Purple black necrotic nose after lift

Hanoi: Hoping to have a high nose, a 30-year-old woman went to a spa to have filler injected into the bridge of her nose, leading to necrosis.

After the filler injection, the patient's nose turned pale, then red and gradually darkened, and he had to be admitted to the 108 Military Central Hospital for treatment. The doctor diagnosed the patient with necrosis of the entire skin area of the nose and forehead due to vascular occlusion, which resulted from the injector injecting the wrong anatomical layer.

Dr. Nguyen Phuong Tien, Department of Plastic Surgery and Microsurgery, said that because the source of the injected substance is unknown, there is no antidote, treatment is mainly by anti-inflammation, wound debridement, and minimizing necrosis. After 6 months to a year, the patient needs to be re-evaluated, depending on the deformity, there will be different levels of intervention.

At the Workshop on updating and sharing knowledge in rhinoplasty , on May 26, Associate Professor, Dr. Vu Ngoc Lam, Director of the Center for Craniofacial Surgery and Plastic Surgery, added that almost every week, the hospital receives cases of complications at unlicensed facilities. Complications include infected noses, swelling, pus discharge after filler injection or deviation.

In addition to complications caused by fillers, recently, doctors also received a patient with a shortened, upturned and deformed bridge, tip and column of the nose due to multiple nose lifts at spas and private facilities, leading to chronic inflammation. The last time, the patient had to go to Hospital 108 so that doctors could reshape the nose with rib cartilage to restore its normal shape.

Doctors assess that many cosmetic complications often occur at unlicensed beauty salons and spas, where the staff are not doctors. These people are not professionally trained and do not have enough experience to perform cosmetic procedures and surgeries, so when injecting incorrectly, it leads to complications.

"Without knowledge of anatomy, filler injections can cause blood clots, skin necrosis, and blindness," said Dr. Tien. In addition, people who are not properly trained in anesthetic and anesthetic dosages can inject too much or use unlicensed drugs, leading to unfortunate consequences.

Most patients with complications do not go to the hospital immediately but often self-treat or return to the beauty salon, and only go to the hospital when the condition does not improve. This mistake makes the patient's condition worse, making treatment more difficult.

Doctors recommend that people choose a licensed medical facility, performed by a doctor with expertise in cosmetic intervention.

Le Nga

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