Injectable soft tissue fillers were the 2nd most common minimally invasive cosmetic
procedure with approximately 2.7 million performed in the United States in 2017.
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This minimally invasive procedure is performed by a myriad of practitioners with
a widely divergent medical training background ranging from plastic surgeons, otolaryngologists,
ophthalmologists, obstetricians, internists, dentists and nurses. The complications
related to soft tissue fillers are well described in the literature.
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Given the frequency with which this procedure is performed and the varying medical
training of the performing practitioners, efforts to improve the safety of this procedure
should be encouraged and embraced. This study by Yang et al discusses a novel application
of a near-infrared vein identification technology for the avoidance of intravenous
injection of fillers in the temporal area. This work should improve the safety of
injectable fillers in this cosmetically important region.To read this article in full you will need to make a payment
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References
- Plastic surgery statistics report.2017 (Accessibility verified August 24, 2018)
- Vascular complications of hyaluronic acid fillers and the role of hyaluronidase in management.J Plast Reconstruct Aesthet Surg. 2011; 64: 1590-1595
- Complications associated with injectable soft-tissue fillers: A 5-year retrospective review.JAMA Facial Plast Surg. 2013; 15: 226-231
- Complications of injectable fillers, part 2: Vascular complications.Aesthet Surg J. 2014; 34: 584-600
- Treatment of soft tissue filler complications: Expert consensus recommendations.Aesthetic Plast Surg. 2018; 42: 498-510
Article info
Publication history
Published online: November 24, 2018
Accepted:
November 20,
2018
Received:
November 20,
2018
Footnotes
DOI of original article: https://doi.org/10.1016/j.bjps.2018.10.008.
Identification
Copyright
© 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Novel technique of filler injection in the temple area using the vein detection deviceJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 72Issue 2
- PreviewThe increasing popularity of soft tissue fillers will inevitably result in increasing incidence of vascular injury. The temple area consists of several layers such as the superficial subcutaneous layer, superficial temporal fascia, loose areolar tissue, deep temporal fascia, temporalis muscle, and temporal bone from the zygomatic arch to the superior temporal septum. Fillers can be injected into various layers: first, the superficial subcutaneous layer; second, between the superficial temporal fascia and deep temporal fascia; and third, above the periosteum of the temporal bone.
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