Internal Carotid Artery Embolism After Autologous Fat Injection for Temporal Augmentation

  • Haiping Liu
  • Xiaodong Wu
  • Xianfeng Zhang
  • Chunbo Niu
  • Hui ZhuEmail author
Original Article Face and Neck Surgery



There have been several reports of patients experiencing cerebral embolisms following the injection of autologous fat into the face during cosmetic surgery. These embolisms likely resulted from unintentional introduction of fat particles into facial arteries, which then reached the cerebral arteries by retrograde motion.

Case Presentation

We describe here a patient who developed an internal carotid artery (ICA) embolism after autologous fat injection for temporal augmentation. To our knowledge, this is the first report of a pathologically proven ICA embolism after fat injection into the face.


Our results suggest that the fat particles reached the cerebral arteries via a previously unknown pathway.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Fat injection Temporal augmentation Fat embolism Cerebral infarction 


Compliance with Ethical Standards

Conflict of interest

All authors declared there was no conflict of interests involved.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  • Haiping Liu
    • 1
  • Xiaodong Wu
    • 2
  • Xianfeng Zhang
    • 3
  • Chunbo Niu
    • 4
  • Hui Zhu
    • 5
    Email author
  1. 1.Department of Neurology, Changhai HospitalNavy Medical UniversityShanghaiChina
  2. 2.Department of Science Research Center, China-Japan Union Hospital, Jilin UniversityChangchun CityChina
  3. 3.Department of Cerebral SurgeryThe First Hospital of Jilin UniversityChangchun CityChina
  4. 4.Department of PathologyThe First Hospital of Jilin UniversityChangchun CityChina
  5. 5.Department of NeurologyThe First Hospital of Jilin UniversityChangchun CityChina

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