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Dermal fillers

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https://www.readbyqxmd.com/read/29464158/hyperbaric-oxygen-for-ischemia-due-to-injection-of-cosmetic-fillers-case-report-and-issues
#1
Raven Henderson, Debra A Reilly, Jeffrey S Cooper
Natural and synthetic fillers have revolutionized aesthetic facial rejuvenation and soft-tissue augmentation. We present a case highlighting the dangers of filler self-injection. A 37-year-old woman self-injected a dermal filler around both temples. She immediately experienced left--side hearing loss, blanching over the left face, and pain. Prompt treatment with hyaluronidase, topical nitro paste, and warm compresses ensued. An emergency computed tomography angiogram showed occlusion of a superficial temporal artery branch...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29432342/long-lasting-intense-bone-tracer-activity-at-the-sites-of-collagen-injection
#2
Ling Wang, Xiaona Jin, Fang Li
Collagen injection has been used as dermal filler in plastic and cosmetic surgery. A technetium Tc methylene diphosphonate bone scintigraphy was performed in a 47-year-old woman as part of the breast cancer evaluation. The images showed intense methylene diphosphonate activity on both sides of the frontal head, where she received collagen injection 1 year prior. The activity was visualized again in all 3 follow-up bone scans over the subsequent 3 years.
February 9, 2018: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/29402544/-facial-injections-of-hyaluronic-acid-based-fillers-for-malformations-preliminary-study-regarding-scar-tissue-improvement-and-cosmetic-betterment
#3
G Franchi, C Neiva-Vaz, A Picard, M-P Vazquez
BACKGROUND: Cross-linked hyaluronic acid-based fillers have gained rapid acceptance for treating facial wrinkles, deep tissue folds and sunken areas due to aging. This study evaluates, in addition to space-filling properties, their effects on softness and elasticity as a secondary effect, following injection of 3 commercially available cross-linked hyaluronic acid-based fillers (15mg/mL, 17,5mg/mL and 20mg/mL) in patients presenting with congenital or acquired facial malformations. PATIENTS ET METHODS: We started injecting gels of cross-linked hyaluronic acid-based fillers in those cases in 2013; we performed 46 sessions of injections in 32 patients, aged from 13-32...
February 2, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29400587/combined-use-of-microfocused-ultrasound-and-a-calcium-hydroxylapatite-dermal-filler-for-treating-atrophic-acne-scars-a-pilot-study
#4
Gabriela Casabona
BACKGROUND: An unfortunate consequence of severe acne is scarring, which can have serious psychosocial consequences. Available methods for treating acne scars have varying degrees of effectiveness. OBJECTIVE: This nonrandomized, retrospective pilot study assessed the safety and effectiveness of combining microfocused ultrasound with visualization (MFU-V; Ultherapy®) and a calcium hydroxylapatite dermal filler (CaHA; Radiesse®) for treating atrophic acne scars...
February 5, 2018: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
https://www.readbyqxmd.com/read/29396868/an-innovative-method-to-quantitate-tissue-integration-of-hyaluronic-acid-based-dermal-fillers
#5
A S Dugaret, B Bertino, B Gauthier, B Gamboa, M Motte, Y Rival, D Piwnica, H Osman-Ponchet, V Bourdès, J J Voegel
BACKGROUND/PURPOSE: Following intradermal injection, hyaluronic acid (HA)-based fillers tend to spread within the reticular dermis and to distribute between the dermal fibers. This biointegration is commonly measured qualitatively using histological methods. We developed a "toolbox" consisting of a visual scoring and a semi-automatic image analysis method using internal developed algorithm to quantitate the biointegration of Restylane® in histological sections. METHODS: Restylane® was injected intradermally in the abdominal skin of 10 healthy human subjects scheduled for abdominoplasty...
