Complications of Fillers

Kohli, Malavika; Davda, Rajul

doi:10.5005/jp/books/12862_10

Cited by 1 publication

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“…Knowledge of facial anatomy, different injection techniques, the various properties of the different filler products and their indications, history of filler placement and the patients’ needs and expectations are essential in reducing the risk of adverse outcomes (Koli and Davda 2016 ). Pre-procedural assessment should be cognizant not only of a complete medical history but also of the process of aging of the face, especially the different times and rate in the various facial areas.…”

Section: Discussionmentioning

confidence: 99%

“…The medical history should be attentive to bleeding disorders, uncontrolled hypertension, drug usage such as anticoagulants and blood thinners. A thorough understanding of the product used such as the gel hardness, cross-linkage, particles per milligram, monophasic or biphasic nature, shelf life and nature of additives such as lignocaine is crucial as this allows for ideal filler placement (Koli and Davda 2016 ). The correct depth of filler placement is influenced by the hardness of the product, for example, the harder the filler material, the deeper it should be injected (Funt and Pavicic 2013 ).…”

Section: Discussionmentioning

confidence: 99%

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Delayed adverse reaction to a natural dermal filler mimicking salivary gland neoplasia

Alli¹,

Murdoch²,

Meer

2022

Bull Natl Res Cent

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Background Cosmetic dermal fillers are a sought-after procedure globally. However, despite the safety claims of filler materials by the manufacturers, adverse reactions still occur. Case presentation This case report is of a 66-year-old female who presented with a late-onset complication of a hyaluronic acid dermal filler that clinically mimicked a salivary gland neoplasm. The patient presented with firm peri-oral swellings of short duration that clinically mimicked a pleomorphic adenoma and mucoepidermoid carcinoma. The diagnosis was that of a foreign-body granulomatous response to dermal fillers. Although other mimics of a similar nature are reported a knowledgeable clinician, careful choice of filler material, knowledge of the product, thorough pre-procedural history taking and post-procedural patient follow-up can drastically minimize a possible misdiagnosis. The reaction was treated with a combination of hyaluronidase, betamethasone and 5-flurouracil intra-lesional injections monthly for 11 consecutive months, with total clinical resolution. Conclusions Patient education of the procedure, product name and the possibility of an adverse reaction occurring, even years later or at a site distant to the initial site of placement, is vital. Further, we review the recent reported adverse association of the new mRNA COVID-19 vaccines and dermal filler placement.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%