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Patient factors influencing dermal filler complications: prevention, assessment, and treatment

Authors De Boulle K, Heydenrych I

Received 7 January 2015

Accepted for publication 23 February 2015

Published 15 April 2015 Volume 2015:8 Pages 205—214

DOI https://doi.org/10.2147/CCID.S80446

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Jeffrey Weinberg

Video abstract presented by Koenraad De Boulle.

Views: 4031

Koenraad De Boulle,1 Izolda Heydenrych2

On behalf of the Consensus Group

1Aalst Dermatology Group, Aalst, Belgium; 2Cape Town Cosmetic Dermatology Centre, Century City, South Africa

Abstract: While rare, complications do occur with the esthetic use of dermal fillers. Careful attention to patient factors and technique can do much to avoid these complications, and a well-informed practitioner can mitigate problems when they do occur. Since cosmetic surgery is usually an elective process, requested by the patient, clinical trials are complex to organize and run. For this reason, an international group of practicing physicians in the field of esthetics came together to share knowledge and to try and produce some informed guidance for their colleagues, considering the literature and also pooling their own extensive clinical experience. This manuscript aims to summarize the crucial aspects of patient selection, including absolute contraindications as well as situations that warrant caution, and also covers important considerations for the pre- and posttreatment periods as well as during the procedure itself. Guidance is given on both immediate and long-term management of adverse reactions. The majority of complications are related to accepting patients inappropriate for treatment or issues of sterility, placement, volume, and injection technique. It is clear that esthetic practitioners need an in-depth knowledge of all aspects of treatment with dermal fillers to achieve optimal outcomes for their patients.

Keywords: dermal fillers, complications, prevention, assessment, treatment, patient factors

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