February 2, 2018: Skin Research and Technology
https://www.readbyqxmd.com/read/29391818/calcium-hydroxylapatite-treatment-of-human-skin-evidence-of-collagen-turnover-through-picrosirius-red-staining-and-circularly-polarized-microscopy
#6
Nicola Zerbinati, Alberto Calligaro
Background: Calcium hydroxylapatite (CaHA, Radiesse® ) is a biocompatible, injectable filler for facial soft-tissue augmentation that provides volume to tissues, followed by a process of neocollagenesis for improved skin quality. Objective: To examine the effects of CaHA treatment on the molecular organization of collagen using a combination of picrosirius red staining and circularly polarized light microscopy. Methods: Five subjects received subdermal injection of 0...
2018: Clinical, Cosmetic and Investigational Dermatology
https://www.readbyqxmd.com/read/29378380/intra-arterial-thrombolytic-therapy-is-not-a-therapeutic-option-for-filler-related-central-retinal-artery-occlusion
#7
Yi-Chun Chen, Hsiu-Mei Wu, Shin-Jen Chen, Han-Jui Lee, Jiing-Feng Lirng, Chung-Jung Lin, Feng-Chi Chang, Chao-Bao Luo, Wan-Yuo Guo
Cosmetic facial filler-related central retinal artery occlusion (CRAO) is a devastating complication of facial hyaluronic acid (HA) injection and can be managed by intra-arterial thrombolytic therapy (IATT). The authors report on a 20-year-old woman who developed unilateral CRAO due to facial HA injection and who, despite prompt IATT, lost vision. A review of the related literature found 14 other female patients who developed cosmetic facial filler-related CRAO and accepted IATT management. In no case was vision loss clinically improved...
January 29, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29363178/high-frequency-ultrasound-based-differentiation-between-nodular-dermal-filler-deposits-and-foreign-body-granulomas
#8
R K Mlosek, E Skrzypek, D M Skrzypek, S Malinowska
BACKGROUND: The number of procedures involving dermal filler injection is still on the rise. Although their safety is improving, not all complications can be avoided. The late complications manifesting as nodules or granulomas pose a particular diagnostic and therapeutic challenge, due to the lack of uniform standards or guidelines. High-frequency, ultrasound imaging appears to be a useful method for distinguishing between granulomas and nodular dermal filler deposits. AIM: The aim of the paper was to evaluate the utility of high frequency ultrasound imaging for distinguishing between foreign body granulomas and nodular dermal filler deposits...
January 23, 2018: Skin Research and Technology
https://www.readbyqxmd.com/read/29360658/hyaluronic-acid-filler-injections-under-the-metatarsal-heads-provide-a-significant-and-long-lasting-improvement-in-metatarsalgia-from-wearing-high-heeled-shoes
#9
Jean Paul Foumenteze, Helen Simpson, Nabil Kerrouche
BACKGROUND: Metatarsalgia is a common overuse injury that may be caused by wearing high-heeled shoes. OBJECTIVE: To evaluate the decrease in metatarsalgia using a hyaluronic acid dermal filler. METHODS: A 6-month, open study was conducted in 15 subjects with metatarsalgia because of regularly wearing high-heeled shoes. Hyaluronic acid (20 mg/mL) with lidocaine hydrochloride (3 mg/mL) was injected under the metatarsal heads at baseline. Pain (on a 0-10 scale) under the metatarsal heads when walking in high heels was recorded in a weekly subject diary...
January 22, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29340598/the-risk-of-skin-necrosis-following-hyaluronic-acid-filler-injection-in-patients-with-a-history-of-cosmetic-rhinoplasty
#10
Reza M Robati, Fatemeh Moeineddin, Mina Almasi-Nasrabadi
Background: As the number of patients using dermal filler for face augmentation increases, the number of adverse events associated with injection may increase. Unpredictable repositioning of blood vessels and a more tenuous blood supply in the operated nose may increase the risk of ischemia, necrosis and vascular embolism following the filler injection. Objectives: To highlight the importance of the patient's history of previous cosmetic procedures including rhinoplasty in the emergence of vascular complications...
