The patient said he did not have the habit of learning about aesthetics and was not clearly advised by the spa about the risks. The person performing the injection The filler only said that “subcutaneous injection is very simple”. Trusting the recommendation of an acquaintance, the patient agreed to inject filler to rejuvenate the forehead area.
However, after only 2-3 injections, the patient experienced severe pain in the forehead, rapid blurring of the left eye, and then loss of vision. He immediately asked to stop the injection and went to the hospital for emergency care.
The patient was taken to Viet Duc Friendship Hospital. Recognizing this as a critical emergency, the doctors activated the interdisciplinary emergency procedure and invited experts from the Central Eye Hospital to coordinate the consultation. The results determined that the patient had central retinal artery occlusion in the left eye - a serious complication caused by incorrect filler injection technique.
The patient was actively treated with vasodilators, anti-inflammatory drugs, anti-thrombotic drugs and intensive eye interventions. Shortly after the doctors injected the usual antidote, the patient's vision showed signs of improvement, and the patient gradually saw light. However, the recovery only lasted a short time, in the following hours, the patient's vision almost did not improve anymore but continued to deteriorate severely. Up to now, the possibility of recovering vision is very difficult.
Fortunately, due to relatively timely treatment, doctors were able to preserve normal eye movement function and levator muscle function, the skin and muscles around the eyeball recovered almost normally, without much impact on the patient's aesthetics, function, and ability to integrate into society.
According to Associate Professor, Dr. Nguyen Hong Ha - Head of the Department of Maxillofacial Surgery, Plastic and Aesthetics, the filler used in this case is a mixture of slow-dissolving fillers combining two types of fillers, one type that can have a dissolving injectable solution (hyaluronic acid), and one type that does not have an antidote for dissolving injection. Therefore, when complications occur, the usual antidote injection can only dissolve the dissolving filler, while the filler without an antidote remains and causes irreversible complications.
In particular, non-professionals often mistakenly believe that these are safe products that do not cause vascular occlusion, so they can be injected in all areas of the body. However, the forehead, bridge of the nose, and around the eyes are areas where the blood vessels are directly connected to the eye artery. When injecting filler incorrectly, using too much force, or using an inappropriate type of filler, the filler can penetrate the blood vessels, causing retinal vascular occlusion, and also the vessels for muscles, fat, and tissues around the eyeball. Infection, pus, and tissue necrosis can occur. This is an alarming complication, causing extremely serious consequences, and may not be reversible if treated slowly.
"The above case continues to be a stern warning about unsafe beauty treatments. Whether introduced by acquaintances or friends, people need to be alert in choosing reputable facilities licensed by the Ministry of Health . Filler injection procedures must be performed by specialists who are well-trained in cosmetic surgery, facial anatomy and injection techniques," Associate Professor, Dr. Ha advised.
Source: https://baophapluat.vn/tiem-filler-xoa-nhan-tran-o-spa-nguoi-quen-nguoi-dan-ong-mu-1-mat-post550121.html
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