#5-3. Complication: Necrosis

Wrong remedy of necrosis

If necrosis was not treated in the early stage, it is still possible to resolve it with appropriate treatment later. I worry when I hear during my talks at academic conferences that some doctors use oxygen therapy, EGF, PDRN, and antibiotics, etc. for treating necrosis. These methods are more appropriate as a healing aid, rather than an emergency treatment. Injecting another substance in an area already swollen with filler increases the pressure and complicates the situation. I emphasize that draining should be performed first when pustules develop.

Necrosis can have a varying outcome depending on the treatment. Severe necrosis can damage the subcutaneous tissues, causing indentation and skin defect. Once this happens, there is not much that can be done; not even dermal filler injection, stem cell therapy or fat graft. As the indentation and skin defect are not normal tissues but scars, they are not likely to respond to treatment.

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Small skin defects shrink naturally in time and get covered by adjacent tissues. However, when it is extensive, the adjacent tissues overcompensate by shriveling around it and create a disfigurement called contracture. All wounds of the human body do not stay open but produce pus and crust. In the mature stage of the wound, callus forms under the crust to close the wound, at which stage, treatment becomes almost impossible. This is why it is important to treat necrosis as early as possible with correct methods.

I advise consulting an expert when necrosis sets in, rather than wasting the precious time with wrong remedies. To help the growth of the dermal filler market, we need more experts who can treat complications. This is why I am actively involved in training programs. I hope many more dermal filler experts will resolve the issues of complications and drive the growth of this market in the future.