Commentary on: Injectable Filler Technique for Face Lifting Based on Dissection of True Facial Ligaments

Author(s):  
Tim Papadopoulos
Keyword(s):  
2018 ◽  
Vol 97 (1-2) ◽  
pp. E46-E51 ◽  
Author(s):  
Leo L. Wang ◽  
William W. Thomas ◽  
Oren Friedman

The use of injectable fillers is increasingly popular as an alternative to surgery for facial cosmetic applications. In this regard, silicone is a versatile biomaterial filler that has been used for these purposes, but its use warrants further investigation, especially since it is not clinically approved for such uses. We describe the use of silicone as a facial injectable filler through a scholarly review of the literature for cases of silicone granuloma formation published from September 2007 through September 2017, and we present various contexts in which this complication has been observed. We further review the immunologic etiology of granuloma formation and other complications of silicone injections. We write this report to caution physicians on the use of silicone fillers which, for all their advantages, are associated with significant long-term risks that are frequently overlooked.


2020 ◽  
Vol 47 (1) ◽  
pp. 80-85
Author(s):  
Kenneth Beer ◽  
Joely Kaufman-Janette ◽  
David Bank ◽  
Brian Biesman ◽  
Steven Dayan ◽  
...  

Author(s):  
Nikita Gupta ◽  
Onir L. Spiegel ◽  
Jeffrey H. Spiegel

2017 ◽  
Vol 3 ◽  
pp. 2513826X1769382 ◽  
Author(s):  
Jessica Winter ◽  
Sarah Shiga ◽  
Avinash Islur

The use of polyacrylamide hydrogel (PAAG) as an injectable filler for breast augmentation has fallen out of popularity since its first use in the 1980s but has produced an increasing patient population presenting with complications related to PAAG injections. Polyacrylamide hydrogel use was popularized most notably in China, Russia, and Iran. However, given immigration trends and medical tourism, PAAG-related complications have become increasingly more common in North America. These complications can be difficult to treat, often necessitating complex surgery that includes gel removal, debridement procedures, and often breast reconstruction. Approaches to surgical treatment and subsequent breast reconstruction are not universally defined primarily because of the limited knowledge about this group of patients. This article presents the option of autologous free flap reconstruction for a patient with extensive muscular involvement and aims to summarize complications and risks associated with PAAG through case report and a review of the literature.


2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Li Rong ◽  
Shi-Jie Lan ◽  
Ying Shao ◽  
Zhe Chen ◽  
Duo Zhang

Polyacrylamide hydrogel (PAAG) has been used as an injectable filler for soft tissue augmentation of different body parts, such as the face, breasts, and penis. However, this is the first report of leukocytopenia after injection of a large amount of PAAG in the epicranial aponeurosis. After receiving PAAG injection for craniofacial contouring, the female patient described herein experienced recurrent swelling, temporal pain (particularly with changes in ambient temperature and facial expression), and ultimately leukocytopenia due to widespread migration of the injected PAAG. We removed most of the PAAG from the affected tissues and the leukocytopenia disappeared 1 year after the operation. Based on this case, we hypothesize that injection of a large amount of PAAG into tissues that have ample blood supply, such as the epicranial aponeurosis, may induce leukocytopenia.


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