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Erschienen in: Aesthetic Plastic Surgery 2/2022

23.11.2021 | Original Article

Clinical Management of Complications Following Filler Injection

verfasst von: Sara Carella, Giulia Ruggeri, Raffaele La Russa, Gianpietro Volonnino, Paola Frati, Maria Giuseppina Onesti

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 2/2022

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Abstract

Aim

Dermal fillers have been progressively used for cosmetic procedures. Concurrently, the rates of filler complications have also increased. The aim of this study is to describe the clinical management and treatment we performed in patients with complications occurred after filler injection.

Methods

From March 2000 to February 2020, 197 patients have been evaluated for complications due to filler injection. For each patient type of material, symptoms and signs were recorded. Ultrasound evaluation was used to obtain information about the type, amount and location of the injected material. Magnetic Resonance Imaging was performed in those patients who were candidate for surgery. Based on the clinical manifestations, we performed a targeted therapy.

Results

The local and systemic medical therapy allowed us a complete remission of the clinical signs and symptoms in all patients presented with edema and erythema. We obtained optimal results with surgery, where a complete removal of the injected material was possible. In all the cases in which the complete removal of the infiltrated area could have led to functional impairments, we performed partial removal with poor outcomes.

Conclusion

We observed complex clinical manifestations in the patients subjected to permanent fillers. An accurate knowledge upon the effects of the materials on tissues, a specific instrumental evaluation and a targeted therapy are crucial. We suggest the use of absorbable fillers. Patient should be subjected to filler implant in authorized structures by an expert specialist with experience in filler injection and with a thorough knowledge of the anatomical structures.

Level of Evidence IV

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 www.​springer.​com/​00266.
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Metadaten
Titel
Clinical Management of Complications Following Filler Injection
verfasst von
Sara Carella
Giulia Ruggeri
Raffaele La Russa
Gianpietro Volonnino
Paola Frati
Maria Giuseppina Onesti
Publikationsdatum
23.11.2021
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 2/2022
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-021-02650-4

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