Consecutive emergency cases due to cosmetic complications

Information from Viet Duc Friendship Hospital said that recently, it has continuously received patients hospitalized due to cosmetic complications.

Emergency surgery to save a patient with an abscess caused by filler injection

Recently, Viet Duc Friendship Hospital received a case of a 31-year-old woman from Quang Nam who came to the hospital with bilateral breast abscesses due to breast filler injections.

Viet Duc Friendship Hospital has recently continuously received patients hospitalized due to cosmetic complications.

Ms. T. shared that she had given birth to 2 children. After giving birth, her breasts sagged, so she wanted to get breast augmentation but was afraid of the pain and time-consuming process. She read an advertisement from a beauty salon on social media about a quick and effective breast augmentation filler injection method, so she went to get breast filler injections.

After the injection, the patient saw lumps in her chest and often felt pain and swelling, so after 3 years of breast filler injection, she went to the hospital to do a cancer screening package.

Here, the doctors said that it was unclear whether the breasts had cancer or fibroids, but that the masses in the body were fillers that had accumulated in the body like "filler tumors".

Ms. T. wants to have another baby, but the doctor said that he could not determine what substance had been injected into her breasts before, so in order not to affect the birth and breastfeeding process, she should have surgery to remove the substance with experienced specialists at central hospitals.

Once again impatient and helpless, her breasts were swollen and painful but she did not want to arrange to go to Hanoi for intervention, so Ms. T. went to a beauty salon to have fillers removed.

After the filler injection, Ms. T. had symptoms of pain, high fever, and antibiotics did not help. At this time, because of too much pain and fear, she went to Viet Duc Friendship Hospital.

Associate Professor, Dr. Nguyen Hong Ha, Head of the Department of Plastic Surgery, Viet Duc Friendship Hospital, said that the patient came to the hospital in a state of infection and poisoning. Clinical examination of the mammary glands revealed many lumps of different sizes in both mammary glands.

However, the normal ultrasound results do not show a clear image of the location of these masses, so the doctors had to order a specialized MRI 3.0 Breast Coil for the breast.

On this most modern mammogram, doctors have identified many masses in the chest that look like "filler tumors" forming many layers, scattered throughout the chest, both in the mammary glands and more dangerously, in many locations in the pectoralis major muscle.

The patient was diagnosed with a breast abscess with filler tumors everywhere, a high risk due to filler injections and filler aspiration, which brought bacteria from the outside into the body. Ms. T's symptoms of chills and fever signaled that the abscesses were about to burst, which would be life-threatening if they entered the lungs.

Another case of cosmetic accident that required emergency treatment at Viet Duc Friendship Hospital was Ms. D.TN (30 years old, Ha Tinh). Ms. N. is currently living and working in Japan.

She went to a beauty spa in Japan to get filler injections. After only injecting 0.5cc into the middle of her forehead, she felt her eyelids droop, her eyes were dizzy, she felt nauseous and vomited.

Ms. N. was immediately injected with an antidote, but she still felt uncomfortable and nauseous. That afternoon, she went to the hospital for a check-up. The doctor examined her, did not intervene, and told her to go home and monitor her condition, which would improve after a month.

But she became even more worried when the next day her eyes became redder and redder, so she went to the hospital for emergency treatment. By then her eyes were swollen and had high pressure and she could no longer see clearly. The next day, she was in much more pain, her cornea was swollen and blood was everywhere, her eyes were almost completely blind and seemed like they were about to fall out.

Too worried about her condition, she decided to book a ticket back to Vietnam for treatment. Returning to Vietnam, Ms. N. went to the eye hospital, then transferred to Viet Duc Friendship Hospital after 6 days of filler injection.

Associate Professor, Dr. Nguyen Hong Ha said that the patient came to the hospital with his right eye swollen and purple-red, his vision almost completely lost, he could only distinguish light from dark with difficulty, his eyelids were clearly drooping, and his inner eye muscles were completely paralyzed.

Doctors determined that this was a very serious accident after filler injection causing complications to the eye's vascular system, leading to loss of vision in the right eye, with signs of muscle and tissue necrosis around the eyeball. The hospital's multidisciplinary emergency procedure was immediately initiated.

The patient was immediately injected with drugs to reduce orbital pressure, vasodilators and enhance tissue circulation, high-dose oxygen, and two types of systemic antibiotics in combination.

And a series of the most modern paraclinical tests and imaging diagnostics were performed immediately. The imaging results showed that the patient's retina was 2-3 times more swollen than normal, the internal ocular muscles and the fat tissue next to the eyeball showed signs of anemia, edema and risk of total necrosis. The arterial blood flow to the right eye socket was significantly reduced compared to the healthy side.

Warning from cosmetic experts

Regarding complications after filler injection, according to Dr. Nguyen Thi Huong Giang - a member of the emergency team of Viet Duc Friendship Hospital, when the person injecting the filler is not a specialist, does not have knowledge of cosmetic surgery and is only a spa employee injecting filler, the risk of injecting into the blood vessels around the eye socket is very high.

The drug will enter the brain through the blood vessels. If the brain is blocked, it will cause a stroke, which is life-threatening. If the eye artery, especially the central retinal artery, is blocked, it will cause blindness. The skin and fatty tissue around the blood supply of the branches around the eye socket will also become necrotic, causing severe facial deformity.

Because the central retinal artery does not have rich anastomoses like those in the skin, once blocked, necrosis of nerve cells leading to blindness will occur very quickly.

Experts recommend that to ensure safety, people should go to reputable medical facilities. The person injecting fillers must be a trained doctor with full knowledge of anatomy, cosmetic surgery, and a practicing certificate.

In addition, it is necessary to choose filler injection products with clear origin, safety and purity verified. After injection, it is necessary to monitor and promptly handle to avoid possible unfortunate consequences.

In case of an unfortunate accident during a cosmetic procedure, it is necessary to try to take the patient to a hospital with modern equipment and a complete multidisciplinary emergency procedure to provide the most effective emergency care for the patient.

Currently, in the world, there are only two or three large centers that can implement a multidisciplinary emergency procedure to help patients recover their vision due to vascular complications after filler injection.

Because fillers are increasingly widely injected and difficult to manage, the number of patients experiencing blindness complications is increasing, with an estimated hundreds of cases recorded worldwide.

However, there are only very few cases where doctors can restore vision like at Viet Duc Friendship Hospital. Many people, including doctors and medical staff around the world, do not know or do not think that this complication can be cured.

That is why many patients are transferred to the emergency room late, even stroke patients abroad are almost never given proper and complete emergency care.

Source: https://baodautu.vn/lien-tiep-cac-truong-hop-cap-cuu-vi-tai-bien-tham-my-d220015.html