A lesion of vascular compromise on the nasal tip extending to the nasal bridge. Dusky blue-grey-black skin discoloration, with swollen nose tip extending to nasal ridge region.|@|~(^,^)~|@|Third day post filler injection, showing skin exfoliation, and noticeable swelling of full thickness tissue, mainly at the nose tip area. Some blistering is beginning to appear.|@|~(^,^)~|@|Hyperbaric oxygen chamber.|@|~(^,^)~|@|Fourth day post filler injection, and after 1st session of hyperbaric oxygen therapy. The area of demarcation and blistering became more obvious, and the area of damage extended up to the glabellar region. The nasal tip became much less swollen.|@|~(^,^)~|@|Seventh day post injection, completing four sessions of hyperbaric oxygen therapy. The wound had completely dried with residual regenerating fresh tissue and almost complete skin peeling.|@|~(^,^)~|@|Thirteen days after filler injection, the blisters had healed with minimal residual scarring.|@|~(^,^)~|@|Three months after filler injection, the nose healed completely with no residual scarring.|@|~(^,^)~|@|Anatomical arterial supplies and anastomosis of multiple end arteries to the nose tip, alar nose, columella of nose, and nasal ridge.

© J Cosmet Med