Complications of Soft Tissue Augmentation
September 2008 | Volume 7 | Issue 9 | Original Article | 841 | Copyright © 2008
Ranella J. Hirsch MD FAAD, Meghan Stier BA
The wide variety of dermal ﬁ llers presently available has revolutionized treatment options for patients seeking a refreshed appear- ance. Soft tissue ﬁ llers include both bovine and human collagens, the hyaluronans, calcium hydroxyapatite, poly-L-lactic acid, and synthetic polymers. However, soft tissue augmentation is never risk-free, and as these procedures have increased in prevalence, complications have been more frequently reported. This article describes a range of complications resulting from dermal ﬁ ller injec- tions, reviews key case studies, and discusses possible treatment options for adverse effects. While biodegradable ﬁ llers offer the least risk for the patient, location, allergic reactions, granulomas, necrosis, and infection are all serious complications that must be considered before performing soft tissue augmentation with any approved dermal ﬁ ller.
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