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Vascular Complications due to injection of fillers

There has been an increased global demand for dermal filler injections in recent years. Although hyaluronic acid based dermal fillers generally have a good safety profile, serious vascular complications have been reported.


It is critical for aesthetic physicians to be very familiar with the face anatomy and in particular with the vascular anatomy and the staging of vascular complications.

Several symptoms and signs, including intense pain immediately after the injection and discoloration of the skin, should be treated as red flags.

Any patients suspected to experience a vascular complication should receive early management trying to salvage the skin.

Meanwhile, the potentially devastating outcome caused by illegal practice calls for stricter regulations and law enforcement.

Dermal filler procedures must be performed by trained aesthetic professionals only.

Aesthetics medicine's purpose is providing a better health, life quality, self-esteem, longevity and happiness.


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