Large needle suction aspiration of permanent fillers

Abstract

Temporary injectable fillers have become so widely accepted within the cosmetic medical industry that permanent fillers with longer lasting effects are fast gaining popularity. Both patients and physicians alike have eagerly sought a product to minimize the inconvenience and cost of repeated injections. However, the fear is that the use of permanent fillers may lead to permanent problems. We describe here an in-office technique to remove permanent injectable fillers that achieves consistent, natural results with minimal risk of scarring.

Aesthetic Surgical Pathway in Permanent Facial Filler Removal

“…complications, as systemic antibiotic therapy, intra-lesional injections of corticosteroid and/or 5fluorouracil, needle aspiration, surgical drainage and laser therapy [7][8][9][10][11] ,although none of those techniques is able to totally remove previously injected permanent fillers. he mainstay for a proper preoperative filler-removal evaluation is represented by the Magnetic Resonance Imaging (MRI) 13 .Ultrasonographic evaluation may give infos related to the facial location of the filler and regarding the type of filler injected, although only the MRI let the surgeon to clearly evaluate the relationship between the fillers and the surrounding tissues such as muscles, fat compartments and fascia layers 13,14 .A careful preoperative evaluation is mandatory to reduce the risk of facial nerve damaging, a main issue why surgeons usually refuse to perform these surgical procedures.Although non-surgical procedures may solve and/or mitigate permanent fillers complications, the only way to remove the filler previously injected is represented by surgical excision [15][16][17][18][19][20] . A very poor literature is present about this topic, only some reports of permanent filler surgical removal have been published, especially focusing on lips area 3,5,19,20 .Permanent filler removal with direct excision induce visible and unpleasant scar.We present a pathway of facial surgical accesses to be performed in order to remove permanent fillers previously injected with hidden access achieving two goals: permanent filler removal and facial aesthetic balance restoration.…”

Delayed Gel Indurations as an Adverse Effect of Polyacrylamide Filler and Its Easy Treatment

“…However, Pallua and Wolter [16] reported easy treatment of asymmetry of lips after augmentation of lips by PAAG injection through stab incision. Also large needle aspiration is recommended as an in-office and easy technique for permanent filler [17]. …”

Non-Odontogenic Oral and Maxillofacial Infections

“…It is therefore necessary to remove all infected material, which is usually identical with drainage of involved spaces. Only small amounts of ISTFs can be removed by aspiration [43], thus in cases of deep abscesses incision and drainage is the treatment of choice. To avoid facial scar-ring, intraoral incision is the preferred route.…”