Vanaman Monique, Fabi Sabrina Guillen, Carruthers Jean
*Department of Dermatology, University of Illinois, Chicago, Illinois; †Cosmetic Laser Dermatology, Goldman, Butterwick, Fitzpatrick, Groff & Fabi, San Diego, California; ‡Department of Medicine/Dermatology, University of California; §Department of Ophthalmology, University of British Columbia, Vancouver, Canada.
Dermatol Surg. 2016 Jan;42(1):1-11. doi: 10.1097/DSS.0000000000000569.
Over recent decades, the options available to patients for cosmetic rejuvenation have expanded dramatically. The range of options commonly available to patients now includes neuromodulators, fillers, sclerotherapy, chemical peels, liposculpture, lasers, and lights and other energy devices and continues to grow. As with all therapeutic interventions, these cosmetic dermatologic procedures are not without risk. Timely recognition of complications and intervention are paramount for optimal patient outcomes.
Part 1 of this review will focus on the common complications of injectable cosmetic procedures, such as neuromodulators, fillers, and sclerotherapy. The second part will discuss the complications of chemical peels, lasers, light and energy devices, and fat removal procedures.
A MEDLINE search was performed on cosmetic dermatology complications from 1989 to 2015, and results are summarized. Practical considerations of these complications are also provided.
Reports of complications after neuromodulator, injectable hyaluronic acid, calcium hydroxylapatite, poly-L-lactic acid, polymethylmethacrylate, sclerotherapy, fat transfer, liposuction, cryolipolysis, chemical peels, lasers, and light sources, such as Q-switched laser, intense pulsed light, nonablative and ablative resurfacing lasers, were found.
Review of the literature revealed multiple management options for potential complications of the multitude of cosmetic dermatology procedures now available to patients.
近几十年来，患者可选择的美容焕肤方法大幅增加。目前患者常见的选择范围包括神经调节剂、填充剂、硬化疗法、化学剥脱术、脂肪雕塑、激光、光及其他能量设备，且这一范围还在不断扩大。与所有治疗干预措施一样，这些美容皮肤科手术并非毫无风险。及时识别并发症并进行干预对于实现最佳患者预后至关重要。
本综述的第一部分将聚焦于可注射美容手术的常见并发症，如神经调节剂、填充剂和硬化疗法。第二部分将讨论化学剥脱术、激光、光和能量设备以及脂肪去除手术的并发症。
对1989年至2015年美容皮肤科并发症进行了医学文献数据库检索，并总结了结果。还提供了这些并发症的实际注意事项。
发现了关于神经调节剂、注射用透明质酸、羟基磷灰石钙、聚左旋乳酸、聚甲基丙烯酸甲酯、硬化疗法、脂肪移植、抽脂、冷冻溶脂、化学剥脱术、激光以及光源（如调Q激光、强脉冲光、非剥脱性和剥脱性换肤激光）术后并发症的报告。
文献综述揭示了针对目前患者可采用的多种美容皮肤科手术潜在并发症的多种处理方法。
