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Treatment of Soft Tissue Filler Complications: Expert Consensus Recommendations
BACKGROUND: Dermal fillers have been increasingly used in minimally invasive facial esthetic procedures. This widespread use has led to a rise in reports of associated complications. The aim of this expert consensus report is to describe potential adverse events associated with dermal fillers and to...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840246/ https://www.ncbi.nlm.nih.gov/pubmed/29305643 http://dx.doi.org/10.1007/s00266-017-1063-0 |
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author | Urdiales-Gálvez, Fernando Delgado, Nuria Escoda Figueiredo, Vitor Lajo-Plaza, José V. Mira, Mar Moreno, Antonio Ortíz-Martí, Francisco del Rio-Reyes, Rosa Romero-Álvarez, Nazaret del Cueto, Sofía Ruiz Segurado, María A. Rebenaque, Cristina Villanueva |
author_facet | Urdiales-Gálvez, Fernando Delgado, Nuria Escoda Figueiredo, Vitor Lajo-Plaza, José V. Mira, Mar Moreno, Antonio Ortíz-Martí, Francisco del Rio-Reyes, Rosa Romero-Álvarez, Nazaret del Cueto, Sofía Ruiz Segurado, María A. Rebenaque, Cristina Villanueva |
author_sort | Urdiales-Gálvez, Fernando |
collection | PubMed |
description | BACKGROUND: Dermal fillers have been increasingly used in minimally invasive facial esthetic procedures. This widespread use has led to a rise in reports of associated complications. The aim of this expert consensus report is to describe potential adverse events associated with dermal fillers and to provide guidance on their treatment and avoidance. METHODS: A multidisciplinary group of experts in esthetic treatments convened to discuss the management of the complications associated with dermal fillers use. A search was performed for English, French, and Spanish language articles in MEDLINE, the Cochrane Database, and Google Scholar using the search terms “complications” OR “soft filler complications” OR “injectable complications” AND “dermal fillers” AND “Therapy”. An initial document was drafted by the Coordinating Committee, and it was reviewed and modified by the experts, until a final text was agreed upon and validated. RESULTS: The panel addressed consensus recommendations about the classification of filler complications according to the time of onset and about the clinical management of different complications including bruising, swelling, edema, infections, lumps and bumps, skin discoloration, and biofilm formation. Special attention was paid to vascular compromise and retinal artery occlusion. CONCLUSIONS: Clinicians should be fully aware of the signs and symptoms related to complications and be prepared to confidently treat them. Establishing action protocols for emergencies, with agents readily available in the office, would reduce the severity of adverse outcomes associated with injection of hyaluronic acid fillers in the cosmetic setting. This document seeks to lay down a set of recommendations and to identify key issues that may be useful for clinicians who are starting to use dermal fillers. Additionally, this document provides a better understanding about the diagnoses and management of complications if they do occur. LEVEL OF EVIDENCE V: This 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. |
format | Online Article Text |
id | pubmed-5840246 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-58402462018-03-12 Treatment of Soft Tissue Filler Complications: Expert Consensus Recommendations Urdiales-Gálvez, Fernando Delgado, Nuria Escoda Figueiredo, Vitor Lajo-Plaza, José V. Mira, Mar Moreno, Antonio Ortíz-Martí, Francisco del Rio-Reyes, Rosa Romero-Álvarez, Nazaret del Cueto, Sofía Ruiz Segurado, María A. Rebenaque, Cristina Villanueva Aesthetic Plast Surg Review BACKGROUND: Dermal fillers have been increasingly used in minimally invasive facial esthetic procedures. This widespread use has led to a rise in reports of associated complications. The aim of this expert consensus report is to describe potential adverse events associated with dermal fillers and to provide guidance on their treatment and avoidance. METHODS: A multidisciplinary group of experts in esthetic treatments convened to discuss the management of the complications associated with dermal fillers use. A search was performed for English, French, and Spanish language articles in MEDLINE, the Cochrane Database, and Google Scholar using the search terms “complications” OR “soft filler complications” OR “injectable complications” AND “dermal fillers” AND “Therapy”. An initial document was drafted by the Coordinating Committee, and it was reviewed and modified by the experts, until a final text was agreed upon and validated. RESULTS: The panel addressed consensus recommendations about the classification of filler complications according to the time of onset and about the clinical management of different complications including bruising, swelling, edema, infections, lumps and bumps, skin discoloration, and biofilm formation. Special attention was paid to vascular compromise and retinal artery occlusion. CONCLUSIONS: Clinicians should be fully aware of the signs and symptoms related to complications and be prepared to confidently treat them. Establishing action protocols for emergencies, with agents readily available in the office, would reduce the severity of adverse outcomes associated with injection of hyaluronic acid fillers in the cosmetic setting. This document seeks to lay down a set of recommendations and to identify key issues that may be useful for clinicians who are starting to use dermal fillers. Additionally, this document provides a better understanding about the diagnoses and management of complications if they do occur. LEVEL OF EVIDENCE V: This 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. Springer US 2018-01-05 2018 /pmc/articles/PMC5840246/ /pubmed/29305643 http://dx.doi.org/10.1007/s00266-017-1063-0 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Review Urdiales-Gálvez, Fernando Delgado, Nuria Escoda Figueiredo, Vitor Lajo-Plaza, José V. Mira, Mar Moreno, Antonio Ortíz-Martí, Francisco del Rio-Reyes, Rosa Romero-Álvarez, Nazaret del Cueto, Sofía Ruiz Segurado, María A. Rebenaque, Cristina Villanueva Treatment of Soft Tissue Filler Complications: Expert Consensus Recommendations |
title | Treatment of Soft Tissue Filler Complications: Expert Consensus Recommendations |
title_full | Treatment of Soft Tissue Filler Complications: Expert Consensus Recommendations |
title_fullStr | Treatment of Soft Tissue Filler Complications: Expert Consensus Recommendations |
title_full_unstemmed | Treatment of Soft Tissue Filler Complications: Expert Consensus Recommendations |
title_short | Treatment of Soft Tissue Filler Complications: Expert Consensus Recommendations |
title_sort | treatment of soft tissue filler complications: expert consensus recommendations |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840246/ https://www.ncbi.nlm.nih.gov/pubmed/29305643 http://dx.doi.org/10.1007/s00266-017-1063-0 |
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