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Cosmetic filler-induced hair loss: case series and literature review
Yutong Xie1, Xi Chen1, Aihua Wei1
1Department of Dermatology, Beijing TongRen Hospital, Capital Medical University, Beijing, China.
Aim:
To present three cases of filler-induced alopecia (FIA) and summarize the current knowledge of its clinical features, mechanisms and treatments.
Methods:
In the first two cases, two females developed well-defined triangular patches of hair loss after hyaluronic acid (HA) injections, and received corticosteriod injections with topical 5% minoxidil. The third case described another female who experienced alopecia areata-like hair loss after autologous fat grafting, and received combined therapies including corticosteriod, 5% minoxidil and microneedling.
Results:
All patients got gradual hair regrowth with treatments.
Conclusions:
Early recognition and intervention are crucial to prevent permanent hair follicle damage. A thorough understanding of frontotemporal anatomy is essential for clinical practitioners to minimize risks during cosmetic procedures involving filler injections.

