 3-hour surgery at night, the team had thoroughly removed all remaining filler and treated the deep abscesses. In particular, AI-integrated ultrasound technology was continuously applied during the surgery, allowing doctors to accurately probe the abscess, determine the deep spread of the filler, and thereby guide the intervention without damaging healthy tissue.

The entire surgical process was performed through an incision inside the oral cavity, helping to preserve the aesthetic factor and avoid scarring after surgery. Thanks to the application of modern technology and the harmonious coordination between specialties, the surgery was successful, and the patient is in the active recovery stage.

- Ảnh 1. — Swollen chin that "glows" after filler injection complications

Nearly 3 liters of filler were aspirated, tissue necrosis after complications from filler injection at an unlicensed spa

The day before (July 22), JW Hospital received a case of deep tissue necrosis and abscesses in the entire muscle area. Medical history revealed that in 2019, Ms. NTH (29 years old, Singaporean nationality) had injected about 1000ml of filler at an unlicensed spa, then continued to perform fat grafting to plump her buttocks in 2021. However, after a period of filler injection, her buttocks and thighs became concave and convex, and the muscle tissue was loose, causing her to lose confidence in daily activities and have difficulty walking.

Dr. Nguyen Phan Tu Dung said that through clinical examination and diagnosis by MRI and 5D color ultrasound, the filler has penetrated deep into the muscle tissue layer, causing necrosis spreading from the buttocks to the thighs, but the patient was completely unaware, leading to late treatment, making the abscess extremely serious.

"The cause was determined to be due to the technique of injecting filler in the wrong position, through the muscle capsule, into the muscle layer, injecting too much, in all positions causing the filler to penetrate deep everywhere, causing infection and necrosis deep into the muscle tissue," said Dr. Dung.

Because the filler had spread throughout the positions, creating a honeycomb structure that was difficult to identify, Dr. Dung indicated that it was necessary to perform urgent filler removal surgery, and at the same time ordered the application of AI ultrasound technology throughout the surgery.

- Ảnh 2. — Nearly 3 liters of filler, necrotic tissue... were suctioned out.

After the surgery, nearly 3000 ml of necrotic fluid mixture including filler, necrotic tissue and blood was aspirated. The patient will continue to be placed on the VAC negative pressure suction machine for 5 days, and receive care to recover. After 6 months - 1 year, the patient can have fat grafting to fill the buttocks.

"Only perform filler injections at licensed medical facilities with well-trained specialists. Do not believe in cheap advertising, injections at home, or those of unclear origin. When unusual signs appear after injection (prolonged pain, swelling, redness, deformity, loss of sensation, etc.), go to a specialized hospital for timely examination and treatment," Dr. Dung advised.

Source: https://thanhnien.vn/tiem-filler-de-chinh-cam-lem-cam-cua-nam-thanh-nien-bi-sung-do-nhu-phat-sang-185250724111224148.htm