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. 2020 Dec 30;157(2):1–7. doi: 10.1001/jamadermatol.2020.5102

Table 2. Incidence of Multiple Occlusions Per Injector, Filler Type, and Instrument Type.

Filler, instrument, and No. of occlusions Severity level frequency, No. (%)a No. of injectorsc
No sequelae Scar Eye injury Mean severity levelb
Hyaluronic acid
Needle, 2 occlusions 33 (82.5) 7 (17.5) 0 1.18 20
Needle, 3 occlusions 37 (94.9) 2 (5.1) 0 1.05 13
Needle, 4 occlusions 10 (83.3) 2 (16.7) 0 1.17 3
Needle, 5 occlusions 11 (73.3) 3 (20.0) 1 (6.7) 1.33 3
Cannula, 2 occlusions 3 (75.0) 0 1 (25.0) 1.50 2
Cannula, 3 occlusions 3 (100) 0 0 1.00 1
Poly-L-lactic acid
Needle, 3 occlusions 2 (66.7) 0 1 (33.3) 1.67 1
a

Percentages are divided within rows, so rows total to 100%.

b

Mean severity level is defined as the numerical average when values are assigned as follows: 1, no long-term sequelae; 2, scar; 3, ocular injury or blindness.

c

Injectors with multiple occlusions were classified by the total number of occlusions per injector per filler and instrument type (eg, if an injector had 3 occlusions from hyaluronic acid filler injected with a needle during the past 10 years, they would be listed as 3 occlusions but not also as 2 occlusions).