Treacherous Territory: Temple Fillers and Tissue Necrosis

The paper discusses the complications associated with hyaluronic acid (HA) filler injections in the temporal region, highlighting a case of a 48-year-old woman who developed tissue necrosis and alopecia following the procedure. Despite the general safety of HA injections, complications such as visual loss, neurological deficits, and embolism can occur, often due to vascular occlusion. The patient in the case study experienced severe pain and hair loss, which was successfully treated with hyaluronidase injections and aspirin, leading to complete hair regrowth and resolution of skin necrosis within 6 months. The study emphasizes the importance of skilled practitioners and immediate intervention to manage complications effectively.