Fat-Grafting Injection for Soft-Tissue Augmentation

Chajchir, Abel; Benzaquen, Iliana; Fredricks, Simon

doi:10.1097/00006534-198912000-00010

Cited by 57 publications

(65 citation statements)

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“…In a previous study, 13 our group postulated that size variation in injected particles leads to different clinical occlusion features (eg, small-sized hyaluronic acid is less likely to completely block the ophthalmic artery). In addition, because of high resorption, 23 fat is usually injected in a substantial amount using a large-bore needle (14-gauge to 18-gauge), aiming to overcorrect the cosmetic defect. 24 The high volume and high pressure of this injection seem responsible for multifocal and complete obstruction of the ophthalmic artery and its branches after autologous fat injections.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Occlusion of the Ophthalmic Artery After Cosmetic Facial Filler Injections

et al. 2014

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for the Korean Retina Society IMPORTANCE Iatrogenic occlusion of the ophthalmic artery and its branches is a rare but devastating complication of cosmetic facial filler injections.OBJECTIVE To investigate clinical and angiographic features of iatrogenic occlusion of the ophthalmic artery and its branches caused by cosmetic facial filler injections. DESIGN, SETTING, AND PARTICIPANTS Data from 44 patients with occlusion of the ophthalmic artery and its branches after cosmetic facial filler injections were obtained retrospectively from a national survey completed by members of the Korean Retina Society from 27 retinal centers. Clinical features were compared between patients grouped by angiographic findings and injected filler material. MAIN OUTCOMES AND MEASURESVisual prognosis and its relationship to angiographic findings and injected filler material.RESULTS Ophthalmic artery occlusion was classified into 6 types according to angiographic findings. Twenty-eight patients had diffuse retinal and choroidal artery occlusions (ophthalmic artery occlusion, generalized posterior ciliary artery occlusion, and central retinal artery occlusion). Sixteen patients had localized occlusions (localized posterior ciliary artery occlusion, branch retinal artery occlusion, and posterior ischemic optic neuropathy). Patients with diffuse occlusions showed worse initial and final visual acuity and less visual gain compared with those having localized occlusions. Patients receiving autologous fat injections (n = 22) had diffuse ophthalmic artery occlusions, worse visual prognosis, and a higher incidence of combined brain infarction compared with patients having hyaluronic acid injections (n = 13).CONCLUSIONS AND RELEVANCE Clinical features of iatrogenic occlusion of the ophthalmic artery and its branches following cosmetic facial filler injections were diverse according to the location and extent of obstruction and the injected filler material. Autologous fat injections were associated with a worse visual prognosis and a higher incidence of combined cerebral infarction. Extreme caution and care should be taken during these injections, and physicians should be aware of a diverse spectrum of complications following cosmetic facial filler injections.

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Section: Discussionmentioning

confidence: 99%

Iatrogenic Occlusion of the Ophthalmic Artery After Cosmetic Facial Filler Injections

et al. 2014

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“…5,6 More generally, the histological evaluation over time of autologous fat grafts has never shown their capacity to last in the long term. 8,9 The injectable silicone is currently considered to be illegal.…”

Section: Discussionmentioning

confidence: 99%

Penis invalidating cicatricial outcomes in an enlargement phalloplasty case with polyacrylamide gel (Formacryl)

2005

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The present article reports the case of a patient subjected to polyacrylamide polymers-composed gel cutaneous infiltration in the penis for cosmetic purposes, resulting in severe invalidating outcomes. A significant tissue reaction to the subcutaneous injection of polyacrylamide gel for the penis enlargement purpose resulted in permanent and invalidating scars both on the esthetic and functional levels. Such a result must be plainly be taken into account both singly and in the light of the international literature to exclude this method as standard uroandrologic activity.

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“…There are various reports and different preferences on the optimal type of anesthesia based on quite controversial data on the impact of local anesthetics (Ellenbongen, 1986;Chajhir, Benzaquen, 1989;Ersek, 1998;Har-Shai, 1998;Amar, 1999;Coleman, 2001). In 1995 Jr. Moore published the results of a profound analysis stating no negative influence of the adrenalin on fat cells survival (Moore, 1995).…”

Section: Local Anestheticsmentioning

confidence: 99%