TABLE 1.

Suggested treatment for particulate filler vascular compromise

Nitroglycerin paste 2%	Apply immediately upon suspected necrosis and then for 5 minutes every 1-2 hours
Prednisone	20-40mg each day for 3-5 days
Aspirin 325mg	1 under the tongue immediately and then daily
Sildenafil 50mg	1 per day for 3-5 days
Warm compresses	Apply 5-10 minutes every 1-2 hours (avoid burning the skin)
Hyperbaric oxygen	Begin treatment daily as soon as possible with continued treatments until the area has improved