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. 2018 Jan 5;42(2):498–510. doi: 10.1007/s00266-017-1063-0

Table 6.

Strategies for reducing the risk of skin necrosis with hyaluronic acid fillers

Panel recommendations
a. Aspirating prior to injection
b. Utilizing lower volumes and serial injections in high-risk areas
c. Treating one side at a time
d. Pinching/tenting the skin to provide more space superficial to the branches of the main arteries
e. Manual occlusion of the origin of the supratrochlear vessels with the non-dominant finger
f. Blunt cannulas may reduce, but not eliminate, the risk