Personalized physiotherapy for patients with late complications after lip fillers administration

Abstract

Lip contouring with preparations based on synthetic hyaluronic acid is one of the most popular cosmetic procedures. However, in recent years, there has been an explosive increase in the number of complications. There are many physiotherapeutic methods for the treatment of late complications of lip contouring. Nevertheless, currently there are no differentiated approaches to the choice of physiotherapy techniques and their combination, depending on the filler and the clinical and functional picture of the complication. Objective: to develop and evaluate the use of personalized physiotherapy in patients with complications after the administration of lip fillers, taking into account patients’ genetic predisposition. Material and methods. The study involved 51 patients aged 30-42 years with a diagnosis of L57.4 - cutis laxa senilis, who received late complications (local swelling, dry and pale lip skin, filler contouring, soreness, sensitivity change) at the filler injection site. All patients underwent genetic testing on the Cosmetology panel before the start of treatment. There were 3 groups that received physico-pharmacological methods: longidase laserophoresis, collagenase diadinamophoresis, or their combination in the lip area at the filler injection site. Result. When analyzing the data after the course of treatment, the patients with the combined protocol showed a significant improvement in the quality of life, both in the near and long-term research period. This was expressed in a statistically significant decrease in intradermal edema, rapid regression of pain syndrome, and more accelerated biodegradation of the superficially injected filler in the main group compared to other study groups. Conclusion. In patients with late local complications after the injection of hyaluronic acid fillers, the combined protocol with the inclusion of longidase laserophoresis and collagenase diadinamophoresis significantly shortens the recovery period, contributes to a faster reduction of local edema, pain, neuropathy phenomena, and to accelerated biodegradation of the superficially injected filler, as well as ensures a stable clinical result. Personalized physiotherapy is an effective factor in relieving complications after lip contouring.