January 11, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29319639/mild-complications-or-unusual-persistence-of-porcine-collagen-and-hyaluronic-acid-gel-following-periocular-filler-injections
#11
Natalie Wolkow, Frederick A Jakobiec, Thaddeus P Dryja, Daniel R Lefebvre
The purpose of this study was to describe the histopathologic appearance of dermal eyelid fillers that were unexpectedly encountered in ophthalmic plastic surgery samples from patients with mild eyelid disfigurements, and to review eyelid cases with complications that had previously been described in the literature. A retrospective histopathologic study with Alcian blue, elastic, and Masson trichrome stains of 2 cases that were submitted to the Ocular Pathology Department was conducted, and a critical review of previously published cases of the histopathologic characteristics of dermal filler material in the periocular region was also conducted...
January 9, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29315149/cohesive-polydensified-matrix-hyaluronic-acid-for-the-treatment-of-etched-in-fine-facial-lines-a-6-month-open-label-clinical-trial
#12
Jeanette M Black, Todd M Gross, Crystal L Murcia, Derek H Jones
BACKGROUND: Available hyaluronic acid dermal fillers have unique biophysical properties that influence their clinical utility, longevity, and aesthetic outcomes. OBJECTIVE: To evaluate the effectiveness and durability of a cohesive polydensified matrix hyaluronic acid dermal filler (CPM-HA) for the treatment of etched-in fine facial lines. MATERIALS AND METHODS: Subjects with etched-in fine lines of the forehead, cutaneous lip, melolabial folds, nasolabial folds, and/or radial cheek received treatment with CPM-HA mixed with lidocaine and epinephrine, with an optional touch-up treatment at Week 2, if deemed necessary...
January 8, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29314648/polycaprolactone-facial-volume-restoration-of-a-46-year-old-asian-women-a-case-report
#13
Shang-Li Lin
A 46-year-old Asian women was treated with a next-generation bioresorbable biostimulatory polycaprolactone (PCL)-based dermal filler to restore facial volume loss. Before- and after (12 weeks of follow-up)-treatment photographs were analyzed and compared. In addition, before- and after-treatment contour images were recorded using the Vectra® XT 3D imaging system (Canfield Scientific, Inc.). Improvement of facial volume in multiple tissue layers was observed at 4 and 12 weeks of follow-up. Total facial rejuvenation to correct descending soft tissue with a PCL-based dermal filler was achieved through volume restoration in multiple tissue layers of the face...
January 4, 2018: Journal of Cosmetic Dermatology
https://www.readbyqxmd.com/read/29309340/role-of-nonsurgical-chin-augmentation-in-full-face-rejuvenation-a-review-and-our-experience
#14
Monique J Vanaman Wilson, Isabela T Jones, Kimberly Butterwick, Sabrina G Fabi
BACKGROUND: The chin is a critical component to the perception of facial attractiveness. Dermal fillers offer a nonsurgical, temporary method of correcting mild to moderate chin retrusion and resorption. Thus far, discussion of this procedure has been largely limited to the plastic surgery and otolaryngology literature. OBJECTIVE: To review pertinent aspects of anatomy, patient evaluation, injection technique, concomitant therapies, and complications in chin augmentation using injectable fillers...
January 5, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29305643/treatment-of-soft-tissue-filler-complications-expert-consensus-recommendations
#15
REVIEW
Fernando Urdiales-Gálvez, Nuria Escoda Delgado, Vitor Figueiredo, José V Lajo-Plaza, Mar Mira, Antonio Moreno, Francisco Ortíz-Martí, Rosa Del Rio-Reyes, Nazaret Romero-Álvarez, Sofía Ruiz Del Cueto, María A Segurado, Cristina Villanueva Rebenaque
BACKGROUND: Dermal fillers have been increasingly used in minimally invasive facial esthetic procedures. This widespread use has led to a rise in reports of associated complications. The aim of this expert consensus report is to describe potential adverse events associated with dermal fillers and to provide guidance on their treatment and avoidance. METHODS: A multidisciplinary group of experts in esthetic treatments convened to discuss the management of the complications associated with dermal fillers use...
