A case of facial vascular occlusion after hyaluronic acid cosmetic filler injection treated with adjunctive hyperbaric oxygen

Treatment of suspected upper lip area vascular occlusion caused by facial hyaluronic acid filler injections with hyperbaric oxygen is reported. The patient was initially treated with hyaluronidase injections in the cosmetic clinic then again in the emergency department. Persistent symptoms and signs of occlusion prompted hyperbaric oxygen treatment at 284 kPa (nine treatments over seven days). The outcome was positive for this patient and adds supportive evidence to the sparse literature, which are mainly case studies.