Symptoms of chin hyaluronic acid embolism

Nowadays in the beauty industry, when it comes to hyaluronic acid, I guess almost everyone knows it. Due to its powerful beauty effect, it is widely used. Many people think that injecting hyaluronic acid for beauty treatment does not require any technical skills and does not involve any danger. In fact, this understanding is wrong. For some people, after chin augmentation with hyaluronic acid, their chin is not only too swollen, but also darkens. This may be caused by vascular damage, so people must choose a regular cosmetic medical institution when undergoing plastic surgery.

1. Causes of vascular damage caused by hyaluronic acid injection

There are many reasons for vascular damage when injecting hyaluronic acid. The main reason is that the head and face are rich in blood supply and have well-developed collateral circulation. If a single blood vessel is blocked, it is not enough to cause serious consequences. Often, multiple factors exist at the same time, mainly:

1. Mistakenly injecting the filler hyaluronic acid into the blood vessel cavity, resulting in blood vessel blockage. The head and face are rich in blood supply, and injection into the main blood vessels will directly cause blood vessel blockage;

2. If the operator injects too fast or the dose is too large, it will cause local tissue edema, thereby compressing the adjacent blood vessels, damaging the blood vessels and causing embolism;

3. The needle injected into the skin tissue punctures the blood vessel wall, activates the endogenous coagulation pathway, forms a thrombus and further affects blood circulation;

4. Local bleeding or hematoma compresses adjacent tissues, which can also affect blood circulation and lead to vascular occlusion.

2. The severity of hyaluronic acid damage to blood vessels

1. Pain

After hyaluronic acid is injected into the skin tissue, severe pain occurs and gradually worsens rapidly.

2. Changes in skin color

Skin color changes appear immediately after vascular damage occurs, initially manifesting as "map-like" skin pallor in the ischemic area, followed by the appearance of mottled livedo, which can last from seconds to tens of seconds. If the duration develops to tens of minutes to hours, the skin tissue in the ischemic area will gradually turn blue or even blue-black.

3. Ophthalmic artery embolism

Transient or recurrent amaurosis may occur during the injection, followed by an immediate decrease in vision and visual field loss, accompanied by pain, and in severe cases, blindness may occur.

3. Precautions for hyaluronic acid chin augmentation

1. The injecting doctor is not familiar with the anatomical structure of the injection area

A regular and professional injection doctor must have a full understanding and familiarity with the facial structure, blood vessel distribution, and direction. However, many injection doctors in illegal institutions are not doctors at all. They only receive a few days of micro-plastic surgery training and are definitely unaware of these things.

2. The injection doctor does not accurately grasp the depth of the injection

There are very strict requirements for the depth of hyaluronic acid injection to fill skin tissue. It must be done accurately, and the depth of some parts will change during the entire injection process. For example, when filling the forehead, the deep layer should be injected above the orbit, and the direction is from bottom to top, starting from 2 cm away to inject the shallow layer.