THE MANAGEMENT OF VASCULAR COMPLICATIONS IN FACIAL HARMONIZATION: INTERVENTION STRATEGIES AND SAFETY PROTOCOLS

Facial harmonization has established itself as a cornerstone of modern aesthetics; however, the increased use of hyaluronic acid fillers has raised the incidence of vascular occlusions, making the management of these complications a highly relevant clinical topic. This study was developed through an integrative literature review, searching databases such as PubMed, SciELO, and LILACS to analyze protocols published between 2020 and 2025. The results indicate that intervention success depends on early diagnosis, characterized by signs such as blanching and livedo reticularis, followed by the immediate application of high doses of hyaluronidase. The discussion emphasizes that the use of Doppler ultrasound and pharmacological support with acetylsalicylic acid are essential for restoring tissue perfusion and preventing necrosis. It is concluded that safety in injectable procedures requires not only anatomical mastery but also the readiness to execute aggressive and technically sound reversal protocols.