Our industry is failing when it comes to safety. As a registered nurse, and a safety first practitioner, I have written this contribution to the clinical framework for post reperfusion skin injury.
Safety within the aesthetic industry should never be overlooked. As a registered Nurse and safety-first practitioner, I have developed a proposed clinical framework to support the assessment and management of post-reperfusion skin injuries. Designed to support safer outcomes, clearer guidance and improved skin recovery.
The Bennett Post-Occlusion Skin Injury Scale (BPOSIS): A Proposed Classification and Management Framework for Skin Injury Following Dermal Filler Vascular Occlusion
BPOSIS is a newly proposed clinical framework aimed at assisting healthcare professionals in the classification and management of skin injuries following the restoration of perfusion after dermal filler vascular occlusion.
While current protocols primarily emphasise the restoration of blood flow, the subsequent wound-healing phase remains less clearly defined. BPOSIS seeks to address this gap.
Framework Overview


Why BPOSIS matters
Because managing complications correctly can make the difference between recovery and long-term damage.
- Promotes early recognition of skin compromise
- Supports safe, structured clinical decision-making
- Helps reduce the risk of long-term tissue damage
- Encourages consistent, evidence-informed care
- Prioritises patient safety at every stage.
Access the Full Preprint Manuscript
Download the full manuscript to explore the framework in detail. Please note, this is a proposed framework and has not yet undergone peer review.
Collaboration Opportunity
BPOSIS is currently in development, and collaboration with clinicians is highly encouraged. Your feedback and insights are invaluable to refining this framework.
Author
Stephanie Bennett, RN, BSc (Hons), MSc
Aesthetic Nurse Practitioner
ORCID: 0009-0009-8305-3995



