- Prof. Giorgio De Santis
- Division of Plastic Reconstructive Surgery, University of Modena, Modena, Italy.
Website | E-mail
Special Issue Introduction
Dermal fillers have been injected with increasing frequency over the past three decades for soft tissue augmentation by volume expansion in the management of the aging face. Injective treatment with soft-tissue filler is the most frequently performed aesthetic procedure in the USA, after botulinum toxin. This wide-spread use has led to an increase in associated complications.
The causes of these complications are multifactorial and may include a foreign body reaction to the filler or the emergence of a biofilm formation. The problem of filler complications is thorny to manage, as there are medico-legal implications and revenge by the patients against who performed the injections in the past.
Late bacterial infections of nonresorbable filler implants are difﬁcult to treat and often cause permanent disﬁgurement to the patients’ faces. A regional referral center for the treatment of filler complications of the face was established in 2009 at the University Hospital of Modena. Since 2009, about 630 patients have been treated. We offer patients prevention, management and treatment for this disease. In our experience, the affected areas on the face are mainly the lips and cheekbones, following mentholabial folds, the chin, the lower eyelids and the glabellar region. The treatment changes according to the type of filler present, including laser treatments and surgical procedures.
KeywordsDermal fillers, complications, disﬁgurement, management, treatment, laser treatments, surgical procedures
Submission Deadline30 Nov 2020