Vascular occlusion

Abstract

Adverse vascular events (AVEs) are unequivocally the most feared complication resulting from injection of dermal filler. The potentially life-changing consequences, which include tissue necrosis, scarring, blindness, stroke and even death, are not always understood by clients seeking aesthetic intervention; however, these events can occur, even in the most experienced hands and injectors must acknowledge that the risk is impossible to eliminate completely. Detailed history taking, careful patient selection, in -depth understanding of vascular anatomy (and its variability) and safe injection technique should be practi sed in order to minimi se risks; early diagnosis and immediate action taken when an AVE occur s and clients should be appropriately counselled as part of the informed consent process of this possibility in advance of their procedure.