Managing Complications of Submental Artery Involvement after Hyaluronic Acid Filler Injection in Chin Region

Fang, Martha; Rahman, Eqram; Kapoor, Krishan Mohan

doi:10.1097/gox.0000000000001789

Cited by 44 publications

(42 citation statements)

References 9 publications

(7 reference statements)

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“…In this case, the injector must stop the injection and immediately start the following recommendations for treatment 5,6,24 : (►Fig. 19) apply warm compresses, infiltrate the area with injectable hyaluronidase, 23,24 and consider administering aspirin, topical nitroglycerin and low-molecular weight heparin. 5 Pay attention to stay in the subcutaneous plane, to avoid product placement into the parotid gland, which could lead to infection and parotiditis (►Figs.…”

Section: Adverse Eventsmentioning

confidence: 99%

Reshaping the Lower Face Using Injectable Fillers

Braz¹,

Eduardo²

2020

Indian J Plast Surg

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The lower third is very important for the pleasant appearance of the face. A well-contoured jawline is desirable in men and women, giving a perception of beauty and youth. It is also key to sexual dimorphism, defining masculine and feminine characteristics. The nonsurgical rejuvenation and beautification of the lower third of the face is becoming more frequent. Injectable fillers can reshape the jawline, lift soft tissues, and improve facial proportions, effectively improving the appearance of the area.It is paramount to understand the facial anatomy and perform a good facial assessment in order to propose a proper aesthetic treatment plan. The aesthetic goal of the rejuvenation approach is to redefine the mandibular angle and line. In young patients, beautification can be achieved through correction of constitutional deficit or enhancement of the contour of the face, improving the facial shape. It is very important to possess knowledge of facial anatomy and of the aging process in order to deliver effective and safe results.In this article, we discuss the anatomy of the lower third of the face, facial assessment, aging process, and treatments of the chin, prejowls and mandibular line and angle with injectable fillers. The authors’ experience in the approach of this area is discussed.

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Section: Adverse Eventsmentioning

confidence: 99%

Reshaping the Lower Face Using Injectable Fillers

Braz¹,

Eduardo²

2020

Indian J Plast Surg

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“…These branches may be compromised in a supraperiosteal plane, in the mental foramen, or in the sub-SMAS plane as well. There have been reports of such compromise in the chin even with supraperiosteal injection and aspiration prophylaxis 7 The sulcus mentalis is particularly susceptible to superficial intradermal injections. This area has a dense tissue character with poor compliance.…”

Section: Chin and Prejowlmentioning

confidence: 99%

Complications of Injectables in the Perioral Region

Talei

2019

Facial plast Surg

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The continual advent of novel injectables has broadened the potential applications and use for facial aesthetics immensely. There are inherent risks and limitations in predictability associated with any product that is injected freely into human tissues that may possess bioreactivity. This article seeks to elucidate the most commonly feared complications as well as minor complications often overlooked by practitioners. The author also discusses the corresponding appropriate treatments.

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“…Chin augmentation may be a possible cause of ocular, central nervous system complications, and soft tissue infarction. However, due to an explosive increase in demand for filler treatments, tongue and skin infarction has recently been reported . Wang Q et al reported arterial complications after chin augmentation.…”

Section: Introductionmentioning

confidence: 99%

“…The first case suffered from chin necrosis, and the second case involved vascular compromise in the tongue . Fang M et al presented a case with immediate pain during swallowing and impending skin necrosis on the chin and submental area . We have been made aware of an incidence of unilateral infarction of the posterior one‐third of the tongue and ipsilateral necrosis of the floor of the mouth as a complication of chin augmentation.…”

Section: Introductionmentioning

confidence: 99%

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Investigation of the presence and variation of the ascending mental artery: Conventional dissections and ultrasonographic study

Tansatit

Phumyoo

Jitaree

et al. 2019

J of Cosmetic Dermatology

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Summary Background Tongue and mouth floor infarction following filler injections for chin augmentation is a rare complication that has the increase in incidence been reported. Objective This study investigated the arterial anastomosis between the submental and sublingual arteries that can lead to the emboli and subsequent tongue infarction during chin augmentation. Methods Forty‐two formaldehyde‐embalmed cadavers and four soft‐embalmed cadavers were dissected to verify the incidence and source of the ascending mental artery. Ultrasonographic study of the artery was performed in 10 healthy volunteers. Attention was paid to discriminate whether the ascending mental artery arose from the submental artery or the sublingual artery using the arch of the mylohyoid muscle as the discriminating landmark. Results Incidence of ascending mental artery from the sublingual artery was 7.1% in the studied population. All ascending mental arteries were 0.7 ± 0.2 mm in diameter at the mental protuberance and were branches of the submental artery that arose from the facial artery, except for two arteries that arose from the sublingual artery. Ultrasonographic study revealed that one left and one right sublingual artery from the lingual arteries penetrated the mylohyoid muscle near the midline to become the ascending mental artery in two volunteers. The ascending mental artery from the other side continued from the submental artery. Conclusion Findings from the cadaveric dissections and ultrasonographic study revealed that the ascending mental artery may be a branch that continues from the lingual artery, or communicates with the sublingual artery through the mouth floor.

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Managing Complications of Submental Artery Involvement after Hyaluronic Acid Filler Injection in Chin Region

Cited by 44 publications

References 9 publications

Reshaping the Lower Face Using Injectable Fillers

Reshaping the Lower Face Using Injectable Fillers

Complications of Injectables in the Perioral Region

Investigation of the presence and variation of the ascending mental artery: Conventional dissections and ultrasonographic study

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