title: Filler augmentation, safe or unsafe: A case series of severe complications of fillers.
abstract: BACKGROUND
  The growing interest in filler injection requires a more comprehensive knowledge about the complications of this procedure.
  
  
  METHODS
  A total of 5 cases with debilitating chronic complications following filler injection referred to Al-Zahra hospital, Isfahan are presented in this report.
  
  
  RESULTS
  The outcome of treatment for two of the cases was satisfactory. In one case the treatment led to failure. A case committed suicide, the remaining case had received vitamin E injection which caused severe necrosis and scaring.
  
  
  CONCLUSIONS
  All fillers are considered foreign bodies and may provoke the immune system to varying degrees. Most complications are, however, caused by the technique of injection not the filler itself. Experience of physicians along with adequate knowledge about fillers and their complications can definitely guarantee a better outcome.
authors.affiliation: Associate Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Mahmood
authors.initials: M
authors.lastname: Omranifard
authors.forename: Soheila
authors.initials: S
authors.lastname: Taheri