Treatment Course for CaHA-induced Vascular Complications

Posted By American Med Spa Association, Thursday, June 9, 2022

The use of calcium hydroxyapatite (CaHA) has continued to increase in popularity in cosmetic procedures, so authors Gurnam Virdi, M.D., and Emma Spotswood, RGN, suggested an exemplified protocol for managing life-changing complications of impending necrosis after injections with calcium hydroxyapatite. 

Their case report, published in the Journal of Plastic and Reconstructive Surgery (May 2022), describes the successful management of impending skin necrosis after CaHA filler injections with a prompt diagnosis and management being paramount to prevent undesirable cosmetic outcomes.  

The case report evaluated the treatment method that was taken on a 23-year-old female patient who received 1.5 ml of CaHA filler injections (Radiesse with lidocaine, Merz Aesthetics). While there were no signs of blanching, pain or skin discoloration at the time of treatment, the patient complained about severe pain, paraesthesia and paleness 12 hours later. An immediate face-to-face assessment revealed extensive livedo reticularis with capillary refill time delayed to six seconds in the mid-lower lip. 

Read the treatment plan at MedEsthetics >>