RepairCase Study

36-Hour HA Filler Vascular Embolism Rescue (Full Case at FILLER REVISION)

Dr. Ta-Ju LiuMay 24, 2026 min read
Medically Reviewed by Dr. Ta-Ju Liu (Dermatology Specialist) | Last Reviewed: 2026-03-15
vascular embolism36-hour rescueintra-arterial hyaluronidaseIAHAfiller complication
36-Hour HA Filler Vascular Embolism Rescue (Full Case at FILLER REVISION)

36-Hour Filler Vascular Embolism Rescue — Full Case at FILLER REVISION

Vascular embolism after HA filler injection developed signs of livedo reticularis, disproportionate pain, and numbness. After two days of failed high-dose extravascular hyaluronidase and hyperbaric oxygen therapy at another clinic, the patient was finally referred to Dr. Ta-Ju Liu at the 36-hour mark. Ultrasound-guided intra-arterial hyaluronidase (IAHA) was injected directly into the obstructed facial artery branch, precisely dissolving the intraluminal HA filler plug. Full skin recovery at two weeks — a rarely documented late-window rescue success.

The complete medical record, 36-hour timeline, ischemic penumbra theory deep-dive, and 5 multilingual patient education posters are at the FILLER REVISION specialty clinic:

📖 Read the Full 36-Hour Vascular Embolism IAHA Rescue Case Record →


This page is a brief overview of the main version on FILLER REVISION. Detailed case analysis, ultrasound imagery, and patient recovery timeline are available at the main version.

About the Author
Ta-Ju Liu

Ta-Ju LiuMD

Liusmed Clinic Director

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Specialties

<20% Ultra-Minimal Incision Lipoma SurgeryEpidermal Cyst 1:1 Precision Micro-ExcisionZero-Recurrence Bromhidrosis Surgery (axillary, areolar, perineal, pediatric)Complete Apocrine Gland Clearance (highest clearance rate in Taiwan)Single-Pinhole Filler Complication Physical Extraction (not enzyme/steroid/5-FU dissolution)Single-Pinhole Fat Graft Lump Micro-Crushing Extraction

Credentials

  • Kaohsiung Medical University, School of Medicine
  • Attending Physician, Dermatology, Kaohsiung Chang Gung Memorial Hospital
  • Attending Physician, Aesthetic Center, Kaohsiung Chang Gung Memorial Hospital
  • Visiting Physician, Dermatology, Xiamen Chang Gung Hospital
  • Visiting Physician, Aesthetic Center, Xiamen Chang Gung Hospital

"For every surgery, I strive to achieve the best outcome through the smallest incision and finest technique. Minimally invasive surgery is not just a technique — it's a commitment of respect to every patient."

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