Treatment protocol for tissue necrosis caused by filling with hyaluronic acid

• DOI: 10.22533/at.ed.1592742224111

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• Keywords: -

• Abstract:

  The objective of this article was to present a treatment protocol for tissue necrosis caused by filling with hyaluronic acid, developed in a 50-year-old patient, due to aesthetic therapy in the nasolabial fold region. A clinical and ultrasound diagnosis was made. As a therapy, emergency treatment with Hyaluronidase 2000 UTR was initially used, guided by ultrasound, flooding the entire filled region until vascularization was reestablished, prescription of oral medications, starting on an emergency basis with Sublingual Isordil 5 mg, Ciprofloxacin 500 mg 12 /12 hrs for 28 days, Metronidazole 250 mgr every 8/8 hrs for 10 days, and Predsin 20 mgr every 8/8 hrs for 3 days and on days 4 and 5 of 12/12 hours and Aspirin (acetylsalicylic acid) 500 mgr 12/12 hrs for 5 days. IV Low Level Lasertherapy daily for 7 days (6J per cmº). Indicated massages and hot compresses with Diprogenta ointment 3x a day interspersed with Ozonized Sunflower Oil. Auricular and Perilesional Ozone Therapy was performed once a week for 3 weeks and 8 hyperbaric chamber sessions. After 07 days, a significant improvement in the clinical condition was observed due to the adoption of the protocol, which resulted in success as a proposed therapy.