Pneumosinus dilatans following dermal filler injections

Author(s):  
Tom S. Decates ◽  
Adriana M. Villadiego Pereira ◽  
David G. M. Mosmuller ◽  
Peter J. Velthuis
2018 ◽  
Vol 35 (4) ◽  
pp. 189-197 ◽  
Author(s):  
Kian Karimi ◽  
Chester F. Griffiths ◽  
Alex Reivitis ◽  
Austin Davis-Hunter ◽  
Elizabeth Zhang ◽  
...  

The microcannula technique has become an increasingly popular method for injecting cosmetic fillers. Previous studies have illustrated that the microcannula technique allows filler to be injected with less pain, swelling, and essentially no bruising. This study is a retrospective clinical series examining 247 patients who have undergone dermal filler injections using the microcannula technique from 2011 to 2016 with a single injector, Kian Karimi. The purpose of this study is to assess the frequency of adverse events associated with injections such as bruising and swelling. All 666 recorded patient visits from 2011 to 2016 were analyzed using electronic medical records based on the criteria that the patients had cosmetic filler using the microcannula technique by the surgeon investigator. Of the 666 filler treatments using the microcannula technique, 3 treatments (0.5%) produced adverse events on the day of service, and 32 treatments (4.8%) produced adverse events at 2-week follow-up. In total, 5.4% of treatments produced adverse events. At the 2-week follow-up, 5.7% of treatments using the 25-gauge microcannula produced adverse events ( P = .830); 3.9% of treatments using the 27-gauge microcannula produced adverse events ( P = .612]). Only 3 patients were treated with the 30-gauge microcannula, and 1 patient reported adverse events on the day of service. None of the treatments using the 30-gauge microcannula produced adverse events at the 2-week follow-up ( P = .160). The data support that the microcannula technique is a safe and effective alternative to hypodermic needles for the injection of dermal filler to minimize common adverse events.


2012 ◽  
Vol 52 (11) ◽  
pp. 1432-1434
Author(s):  
Emanuele Cozzani ◽  
Franco Rongioletti ◽  
Francesca Santoro ◽  
Alfredo Rebora ◽  
Aurora Parodi

2012 ◽  
Vol 2012 (8) ◽  
pp. 5-5
Author(s):  
A. Lucas-Herald ◽  
N. Jamieson ◽  
C. Roxburgh

2016 ◽  
Vol 32 (6) ◽  
pp. 397-402 ◽  
Author(s):  
Adrian Lim ◽  
Anthea Mulcahy

Background The hands are an important aesthetic feature that can reveal aging through surface pigmentary changes, loss of skin thickness and ectatic dorsal hand veins. Techniques addressing these changes already exists but are not routinely combined for optimum results. Objective The combination techniques of dorsal hand veins sclerotherapy and sub-dermal filler injections are described. Methods The dorsal hand veins are treated with sclerotherapy (0.5% Sodium tetradecyl sulphate). This is then followed by subdermal injection of 0.75 mL–1.5 mL calcium hydroxylapatite (Radiesse, Merz) per hand, in conjunction with tumescent anaesthetic. The dorsal hands should be gently massaged for 2 min (per hand), twice a day for two days. If necessary, the procedure can be repeated after one month for further improvement. Results The techniques of sclerotherapy and filler injections complement each other well in hand rejuvenation. Calcium hydroxylapatite is safe and effective for hands and associated with high patient satisfaction. In suitable patients, the reduction in ectatic veins from sclerotherapy results in a longstanding improvement that complements volume restoration with fillers. Conclusion Aging hands with ectatic dorsal hand veins and skin atrophy/wrinkling not fully responsive to filler correction alone can further improve with the combination of sclerotherapy and filler injections.


2021 ◽  
Vol 10 (Sup1) ◽  
pp. 6-11
Author(s):  
Amy Miller

A significant number of patients presenting to an aesthetics practice for anti-ageing treatments also have metatarsalgia secondary to age-related planter fat pad atrophy. Injections of dermal filler into the plantar fat pads has been shown to relieve foot pain and revolumise the plantar fat pads, leading to an improved quality of life for patients. Aesthetic practitioners, with their knowledge of dermal fillers and injection skills, are ideally situated to help these patients. This article reviews the relationship between metatarsalgia and plantar fat pad atrophy and the history dermal filler injections to the plantar fat pads. Types of dermal fillers suited for plantar implantation, technique for injections and possible adverse events are also reviewed.


2014 ◽  
Vol 38 (2) ◽  
pp. 413-418 ◽  
Author(s):  
Pooja Mally ◽  
Craig N. Czyz ◽  
Norman J. Chan ◽  
Allan E. Wulc

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