Diagnosis and Management of Filler Adverse Effects: An Algorithm

• Published in: Facial plastic surgery Vol. 30; no. 6; pp. 647 - 655
• Main Authors: Feller-Heppt, Gabriele, Haneke, Eckart, Heppt, Markus V.
• Format: Journal Article
• Language: English
• Published: 333 Seventh Avenue, New York, NY 10001, USA Thieme Medical Publishers 01.12.2014
• Subjects: Algorithms; Biocompatible Materials - adverse effects; Contusions - chemically induced; Contusions - diagnosis; Cosmetic Techniques; Dermatologic Agents - adverse effects; Diagnosis, Differential; Edema - chemically induced; Edema - diagnosis; Edema - therapy; Facial Dermatoses - chemically induced; Facial Dermatoses - diagnosis; Facial Dermatoses - therapy; Granuloma - chemically induced; Granuloma - diagnosis; Granuloma - therapy; Humans; Necrosis - chemically induced; Necrosis - diagnosis; Skin - pathology; Skin Ulcer - chemically induced; Skin Ulcer - diagnosis; treatment; side effects; differential diagnosis; injectable fillers; granuloma
• ISSN: 0736-6825; 1098-8793
• DOI: 10.1055/s-0034-1396905

Abstract Fillers are frequently used in beautifying procedures. Despite major advancements of the chemical and biological features of injected materials, filler-related adverse events may occur, and can substantially impact the clinical outcome. Filler granulomas become manifest as visible grains, nodules, or papules around the site of the primary injection. Early recognition and proper treatment of filler-related complications is important because effective treatment options are available. In this report, we provide a comprehensive overview of the differential diagnosis and diagnostics and develop an algorithm of successful therapy regimens.