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Commentary| Volume 65, ISSUE 12, P1633, December 2012

Reply to ‘Comment: Clinical experience with complications of hand rejuvenation’

Published:August 03, 2012DOI:https://doi.org/10.1016/j.bjps.2012.07.018
      We would like to thank Dr. Freshwater for his comments regarding our article “Clinical Experience with Complications of Hand Rejuvenation.” As with our previous publications,
      • Park T.H.
      • Seo S.W.
      • Kim J.K.
      • Chang C.H.
      Efficacy of open rhinoplasty approach to foreign body granuloma of the nose.
      • Park T.H.
      • Seo S.W.
      • Kim J.K.
      • Chang C.H.
      The efficacy of perilesional surgical approach for foreign body granuloma.
      • Park T.H.
      • Seo S.W.
      • Kim J.K.
      • Chang C.H.
      Clinical experience with hyaluronic acid-filler complications.
      • Park T.H.
      • Seo S.W.
      • Kim J.K.
      • Chang C.H.
      Clinical outcome in a series of 173 cases of foreign body granuloma: improved outcomes with a novel surgical technique.
      most patients in our present work were referred to our institution from other hospitals.
      • Park T.H.
      • Yeo K.K.
      • Seo S.W.
      • et al.
      Clinical experience with complications of hand rejuvenation.
      We totally agree with Dr. Freshwater that knowing the exact fillers injected is important to give patients proper treatments. As a tertiary medical center in our country, we received a letter of medical request without exceptions. Among those patients, 15 patients treated at our institution with prior medical records including proven injected materials were selected in this work. Actually, our clinical observations were also supported by histopathologic findings which was performed in most cases. Unfortunately, we could not find consistent characteristics of various fillers on physical examination or ultrasonographic examinations. Again, we thank Dr. Freshwater for insightful commentary and hope that Dr. Freshwater will apply our proposed algorithm to his clinical practice successfully.
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      References

        • Park T.H.
        • Seo S.W.
        • Kim J.K.
        • Chang C.H.
        Efficacy of open rhinoplasty approach to foreign body granuloma of the nose.
        J Plast Reconstr Aesthet Surg. 2011; 64: 1387-1389
        • Park T.H.
        • Seo S.W.
        • Kim J.K.
        • Chang C.H.
        The efficacy of perilesional surgical approach for foreign body granuloma.
        Plast Reconstr Surg. 2011; 127: 121e-123e
        • Park T.H.
        • Seo S.W.
        • Kim J.K.
        • Chang C.H.
        Clinical experience with hyaluronic acid-filler complications.
        J Plast Reconstr Aesthet Surg. 2011; 64: 892-896
        • Park T.H.
        • Seo S.W.
        • Kim J.K.
        • Chang C.H.
        Clinical outcome in a series of 173 cases of foreign body granuloma: improved outcomes with a novel surgical technique.
        J Plast Reconstr Aesthet Surg. 2012; 65: 29-34
        • Park T.H.
        • Yeo K.K.
        • Seo S.W.
        • et al.
        Clinical experience with complications of hand rejuvenation.
        J Plast Reconstr Aesthet Surg. 2012;

      Linked Article

      • Comment: Clinical experience with complications of hand rejuvenation
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 65Issue 12
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          I am indebted to Park et al. for continuing to share their experience treating complications of fillers.1 The article did not mention where the initial treatment was rendered. In their facial filler article, Park et al. wrote that all of those patients had their initial injections elsewhere.2 I assume that some, if not all, of their hand patients were initially treated elsewhere as opposed to having been treated at Park et al.'s institutions where the prior records should have been readily available.
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