Hyperbaric Oxygen Therapy in Managing Minimally Invasive Aesthetic Procedure Complications: A Report of Three Cases

Mendy Hatibie Oley ^1–3 , Maximillian Christian Oley ^3–5 , Ferra Olivia Mawu ⁶ , Deanette Michelle R Aling ³ , Muhammad Faruk ⁷

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**Figure 1** Sialadenitis caused by placenta-extract filler injections. (A) Inflamed right jaw prior to HBOT. (B) Slowly draining abscess and reduced swelling after three HBOT sessions. (C) After six HBOT sessions, the area of infection became more localized. (D) A completely healed wound at 1-year post debridement.

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**Figure 2** Post thread lift allergy leading to facial excoriations. (A) Multiple wounds on the nasolabial folds and jawlines before HBOT. (B) Inflammation resided and wounds turned bright red as vascularization improved after one month of HBOT.

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**Figure 3** Post-filler vascular occlusion of the nasal tip. (A) Erythema and blanching of the nasal tip before HBOT. (B) Excoriations turned bright red as vascularization began to improve after one month of HBOT

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This study discusses the use of hyperbaric oxygen therapy in managing complications from minimally invasive aesthetic procedures.

Introduction

Minimally invasive aesthetic procedures, such as filler injections and thread lifts, have gained popularity.
In 2020, the American Society of Plastic Surgeons reported 13.2 million cosmetic procedures, a 174% increase since 2000.
Complications from these procedures can include infections and vascular occlusions, necessitating effective treatment options.
Hyperbaric oxygen therapy (HBOT) is highlighted as a beneficial adjunct in treating complications.

Case Presentations

Three female patients aged late-twenties to mid-fifties experienced complications from aesthetic procedures.
Case 1: A 55-year-old with sialadenitis from placental extract filler received HBOT and antibiotics, leading to full recovery within a year.
Case 2: A 29-year-old with skin excoriations post-thread lift underwent HBOT, resulting in improved healing after one month.
Case 3: A 32-year-old with post-filler vascular occlusion received HBOT, showing enhanced blood flow after one month.

Discussion

Complications from aesthetic procedures can lead to serious issues, requiring prompt treatment.
HBOT enhances tissue perfusion and has bactericidal effects, aiding in wound healing.
The document discusses the risks associated with various fillers and the effectiveness of HBOT in treating complications.
Recommendations for managing vascular compromise include HBOT, antibiotics, and other supportive treatments.

Conclusion

HBOT, combined with antibiotics and anti-inflammatory agents, effectively manages complications from minimally invasive aesthetic procedures.
The therapy helps maintain tissue viability during complications, demonstrating favorable outcomes in the cases presented.

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Hyperbaric Oxygen Therapy in Managing Minimally Invasive Aesthetic Procedure Complications: A Report of Three Cases

Hyperbaric Oxygen Therapy in Managing Minimally Invasive Aesthetic Procedure Complications: A Report of Three Cases