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Permanent Facial Fillers: Addressing Complications and Advancing Solutions
Mauro Barone1, Riccardo De Bernardis2, Paolo Persichetti1
1Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Roma, Italy.
Aesthetic Plastic Surgery
|May 8, 2024
Summary
Non-biodegradable facial fillers can cause long-term adverse effects, necessitating treatments like surgical excision or fat grafting. Current trends favor absorbable fillers for safer aesthetic rejuvenation.
Area of Science:
- Aesthetic medicine
- Dermatology
- Plastic surgery
Background:
- Facial soft tissue augmentation with fillers is popular for rejuvenation.
- Non-biodegradable fillers (silicone, polyacrylamide hydrogel, polymethylmethacrylate) offer enduring results but carry risks.
- Adverse events from permanent fillers can include erythema, edema, infection, vascular occlusion, and inflammatory nodules, manifesting years post-procedure.
Conclusions:
- While permanent fillers pose risks, fat grafting provides a safe and effective method for correcting volume deficits after filler removal.
- There is a growing preference for absorbable fillers due to their improved safety profile.
- Evidence-based practices and continued research are vital for enhancing safety and efficacy in aesthetic procedures.
Keywords:
Permanent filler; Silicone; Lipofilling; Complications; Aesthetic surgery; Facial rejuvenation
