case_images: PMC4298868_01
case_images: An amatory photo before HA injection shows normal nasal alar structures
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case_images: F1
case_images: A 54-years-old Iranian woman underwent injection of HA fillers into nasolabial folds for wrinkle correction of this region by an anaesthesiologist (Figure 1).
case_images: Right nasal alar partial necrosis, 3 weeks after HA injection to right nasolabial fold
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case_images: PMC4298868_01_wjps-4-074-g002.jpg
case_images: F2
case_images: By the third day from the onset, blisters appeared at the right nasal ala (Figure 2).
case_images: Forty days after HA injection, the necrotic areas demarcated in alar region
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case_images: F3
case_images: Then a black area in the right nasal ala appeared which represent skin necrosis in this area, the necrotic areas well demarcated (Figure 3).
case_images: Two months after injury, the gross necrosis tissue sloughed and its bed inflamed and was fibrinous
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case_images: PMC4298868_01_wjps-4-074-g004.jpg
case_images: F4
case_images: With passing time and wound care the grossly necrosed part sloughed and the bed was tidy and inflamed (Figure 4).
case_images: Three months after injury, when she was visited by plastic surgeon, the bed of right nasal alar region and perinasal area were inflamed and fragile
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case_images: F5
case_images: She was advised to tolerate it up to improvement of the inflammation and wound maturation (Figure 5).
case_images: A (Left column): One year after injury and before reconstruction, B: (Right column) Three weeks after the reconstruction with composite graft from the right auricular helical root which showed excellent take
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case_images: F6
case_images: After one year and subsidence of skin inflammation and irritation, a composite graft taken from the helical root of her right auricule was grafted to the residual skin defect (Figure 6).