Avoiding and treating dermal filler complications.

Plastic and reconstructive surgery 2006 Vol.118(3 Suppl) p. 92S-107S

Lemperle G, Rullan PP, Gauthier-Hazan N

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Abstract

All fillers are associated with the risk of both early and late complications. Early side effects such as swelling, redness, and bruising occur after intradermal or subdermal injections. The patient has to be aware of and accept these risks. Adverse events that last longer than 2 weeks can be attributable to technical shortcomings (e.g., too superficial an implantation of a long-lasting filler substance). Such adverse events can be treated with intradermal 5-fluorouracil, steroid injections, vascular lasers, or intense pulsed light, and later with dermabrasion or shaving. Late adverse events also include immunologic phenomena such as late-onset allergy and nonallergic foreign body granuloma. Both react well to intralesional steroid injections, which often have to be repeated to establish the right dose. Surgical excisions shall remain the last option and are indicated for hard lumps in the lips and visible hard nodules or hard granuloma in the subcutaneous fat.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 dermal filler 필러 주입술 dict 1
시술 filler 필러 주입술 dict 1
해부 subdermal 피하조직 dict 1
해부 subcutaneous 피하조직 dict 1

MeSH Terms

Adipose Tissue; Adrenal Cortex Hormones; Animals; Autoimmune Diseases; Biocompatible Materials; Cattle; Cicatrix; Contraindications; Dermabrasion; Diabetes Complications; Drug Hypersensitivity; Ecchymosis; Edema; Erythema; Fluorouracil; Granuloma, Foreign-Body; HIV-Associated Lipodystrophy Syndrome; Humans; Immunocompromised Host; Injections, Intradermal; Injections, Subcutaneous; Laser Therapy; Massage; Phototherapy; Rejuvenation; Skin Aging; Transplantation, Autologous

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