It was late evening hours, somewhere at about 9:00. I got a call from my old patient saying “Doc, I am having itching on my nose, are you there in the clinic? May I come? As it was Saturday, I was also a bit tired and had given my little one to promise to take him out for dinner. I said “Itching? Take some anti-allergic, you will be fine Next morning which was Sunday I got some pictures on my WhatsApp and I was shocked.
History: The boy had recently undergone a rhinoplasty after which he didn't turn up for follow-ups. Also, he ended up using a dermal filler recommended by some doctor for a sharp nose tip. Diagnosis: I realized that the filler had gone to the blood vessels and thus the necrosis of the skin. As this was new for me, I consulted 5 or more experienced doctors. Treatment: After 7 days of injection sessions, the layers were finally peeling off. Antibiotic dosage was stared…
