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10-10-2023 | Injectable Filler | Original Articles

Laser Speckle Contrast Imaging Guides Needling Treatment of Vascular Complications from Dermal Fillers

Authors: Ming-Feng Tsai, Chia-Meng Yu, Yu-Fan Chen, Tzu-Yi Chung, Guan-Heng Lin, An-Li Lee, Chin-Yi Yang, Chieh-Ming Yu, Hsuan-Yu Huang, Ying-Chun Liu, Wen-Chen Huang, Kwang-Yi Tung, Wen-Teng Yao

Published in: Aesthetic Plastic Surgery | Issue 6/2024

Abstract

Background

Although laser Doppler imaging (LDI) accurately delineates a hypoperfused area to help target hyaluronidase treatment, laser speckle contrast imaging (LSCI) is more appropriate for assessing microvascular hemodynamics and has greater reproducibility than LDI. This study investigated the use of LSCI in the evaluation and treatment of six patients who developed vascular complications after facial dermal filler injections.

Methods

The areas of vascular occlusion were accurately defined in real time by LSCI and were more precise than visual inspections or photographic evidence for guiding needling and hyaluronidase treatment.

Results

All patients had achieved satisfactory outcomes as early as Day 2 of treatment and no procedure-related complications were reported after a median follow-up of 9.5 (7–37) days.

Conclusion

LSCI accurately and noninvasively delineated vascular occlusions in real time among patients experiencing complications of facial dermal filler injections. Moreover, LSCI was more accurate than visual and photographic evaluations. Clinicians can use LSCI to reliably follow-up therapeutic outcomes after salvage interventions for vascular occlusions.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Title: Laser Speckle Contrast Imaging Guides Needling Treatment of Vascular Complications from Dermal Fillers
Authors: Ming-Feng Tsai
Chia-Meng Yu
Yu-Fan Chen
Tzu-Yi Chung
Guan-Heng Lin
An-Li Lee
Chin-Yi Yang
Chieh-Ming Yu
Hsuan-Yu Huang
Ying-Chun Liu
Wen-Chen Huang
Kwang-Yi Tung
Wen-Teng Yao
Publication date: 10-10-2023
Publisher: Springer US
Keywords: Injectable Filler
Laser
Published in: Aesthetic Plastic Surgery / Issue 6/2024
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-023-03629-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laser Speckle Contrast Imaging Guides Needling Treatment of Vascular Complications from Dermal Fillers

Abstract

Background

Methods

Results

Conclusion

Level of Evidence IV

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Level of Evidence IV

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