case_images: PMC11818802_01
case_images: Patient's facial areas where filler was injected.
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case_images: jcm-14-00802-f001
case_images: A 33-year-old patient underwent blanching of small forehead wrinkles, as well as the filling of the labella wrinkle ("lion's wrinkle"), nose, zygomatic bones, and chin (Figure 1) with hyaluronic acid filler (Revolax Deep, Chuncheon-si, Gangwon-do, Republic of Korea), at home, by a beautician.
case_images: (a) Four days after the administration of filler. (b) Six days after the administration of filler/1 day after the administration of hyaluronidase. (c) Twelve days after the administration of filler/7 days after the administration of hyaluronidase. (d) One and a half months after the administration of filler.
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case_images: PMC11818802_01_jcm-14-00802-g002.jpg
case_images: jcm-14-00802-f002
case_images: Four days after the procedure, the symptoms were further exacerbated (Figure 2a) and the patient discussed the problem with the person performing the procedure. At subsequent follow-up visits, the patient showed further improvement in the condition of the initially ischaemic skin and a gradual reduction in erythema (Figure 2b,c), leaving only residual redness in the projection of the earlier lesion.
case_images: (a) Five days after the injection of a filler. (b) Three months after administration of a filler, during complementary therapy:series of three autologous platelet-rich plasma with NCTF 135 HA and two series of laser therapy using Dye-VL.
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case_images: PMC11818802_01_jcm-14-00802-g003.jpg
case_images: jcm-14-00802-f003
case_images: On the 5th day after the procedure (Figure 3a), the patient came to the present author's clinic for a consultation regarding significant pain, severe swelling, softening of the tissue, and evidence of a progressive vascular compromise with clinical evidence of skin discolouration in the glabellar area.