Evidence map›Paper›PMID 42459244›Full record

ReviewThe Journal of clinical and aesthetic dermatology2026

Hyperbaric Oxygen Therapy in the Management of Dermal Filler-Induced Vascular Occlusion: A Scoping Review.

Luisa V Ramirez, Ebony P Gayle, Ana Ormaza, Sami K Saikaly, Elisha Singer, Thais Pincelli, Deanna C Menapace, Courtney L James-Newsome, Roy S Rogers, Alison J Bruce and 2 more

Abstract readReview
In one paragraph

Review in The Journal of clinical and aesthetic dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Luisa V RamirezDrs. Ramirez and Gayle are with ADEI, Aesthetics & Dermatology Institute, Bogota, Colombia.
Ebony P GayleDrs. Ramirez and Gayle are with ADEI, Aesthetics & Dermatology Institute, Bogota, Colombia.
Ana OrmazaDr. Ormaza is with the Department of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia.
Sami K SaikalyDr. Saikaly is with Rising Sun Dermatology & Cosmetics Center, St. Augustine, Florida.
Elisha SingerDrs. Singer, Pincelli, Bruce, Tolaymat, and Aristizabal-Torres are with the Department of Dermatology, Mayo Clinic, Jacksonville, Florida.
Thais PincelliDrs. Singer, Pincelli, Bruce, Tolaymat, and Aristizabal-Torres are with the Department of Dermatology, Mayo Clinic, Jacksonville, Florida.
Deanna C MenapaceDr. Menapace is with the Department of Otolaryngology, Division of Facial Plastic Surgery, Mayo Clinic, Jacksonville, Florida.
Courtney L James-NewsomeDr. James-Newsome is with the Department of Emergency Medicine, Mayo Clinic, Jacksonville, Florida.
Roy S RogersDr. Rogers is with the Department of Dermatology, Mayo Clinic, Scottsdale, Arizona.
Alison J BruceDrs. Singer, Pincelli, Bruce, Tolaymat, and Aristizabal-Torres are with the Department of Dermatology, Mayo Clinic, Jacksonville, Florida.
Leila TolaymatDrs. Singer, Pincelli, Bruce, Tolaymat, and Aristizabal-Torres are with the Department of Dermatology, Mayo Clinic, Jacksonville, Florida.
Miguel A Aristizabal-TorresDrs. Singer, Pincelli, Bruce, Tolaymat, and Aristizabal-Torres are with the Department of Dermatology, Mayo Clinic, Jacksonville, Florida.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHyperbaric oxygen therapy (HBOT) has been used in ischemic and inflammatory conditions due to its ability to enhance tissue oxygenation and support wound healing. Filler-induced vascular occlusion (FIVO) is a rare but potentially devastating complication of dermal filler injections that may result in skin necrosis or vision loss. HBOT has been increasingly reported as an adjunctive intervention in FIVO, but its reported use has not been systematically summarized.

objectiveTo summarize the existing literature on HBOT use in FIVO, describe reported clinical contexts and treatment parameters, and identify gaps in current knowledge.

methodsThis scoping review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. A comprehensive search of PubMed, MEDLINE, Embase, and Google Scholar identified case reports, case series, experimental studies, and reviews describing FIVO cases managed with HBOT. Articles published in English or Spanish between January 2011 and May 2025 were included. Data were synthesized descriptively.

resultsTwenty-four studies met inclusion criteria, consisting primarily of case reports and small case series. HBOT was most often used as an adjunct to established therapies, including hyaluronidase, antiplatelet agents, vasodilators, and thrombolytic therapy. Reported HBOT protocols varied substantially, with treatment pressures of 2.0 to 3.0 atmospheres absolute and session durations of 60 to 120 minutes. Outcomes were heterogeneous and frequently confounded by multimodal management.

conclusionHBOT has been reported as an adjunctive intervention in selected cases of FIVO, but evidence remains limited to low-level observational data, highlighting the need for standardized protocols and prospective studies.

Indexed as

derma fillerfiller complicationsfiller-induced vascular occlusionHyperbaric medicinehyperbaric oxygen therapyhyperbaric oxygen treatment

Identifiers

PMID42459244
PMCPMC13372304

What OpenQuestion holds

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Registered trials

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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.