Injection of hyaluronic acid into the nasolabial fold is an effective way to reduce wrinkles. The treatment of the nasolabial fold with hyaluronic acid is basically low-risk if performed correctly. The following YouTube video from Doc.Rolf explains what can happen if it is not.
What are nasolabial folds?
Nasolabial folds appear on the right and left sides below the nose and continue to the corner of the mouth. They are particularly noticeable with dynamic facial expressions. Especially the loss of volume in the midface causes the nasolabial folds to become more pronounced with age. By injecting hyaluron, the wrinkles are naturally lifted and the face appears softer. In the case of the patient in question in the video, the nasolabial fold was injected with hyaluron. A pointed needle was used, which unfortunately caused vascular occlusion. This vascular occlusion and the fact that the patient had already undergone a nose correction, which also destroyed vessels on the nose, meant that the tip of the nose almost died.
How does something like this happen?
The vessel was blocked by the filler. Important:
In pre-operated noses, the anatomy is already disturbed, so we do not recommend injections.
Do NOT have the nasolabial fold injected with a pointed needle but with a cannula.
If a needle is used to inject into the nose, the main branch that supplies the nose may be injured. In the best case, a large bruise may result. In the worst case, the tip of the nose may die. Minimize the risk The urgent recommendation is: Never inject the nasolabial fold with a needle, always with a cannula. Because then there is a significantly lower risk of complications. Treatment with needles is not always wrong, but it should not be used for the nasolabial fold, because it is not known how the vessel will run.
The patient was treated with hylase, given antibiotics and medications to promote blood flow, and given wound ointments. Dr. Rolf Bartsch was able to help her and successfully treat the nose.