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eISSN: 2084-9893
ISSN: 0033-2526
Dermatology Review/Przegląd Dermatologiczny
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SCImago Journal & Country Rank
1/2020
vol. 107
 
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abstract:
Special paper

Management of complications associated with the use of hyaluronic acid fillers. Recommendations of the Aesthetic Dermatology Section of the Polish Dermatological Society

Barbara Zegarska
1
,
Marcin Ambroziak
2
,
Małgorzata Ornatowska
3
,
Wioletta Barańska-Rybak
4

  1. Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland/Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, Polska
  2. Ambroziak Clinic, Warsaw, Poland/Klinika Ambroziak, Warszawa, Polska
  3. Bona Dea Center of Aesthetic Dermatology, Krakow, Poland/Bona Dea Centrum Dermatologii Estetycznej, Kraków, Polska
  4. Department of Dermatology, Venereology and Allergology, Medical University of Gdansk, Gdansk, Poland/Katedra i Klinika Dermatologii, Wenerologii i Alergologii, Gdañski Uniwersytet Medyczny, Gdañsk, Polska
Dermatol Rev/Przegl Dermatol 2020, 107, 15-31
Online publish date: 2020/03/30
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The most common treatments in the field of aesthetic dermatology and broadly understood aesthetic medicine are those with the use of fillers. For many, hyaluronic acid injections are considered very safe and the effects predictable. Therefore, the widely recognised reversibility of the effects of hyaluronic acid fillers and the growing variety of approved applications and formulations of these products increase their popularity. There are also numerous undesirable effects and complications, especially due to the fact that these treatments are performed both by unauthorised persons and under inappropriate conditions. Complications may be related to: incorrect injection technique, lack of treatment asepsis, reaction of the body to the presence of a foreign body and anatomical changes. Depending on the time when complications occur after hyaluronic acid administration, following complications may be distinguished: immediately complications that occur immediately or up to 3–5 days after administration are and late complications that occur even after several weeks, months or even years. Non-vascular complications of hyaluronic acid administration are: nodules, granulomas, persistent swelling, Tyndall effect, infections and biofilm. The most dangerous are vascular complications after hyaluronic acid administration, such as: ischaemia/partial or complete necrosis, vision abnormalities and blindness. Early recognition of a complication largely prevents permanent defects. The use of hyaluronidase injections is considered management of choice in the treatment of complications of hyaluronic acid fillers and should be performed immediately after the procedure with the use of the filler. Therefore, it was necessary to develop a consensus on the principles of hyaluronidase administration for complications of hyaluronic acid filler procedures.
keywords:

hyaluronic acid, hyaluronidase, complications



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