January 5, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29290390/fluorodeoxyglucose-activity-associated-with-a-cosmetic-poly-l-lactide-filler-a-potential-confounder-on-positron-emission-tomography-and-computed-tomography
#16
K Dwivedi, I S Prabhu, K M Bradley
Injectable cosmetic fillers are increasingly popular, but are not often considered as a cause of abnormal findings on imaging. We present a case of poly-L-lactic acid (PLLA) filler associated with 18-fluorodeoxyglucose (FDG) uptake, which had the potential to interfere with staging of a squamous cell carcinoma of the lateral tongue. We characterise the FDG-positron emission tomography/computed tomography (PET/CT) properties of a PLLA dermal filler, Sculptra® (Aventis), and highlight its potentially confounding appearance in the staging scans of oncological patients, particularly those with oral tumours...
December 28, 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29279829/magnetic-resonance-imaging-appearance-of-foreign-body-granulomatous-reactions-to-dermal-cosmetic-fillers
#17
Andre Luiz Ferreira Costa, Rubens Caliento, Glauber Bareia Liberato da Rocha, Joao Pedro Perez Gomes, Alison Jhisel Calle Mansmith, Claudio Froes de Freitas, Paulo Henrique Braz-Silva
Foreign body granulomas can develop after the injection of various cosmetic filling materials into the facial area to flatten wrinkles. Clinically, reactive lesions are easily mistaken for soft-tissue neoplasms or cysts. This report presents a case of foreign body granuloma in a 52-year-old female patient complaining of a painless swelling in the nasolabial region. Both clinical and histological features are described, underscoring the diagnostic role of magnetic resonance imaging findings.
December 2017: Imaging Science in Dentistry
https://www.readbyqxmd.com/read/29240867/management-of-late-onset-recurrent-facial-nodular-reaction-after-poly-l-lactic-plla-injections
#18
Gerald O'Daniel
<p>Despite a well-established safety profile for poly-L-lactic acid (PLLA), known complications of nodules, papules and granulomas can occur. The author presents a case of late-onset facial nodules after treatment with PLLA dermal filler for facial volumization. The late-onset nodules appeared 16 months post-initial injection and were initially treated with intralesional steroids followed by 5-fluorouracil, and oral corticosteroids. It took over a year of treatment with oral corticosteroids and periodic intralesional steroid injections for the nodules to resolve...
December 1, 2017: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/29224214/facial-swelling-and-foreign-body-granulomatous-reaction-to-hyaluronic-acid-filler-in-the-setting-of-neratinib
#19
Brian P Hibler, Bernice Y Yan, Michael A Marchetti, Shabnam Momtahen, Klaus J Busam, Anthony M Rossi
Cosmetic injection of dermal fillers is common, with late complications increasingly recognized. Herein, we report a granulomatous reaction to hyaluronic acid filler occurring during the use of neratinib. A woman in her fifties, with metastatic adenocarcinoma of unknown primary involving the skin and bones, was referred for new-onset facial swelling. Notable past medical history included progression of disease on carboplatin/paclitaxel and a hemithyroidectomy for papillary thyroid cancer. This article is protected by copyright...
December 10, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29188051/the-science-behind-autologous-fat-grafting
#20
REVIEW
Elisa Bellini, Michele P Grieco, Edoardo Raposio
Introduction: Adipose grafting has undergone significant changes over time. Many different techniques have been followed by trying to improve the quality of the lipoaspirate and the survival of the fat graft after implantation. Material and methods: The purpose of this review is to analyse the historical evolution of the surgical harvesting and implant technique, describing the changes that have brought significant improvements, revolutionizing the aesthetic and functional results obtainable...
December 2017: Annals of Medicine and Surgery
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