Hexsel Doris, de Morais Marina Resener
Brazilian Center for Studies in Dermatology, Porto Alegre, RS, Brazil.
Facial Plast Surg. 2014 Dec;30(6):623-7. doi: 10.1055/s-0034-1396756. Epub 2014 Dec 23.
Soft tissue augmentation is a common procedure, and a wide variety of injectable fillers are used. Liquid injectable silicone (LIS) was the first highly popularized injectable filler. LIS is a permanent filler and can be used in the correction of facial furrows and wrinkles. Some complications are inherent to the procedure and can resolve spontaneously, such as redness, swelling, and immediate hypersensitivity reactions. Unintended reactions, such as granulomas, infections, vascular occlusion, can also follow the treatment with LIS and may appear several years after the injections. These can be difficult to manage, show little or no tendency to spontaneous resolutions, and rarely resolve completely. Injecting physicians must be aware of these potential complications caused by LIS because early medical care and treatment, including psychological support for these patients, can minimize the consequences for patients and physicians, and may also help obtaining better outcomes when treating complications.
软组织填充是一种常见的手术，并且使用了各种各样的可注射填充剂。液体可注射硅酮（LIS）是第一种广泛普及的可注射填充剂。LIS是一种永久性填充剂，可用于矫正面部皱纹。该手术存在一些固有并发症，且可自行消退，如发红、肿胀和即刻过敏反应。LIS治疗后也可能出现一些意外反应，如肉芽肿、感染、血管阻塞，这些反应可能在注射后数年出现。这些反应可能难以处理，很少或几乎没有自行消退的趋势，也很少能完全消退。注射医生必须了解LIS引起的这些潜在并发症，因为早期医疗护理和治疗，包括对这些患者的心理支持，可以将对患者和医生的后果降至最低，并且在治疗并发症时也可能有助于获得更好的结果。
