title: Adverse effects when injecting facial fillers.
abstract: Facial soft-tissue augmentation has become ubiquitous in cosmetic dermatology. In the appropriate patient and with appropriate training, fillers can temporarily eliminate rhytides, creases, and defects, thereby producing a rejuvenated appearance. Yet, even in the most experienced injectors, there can be complications. These adverse effects can be divided into early and late and range from bruising to necrosis. Understanding the anatomy, limitations of the filler and proper technique can reduce the risk of adverse effects. When a complication occurs, the practitioner should understand how to manage them from observation to surgical intervention.
authors.affiliation: Division of Dermatologic Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA. hbglad@stanford.edu
authors.forename: Hayes B
authors.initials: HB
authors.lastname: Gladstone
authors.forename: Joel L
authors.initials: JL
authors.lastname: Cohen
mesh_terms: D001672:Biocompatible Materials / Q000008:administration & dosage / Q000009:adverse effects*; D003094:Collagen / Q000009:adverse effects; D003357:Cosmetic Techniques / Q000009:adverse effects*; D003880:Dermatology / Q000379:methods*; D017886:Durapatite / Q000009:adverse effects; D006801:Humans; D006820:Hyaluronic Acid / Q000009:adverse effects; D007271:Injections, Intradermal / Q000009:adverse effects*; D019344:Lactic Acid / Q000009:adverse effects; D011091:Polyesters; D011108:Polymers / Q000009:adverse effects
chemical_list: D001672:Biocompatible Materials; D011091:Polyesters; D011108:Polymers; D019344:Lactic Acid; C033616:poly(lactide); D006820:Hyaluronic Acid; D003094:Collagen; D017886:Durapatite