Oley MH, Oley MC, Mawu FO, Aling DMR, Faruk M, et al.
Clinical, cosmetic and investigational dermatology. Date of publication 2022 Jan 14;volume 15():63-68.
1. Clin Cosmet Investig Dermatol. 2022 Jan 14;15:63-68. doi:
10.2147/CCID.S344408. eCollection 2022.
Hyperbaric Oxygen Therapy in Managing Minimally Invasive Aesthetic Procedure
Complications: A Report of Three Cases.
Oley MH(1)(2)(3), Oley MC(3)(4)(5), Mawu FO(6), Aling DMR(3), Faruk M(7).
Author information:
(1)Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery,
Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
(2)Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery,
R. D. Kandou Hospital, Manado, Indonesia.
(3)Hyperbaric Centre, Siloam Hospital, Manado, Indonesia.
(4)Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Sam
Ratulangi University, Manado, Indonesia.
(5)Division of Neurosurgery, Department of Surgery, R. D. Kandou Hospital,
Manado, Indonesia.
(6)Department of Dermatology and Venereology, Faculty of Medicine, Sam Ratulangi
University, Manado, Indonesia.
(7)Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar,
Indonesia.
INTRODUCTION: Minimally invasive aesthetic procedures such as filler injections
and thread lifts have gained popularity recently. Complications from these
aesthetic procedures are difficult to avoid. This increasing public health
concern requires a combination of effective therapeutic modalities. Hyperbaric
oxygen therapy (HBOT) has generated favorable results in treating a diversity of
wounds, inflammation, and infection.
CASE PRESENTATIONS: Three cases with complications arising from aesthetic
procedures were described in this report. The patients were all female, with
ages ranging from the late-twenties to mid-fifties. Two patients experienced
complications from filler injections, one of which progressed to a parotid gland
infection due to a placental extract filler while the other was caused by a
hyaluronic acid filler. The third patient had notable excoriations and
inflammation on both cheeks following a thread lift procedure. Alongside
antibiotics and other symptomatic therapies, the patients received multiple,
90-minute HBOT sessions at 2.4 ATA over the course of one to two weeks. The
wounds were frequently monitored to evaluate the healing progress.
DISCUSSION: Complications from facial rejuvenation procedures can be disastrous.
They expose the patient to the risk of developing vascular occlusions and skin
infections that require prompt and effective treatment. Multiple treatment
options (eg, frequently massaging the affected area, warm compresses, aspirin,
and antibiotics) have been used to treat these complications. HBOT serves a
valuable purpose in restoring adequate tissue perfusion in cases of
filler-induced vascular occlusion and infection. Moreover, HBOT assists in
restoring tissue injury and reducing inflammation following thread lift
procedures.
CONCLUSION: HBOT has proven helpful as a treatment adjunct toward counteracting
the effects of minimally invasive aesthetic procedures in several
cosmetic-related cases.
© 2022 Oley et al.
DOI: 10.2147/CCID.S344408
PMCID: PMC8765711
PMID: 35058700
Conflict of interest statement: The authors have no financial conflicts of
interest regarding the publication of this article.
