Patient injected a non-medical formula of vitamin E oil into her upper lip for augmentation purposes, then had to go to ER for necrotizing phlegmon of the upper lip.

a shows the initial presentation of the patient with beginning inflammation in the upper lip region after injection. b Presents the intraoperative finding. A sharp curette can be inserted almost fully into the upper lip. c Displays the direct postoperative result with a partial closure and small plastic tubes. d and e Show the postoperative results after full restitutio ad integrum with an aesthetically satisfactory result