Evidence map›Paper›PMID 40770498›Full record

ArticleAesthetic plastic surgery2026

High-Dose Hyaluronidase for Late-Onset Vascular Complications Following Hyaluronic Acid Filler.

Mahboobeh Karimi-Galougahi, Nasim Raad, Niloofaralsadat Nourian

Abstract readCase ReportsLetter
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mahboobeh Karimi-GalougahiDepartment of Otolaryngology, Masih Daneshvari Hospital, Tehran, Iran. mahboob76181@yahoo.com.ORCID 0000-0001-9880-3802
Nasim RaadDepartment of Otolaryngology, Masih Daneshvari Hospital, Tehran, Iran.
Niloofaralsadat NourianDepartment of Otolaryngology, Masih Daneshvari Hospital, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Late-onset vascular complications (VCs) following hyaluronic acid (HA) filler injections are rare but can result in significant morbidity if not promptly recognized and managed. We report a case of a 41-year-old woman who developed delayed VCs 28 h post-injection, unresponsive to low-dose hyaluronidase. Escalation to high-dose hyaluronidase (6000 IU), combined with platelet-rich fibrin (PRF) and hyperbaric oxygen therapy (HBOT), led to full recovery without adverse effects. This case highlights the clinical challenge of delayed VCs and the potential efficacy of aggressive, multimodal management.

Indexed as

Cosmetic TechniquesDermal FillersHyaluronic AcidHyaluronoglucosaminidaseAdultDose-Response Relationship, DrugFemaleFollow-Up StudiesHumansHyperbaric OxygenationRisk AssessmentSkin AgingTime FactorsTreatment OutcomeDermal FillersHyaluronic AcidHyaluronoglucosaminidaseComplicationFillerHyaluronic acidHyaluronidaseVascular

Identifiers

PMID40770498

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.