Summary
Purpose
Prominent signs of ageing of the hands have recently been treated with permanent or
longer-lasting injectable dermal fillers. However, few previous studies have described
the long-term complications of such hand rejuvenation. The purpose of our report was
to share our experience of 15 cases with long-term complications following hand rejuvenation
using various medical fillers.
Patients and methods
We performed a retrospective review of the management of 15 patients who presented
with complications from the injection of synthetic fillers for hand rejuvenation at
a tertiary medical centre over a period of 10 years from March 2002 to January 2011.
Results
Injected materials included polymethylmethacrylate (PMMA) microsphere filler, calcium
hydroxyapatite filler, hyaluronic acid filler, poly-l-lactic acid (PLLA) filler and other medical fillers. Of the total study sample of
15 patients, nine underwent surgical excision, six patients with a history of PMMA
or PLLA filler injection received intralesional steroid therapy and three patients
with a history of hyaluronic acid filler injection received injection therapy using
hyaluronidase.
Conclusions
Hand rejuvenation complications can be successfully treated according to our proposed
algorithm.
Keywords
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Article info
Publication history
Published online: July 03, 2012
Accepted:
June 10,
2012
Received:
January 25,
2012
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
