Complications and Management of Polymethylmethacrylate (PMMA) Injections to the Midface

Limongi, Roberto; Tao, Jeremiah; Borba, André Meireles; Pereira, Filipe; Pimentel, Ana Rosa; Akaishi, Patrícia; Cruz, Antônio Augusto Velasco e

doi:10.1093/asj/sjv195

Cited by 30 publications

(29 citation statements)

References 23 publications

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“…Sua aplicação em grandes volumes apresenta alto índice de complicações e resultados imprevisíveis, além do mais, não há estudos em longo prazo sobre este produto no corpo. observar muitas complicações advindas do seu uso, além de pouca previsibilidade no resultado final 1,5,6 . Esta série de casos demonstra cinco pacientes que necessitaram de abordagem cirúrgica para exérese do produto, e cirurgias plásticas para correção de deformidades da face.…”

Section: Discussionunclassified

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Tratamento cirúrgico de complicações relacionadas ao uso de polimetilmetacrilato (PMMA) como preenchedor facial

Rodrigues¹,

Lage²,

Figueiredo³

et al. 2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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O uso de preenchedores tem se popularizado como alternativa aos procedimentos cirúrgicos, por serem menos invasivos. O polimetilmetacrilato (PMMA) tem sido usado como preenchedor devido ao seu baixo custo, durabilidade e fácil acesso. Entretanto, já existem na literatura vários relatos de complicações do uso desta substância para preenchimentos na face. Demonstrou-se que o PMMA provoca uma reação granulomatosa inflamatória local e suas complicações podem ser desde uma rigidez dos tecidos locais variando até edema, eritema e formação de nódulos. O presente estudo baseia-se numa série de cinco casos de pacientes que foram submetidos aos preenchimentos na face em regiões de sulco nasogeniano, pálpebra inferior, arco zigomático, região malar e glabelar, com complicações tardias, variando de 5 a 16 anos depois da aplicação. Todos os casos necessitaram de abordagem cirúrgica para remoção do PMMA, uma vez que a resposta à corticoterapia local foi insatisfatória.

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Section: Discussionunclassified

“…Observa-se uma maior incidência dessas complicações em regiões com derme mais delgada e que o implante se posiciona mais superficialmente. A incidência dessas complicações é incerta 5,6 .…”

Section: Relatos De Casosunclassified

Tratamento cirúrgico de complicações relacionadas ao uso de polimetilmetacrilato (PMMA) como preenchedor facial

Rodrigues¹,

Lage²,

Figueiredo³

et al. 2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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“…This complication is most likely to be multifactorial and related to the patient's degree of preprocedural lymphatic obstruction, the depth of the injection within the suborbicularis oculi fat pad, the volume injected, and the viscosity of the filler used [6]. The incidence of malar oedema after injection of HA into the periorbital region is estimated at 2% [7]. Transient oedema and bruising are expected after injection and can be minimised by avoiding blood thinners 2 weeks prior to injection, applying numbing cream with a vasoconstrictor such as epinephrine prior to injection, and the use of cool compresses after the injection.…”

Section: Non-ischaemic Complicationsmentioning

confidence: 99%

Another face of dermal fillers

Witmanowski

Błochowiak²

2020

pdia

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Potential complications related to dermal fillers depend on the type of the fillers and the site of their application. The classification of dermal filler complications can be divided into early and late, and into minor and major events. According to their mechanism, they can be divided into non-ischaemic and ischaemic complications. The aim of this study is to present possible complications related to dermal fillers, to explain their aetiology and to propose preventive management and treatment. Non-ischaemic complications can be technique-dependent and include the reactions at the site of the injection, contour irregularities, and inflammatory and infectious reactions. They are usually resolved as a matter of course after 2-7 days. Arterial or venous occlusion leads to ischemia, with subsequent necrosis of the skin and/or vision loss.

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“…Corticosteroid injection may have limited efficacy while surgical debulking may achieve favorable results. [88] Aquamid (polyacrylamide hydrogel)…”

Section: Pmmamentioning

confidence: 99%

An update review on recent skin fillers

Cheng¹,

Sun²,

Tang³

et al. 2016

PAR

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Facial rejuvenation has changed over the last decade, evolving from the rhytidectomy to an approach that focuses on revolumization, due to a more complete understanding of the changes to bone and soft tissue that occur with the aging face. Soft tissue augmentation using various injectable filler agents has gained popularity due to their nonsurgical, non-invasive procedures, instant cosmetic outcomes and limited recovery time. The skin filler market is booming and the variety of available skin fillers is increasing, providing the plastic surgeons many choices. Nonpermenant, biodegradable, resorbable agents may induce little complications, but they will normally disappear soon after injection. Semipermenant, biodegradable, biostimulary, nonresorbable fillers may induce a bit more complications, but they will normally disappear spontaneously in a few months. Permanent, nonresorbable fillers usually give rise to severe complications or reactions which may not disappear spontaneous. They may appear several years after the injection, and treatment is often insufficient. Unfortunately, the ideal filler with lasting effect but without any complication has not been discovered yet. In this review, we give an update on currently available skin filler agents, and what is new in recent 5 years.

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Complications and Management of Polymethylmethacrylate (PMMA) Injections to the Midface

Cited by 30 publications

References 23 publications

Tratamento cirúrgico de complicações relacionadas ao uso de polimetilmetacrilato (PMMA) como preenchedor facial

Tratamento cirúrgico de complicações relacionadas ao uso de polimetilmetacrilato (PMMA) como preenchedor facial

Another face of dermal fillers

An update review on recent skin fillers

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