Abstract
Filler injections are among the most popular cosmetic procedures performed worldwide. Although fillers have a safety profile, there has been a rise in litigation as a result of treatments in the USA. In the Brazilian scenario, the number of non-surgical procedures has increased in the past years, mainly due to the increase of filler options available in the Brazilian market, as well as in the type of professionals allowed to perform injectable procedures. Therefore we sought to review the related literature regarding semi-permanent and temporary fillers adverse effects and outline a practical guide for complications avoidance, diagnosis and management
Highlights
According to the American Society for Aesthetic PlasticSurgery, more than 13.5 billion dollars were spent on surgical and nonsurgical procedures in the USA in 2015, with nonsurgical procedures accounting for 42% of the total value1
More than 13.5 billion dollars were spent on surgical and nonsurgical procedures in the USA in 2015, with nonsurgical procedures accounting for 42% of the total value1
While nonsurgical cosmetic procedures have increased by 44% in the past 5 years, injection based procedures have increased by 21%
Summary
More than 13.5 billion dollars were spent on surgical and nonsurgical procedures in the USA in 2015, with nonsurgical procedures accounting for 42% of the total value. If the patient is under dental treatment, Parahitiyawa et al recommend to postpone the procedure, due to the fact that dental treatment can cause transitory bacteremia, which is already proven to have systemic impact and lead to diseases, and in theory can cause colonization of the filler and formation of a bacteria biofilm.The patient should be advised of the risks in case the physician chooses to perform the procedure during an active infection. The use of semi-permanent or temporary fillers in an area where permanent fillers have already been injected should be avoided due to the risk of exacerbation or stimulation of nodule formation.
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