Management of complications and sequelae with temporary injectable fillers

被引:63
作者
Alam, Murad
Dover, Jeffrey S.
机构
[1] Northwestern Univ, Dept Dermatol, Dept Otolaryngol Head & Neck Surg, Sect Cutaneous & Aesthet Surg, Chicago, IL 60611 USA
[2] Northwestern Univ, Dept Surg, Chicago, IL 60611 USA
[3] Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Dept Med, Hanover, NH 03756 USA
[4] Yale Univ, Sch Med, Dept Dermatol, Sect Dermatol Surg & Cutaneous Oncol, New Haven, CT 06510 USA
关键词
D O I
10.1097/01.prs.0000248859.14788.60
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Injectable nonpermanent soft-tissue augmentation materials are extremely well-tolerated products that can be used safely in virtually all patients who are candidates for facial augmentation. In this article, the authors review the management of the few common and minor undesirable effects that may be associated with temporary filters; in addition, the authors mention the rare incidence of serious complications. Methods: The authors conducted a MEDLINE-based (1990 to 2005) review of complications and side effects of nonpermanent injectable filler materials. This review was supplemented with evidence presented at recent plastic surgery and dermatology scientific meetings and unpublished information made available to the authors. Results: Nonpermanent iniectable soft-tissue augmentation materials are extremely safe substances that are unlikely to cause more than mild injection discomfort, transient redness and swelling, and occasional short-term bruising when used for facial augmentation. Symmetry can usually be maintained with judicious bilateral use of injectant, and injection-site necrosis is rare and treatable. Proper technique minimizes the already very low risk of visible implants, nodule formation, and hypersensitivity reactions. Other serious effects are exceedingly rare, and retinal artery thrombosis, previously associated with injectable collagen, has not been seen with newer fillers. Conclusions: Injectable nonpermanent fillers are extremely safe substances. Attention to injection technique further minimizes the low risk of adverse events, which are usually minor, spontaneously resolving, and easily treated.
引用
收藏
页码:98S / 105S
页数:8
相关论文
共 25 条
[1]
Safety of radiofrequency treatment over human skin previously injected with medium-term injectable soft-tissue augmentation materials: A controlled pilot trial [J].
Alam, M ;
Levy, R ;
Pavjani, U ;
Ramierez, JA ;
Guitart, J ;
Veen, H ;
Gladstone, HB .
LASERS IN SURGERY AND MEDICINE, 2006, 38 (03) :205-210
[2]
ALAM M, IN PRESS J AM ACAD D
[3]
Andre P, 2005, J Cosmet Laser Ther, V7, P171, DOI 10.1080/14764170500344393
[4]
COLLINS S, 2004, HIV TREAT B, V5
[5]
Dover J S, 2005, Skin Therapy Lett, V10, P5
[6]
Complications of fillers: Overview [J].
Duffy, DM .
DERMATOLOGIC SURGERY, 2005, 31 (11) :1626-1633
[7]
Granulomatous foreign body reaction against hyaluronic acid:: Report of a case after lip augmentation [J].
Fernández-Aceñero, MJ ;
Zamora, E ;
Borbujo, J .
DERMATOLOGIC SURGERY, 2003, 29 (12) :1225-1226
[8]
FORBESMCKEAN K, 2004, GEN PLAST SURG DEV A
[9]
Injection necrosis of the glabella: Protocol for prevention and treatment after use of dermal fillers [J].
Glaich, AS ;
Cohen, JL ;
Goldberg, LH .
DERMATOLOGIC SURGERY, 2006, 32 (02) :276-281
[10]
Management of injected hyaluronic acid induced Tyndall effects [J].
Hirsch, RJ ;
Narurkar, V ;
Carruthers, J .
LASERS IN SURGERY AND MEDICINE, 2006, 38 (03) :202-204