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Requena, L; Requena, C; Christensen, L; Zimmermann, US; Kutzner, H; Cerroni, L.
Adverse reactions to injectable soft tissue fillers.
J Am Acad Dermatol. 2011; 64(1): 1-34. Doi: 10.1016/j.jaad.2010.02.064
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Co-authors Med Uni Graz
Cerroni Lorenzo
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Abstract:
In recent years, injections with filler agents are often used for wrinkle-treatment and soft tissue augmentation by dermatologists and plastic surgeons. Unfortunately, the ideal filler has not yet been discovered and all of them may induce adverse reactions. Quickly biodegradable or resorbable agents may induce severe complications, but they will normally disappear spontaneously in a few months. Slowly biodegradable or nonresorbable fillers may give rise to severe reactions that show little or no tendency to spontaneous improvement. They may appear several years after the injection, when the patient does not remember which product was injected, and treatment is often insufficient. In this review, we discuss the most commonly used fillers, their most frequent adverse reactions as well as the characteristic histopathologic findings that allow the identification of the injected filler agent. In conclusion, histopathologic study remains as the gold standard technique to identify the responsible filler.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Biocompatible Materials - administration and dosage Biocompatible Materials - adverse effects
Collagen - adverse effects Collagen - therapeutic use
Cosmetic Techniques - adverse effects
Dermatologic Agents - administration and dosage Dermatologic Agents - adverse effects
Education, Medical, Continuing -
Esthetics -
Female -
Follow-Up Studies -
Foreign-Body Reaction - etiology Foreign-Body Reaction - physiopathology
Humans -
Hyaluronic Acid - administration and dosage Hyaluronic Acid - adverse effects
Injections, Subcutaneous -
Male -
Middle Aged -
Polymers - administration and dosage Polymers - adverse effects
Risk Assessment -
Skin Absorption - drug effects
Skin Aging - drug effects
Treatment Outcome -

Find related publications in this database (Keywords)
adverse reactions
bovine collagen
calcium hydroxylapatite
dextranomers
fillers
histopathology
hyaluronic acid
paraffin
polyacrylamide
polyalkylimide
poly-L-lactic acid
polymethylmethacrylate
polyvinylhydroxide
polyvinylpyrrolidone
silicone
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