Plastic and Reconstructive Surgery
Elyse Watkins, DHSc, PA-C, DFAAPA
Purpose: The purpose of this article is to review facial anatomy and the proper techniques in performing hyaluronic acid (HA) dermal fillers and to examine the adverse effects associated with dermal filler procedures and how to appropriately treat them.
Method: A PubMed literature search was conducted with search terms hyaluronic acid, dermal fillers, adverse effects, and vascular compromise. Sixteen pertinent articles were retrieved and served as the basis for this clinical review.
Results: As dermal filler aesthetic procedures are becoming more popular; the incidence of adverse effects is increasing. Choosing the appropriate dermal filler, having proper training of injection technique, being able to identify adverse effects, and having standard treatment protocols is important to prevent undesirable results and possible irreversible adverse effects.
Conclusion: Hyaluronic acid dermal fillers are approved by the federal food and drug administration (FDA) for treatment of facial volume loss due to age or disease condition, and chin and cheek augmentation and shaping. As dermal filler aesthetic procedures are becoming more popular, the incidence of adverse effects is increasing. It is imperative to have proper training in choosing the appropriate dermal filler, proper technique for injections, the ability to identify adverse effects, and having standard treatment protocols to prevent undesirable results and possible irreversible adverse effects.
Keywords: Hyaluronic acid, Dermal fillers, Adverse effects, Vascular compromise.
McCloskey LA. Complications After Hyaluronic Acid Filler Injections. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2021; 3(3).
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