High-Resolution Ultrasound for Diagnosis and Treatment of Filler-Related Septal Necrosis

Plast Reconstr Surg Glob Open. 2024 Feb 27;12(2):e5630. doi: 10.1097/GOX.0000000000005630. eCollection 2024 Feb.

Abstract

Nonsurgical rhinoplasty using filler injections is a popular procedure; however, it carries risks of significant complications, including vascular occlusion, skin necrosis, blindness, and cerebral ischemia. We present a case of septal necrosis after nonsurgical rhinoplasty and describe management using ultrasound guidance. Awareness of this complication and high clinical index of suspicion are necessary for early diagnosis and treatment, crucial to minimizing permanent sequelae. We show that high-definition ultrasound can help to guide the management and improve the treatment outcomes.

Publication types

  • Case Reports