Scheuer Jack F, Sieber David A, Pezeshk Ronnie A, Gassman Andrew A, Campbell Carey F, Rohrich Rod J
Dallas, Texas; and San Francisco, Calif.
From the Dallas Plastic Surgery Institute and Sieber Plastic Surgery.
Plast Reconstr Surg. 2017 May;139(5):1103-1108. doi: 10.1097/PRS.0000000000003309.
Given the short recovery and immediate results, facial fillers have become a popular alternative to surgical rejuvenation of the face. Reported complications arising from facial filler injections include erythema, tissue loss, blindness, stroke, and even death. In this article, the authors describe their anatomically based techniques to minimize risk and maximize safety when injecting in the facial danger zones, including the glabella/brow, temporal region, perioral region, nasolabial fold, nose, and infraorbital region. Complications generally arise secondary to vasculature injury and/or cannulation with filler. The authors have outlined their preferred injection techniques in the facial danger zones with respect to the pertinent anatomy in an attempt to minimize risk and maximize results. Most importantly, the practitioner should be able to recognize complications and address them immediately.
鉴于恢复时间短且效果立竿见影，面部填充剂已成为面部手术年轻化的一种流行替代方法。据报道，面部填充剂注射引起的并发症包括红斑、组织损失、失明、中风甚至死亡。在本文中，作者描述了他们基于解剖学的技术，以便在面部危险区域（包括眉间/眉部、颞部、口周区域、鼻唇沟、鼻子和眶下区域）进行注射时将风险降至最低并最大限度地提高安全性。并发症通常继发于血管损伤和/或填充剂插管。作者根据相关解剖结构概述了他们在面部危险区域首选的注射技术，以尽量减少风险并最大化效果。最重要的是，从业者应能够识别并发症并立即进行处理。
