Dermal fillers: Do′s and Dont′s

Vedamurthy, Maya; Vedamurthy, Amar; Nischal, KC

doi:10.4103/0974-2077.63221

Cited by 26 publications

(26 citation statements)

References 17 publications

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“…Indeed, this may be a source of delayed reactions [12]. It should be noted that some of the currently available non-animal hyaluronic acid-based fillers contain trace amounts of gram-positive bacterial proteins and, therefore, they are contraindicated for patients with a history of allergies to such material [16].…”

Section: Resultsmentioning

confidence: 99%

Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report

Urdiales-Gálvez

Delgado²,

Figueiredo³

et al. 2017

Aesth Plast Surg

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BackgroundThe use of dermal fillers in minimally invasive facial aesthetic procedures has become increasingly popular of late, yet as the indications and the number of procedures performed increase, the number of complications is also likely to increase. Paying special attention to specific patient characteristics and to the technique used can do much to avoid these complications. Indeed, a well-trained physician can also minimize the impact of such problems when they do occur.MethodsA multidisciplinary group of experts in aesthetic treatments reviewed the main factors associated with the complications that arise when using dermal fillers. A search of English, French and Spanish language articles in PubMed was performed using the terms “complications” OR “soft filler complications” OR “injectable complications” AND “dermal fillers”. An initial document was drafted that reflected the complications identified and recommendations as to how they should be handled. This document was then reviewed and modified by the expert panel, until a final text was agreed upon and validated.ResultsThe panel addressed consensus recommendations about the preparation, the procedure and the post-procedural care. The panel considered it crucial to obtain an accurate medical history to prevent potential complications. An additional clinical assessment, including standardized photography, is also crucial to evaluate the outcomes and prevent potential complications. Furthermore, the state of the operating theatre, the patient’s health status and the preparation of the skin are critical to prevent superficial soft tissue infections. Finally, selecting the appropriate technique, based on the physician’s experience, as well as the characteristics of the patient and filler, helps to ensure successful outcomes and limits the complications.ConclusionsThis consensus document provides key elements to help clinicians who are starting to use dermal fillers to employ standard procedures and to understand how best to prevent potential complications of the treatment.Level of Evidence VThis 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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Section: Resultsmentioning

confidence: 99%

Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report

Urdiales-Gálvez

Delgado²,

Figueiredo³

et al. 2017

Aesth Plast Surg

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show abstract

“…Treatment with dermal fillers is a type of soft-tissue augmentation 1-3 that comprises 2 clinical categories, depending on the type of application: (1) operative (invasive) applications of filling substances or small implants, commonly performed by plastic or craniofacial surgeons, and (2) injectable preparations administered by dermatologists. [4][5][6][7][8][9] The latter category is the subject of the present study.…”

Section: Researchmentioning

confidence: 99%

Filling Effects, Persistence, and Safety of Dermal Fillers Formulated With Stem Cells in an Animal Model

Nowacki¹,

Pietkun

Pokrywczyńska³

et al. 2014

Aesthetic Surgery Journal

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“…Deterioration of patient appearance after filler injection is regarded as a major complication of this kind of products, which should be treated immediately. The minor local tissue reactions of HA filler products may include irritation, itching, bruising, swelling, ecchymosis, local inflammatory, and pigmentation . Nodules, granuloma, and allergic reactions were also reported in few cases.…”

Section: Polymeric Injectable Fillersmentioning

confidence: 99%

Polymeric injectable fillers for cosmetology: Current status, future trends, and regulatory perspectives

Zhao

Zhang

et al. 2019

J of Applied Polymer Sci

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Injectable fillers have become a vital part of cosmetology. A wide variety of injectable fillers are developed for either correction of facial wrinkles and folds or facial contouring. As the most popular filler products, polymeric injectable fillers represent a class of the most common implantable medical devices. This review is intended to not only present current filler products, but also share perspectives of future trends, development processes, and regulatory considerations for the next generation of fillers. First, currently approved polymeric injectable fillers are described in detail. Second, future trends of polymeric injectable fillers are discussed. Fillers based on the emerging technologies in tissue engineering and regenerative medicine with stimuli‐responsive or tunable properties, as well as device/drug combination products, are promising candidates. Third, fillers for cosmetology are different from traditionally recognized medical devices. As a result, the target population of such fillers is different from that of other implantable devices, leading to different user needs that impact their development processes. Last, product applications, regulatory requirements, device evaluation, characteristics, and difficulties for regulating filler products for minimally invasive cosmetology are reviewed. Both regulatory science and scientific supervision are needed for polymeric injectable fillers which are facing great opportunities as well as challenges. © 2019 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2020, 137, 48515.

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Dermal fillers: Do′s and Dont′s

Cited by 26 publications

References 17 publications

Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report

Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report

Filling Effects, Persistence, and Safety of Dermal Fillers Formulated With Stem Cells in an Animal Model

Polymeric injectable fillers for cosmetology: Current status, future trends, and regulatory perspectives

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