Snozzi Philippe, van Loghem Jani A J
Smoothline, Bahnhofstrasse Zürich, Switzerland.
Falck Clinic, Falckstraat, Amsterdam, Netherlands.
Plast Reconstr Surg Glob Open. 2018 Dec 17;6(12):e2061. doi: 10.1097/GOX.0000000000002061. eCollection 2018 Dec.
Hyaluronic acid is an ideal facial filler, however, although established as both safe and effective, complications do occur. Treatment recommendations that combine both expert opinions and clinical trial data are currently lacking, partly due to difficulties with diagnoses, nonspecific diagnostic investigations, and certain disorders presenting with similar symptoms, thereby confounding diagnosis and treatment.
The purpose of this article was to provide the aesthetic clinician with practical recommendations regarding complication diagnosis arising as a consequence of hyaluronic acid filler rejuvenation treatment. It also provides recommendations for their management using step-wise treatment algorithms that are based on published expert opinions, as well as the author's clinical experience.
Algorithms are provided for the most common categories of complication associated with hyaluronic acid filler treatment, that is, skin discoloration, edema, nodules, infection, and vascular compromise.
These guidelines are not intended to be complete or exhaustive but may prove informative for aesthetic clinicians who are responsible for treating patients with hyaluronic acid fillers. It may help to guide them on recognizing potential complications and it provides clear guidance on optimum treatment pathways.
透明质酸是一种理想的面部填充剂，然而，尽管已被证实安全有效，但并发症确实会发生。目前缺乏结合专家意见和临床试验数据的治疗建议，部分原因在于诊断困难、诊断检查缺乏特异性，以及某些疾病症状相似，从而混淆了诊断和治疗。
本文旨在为美容临床医生提供有关透明质酸填充剂年轻化治疗后并发症诊断的实用建议。本文还基于已发表的专家意见以及作者的临床经验，通过逐步治疗算法为并发症的处理提供建议。
针对与透明质酸填充剂治疗相关的最常见并发症类别，即皮肤变色、水肿、结节、感染和血管损伤，提供了算法。
这些指南并非旨在涵盖所有情况或详尽无遗，但对于负责使用透明质酸填充剂治疗患者的美容临床医生可能具有参考价值。它可能有助于指导他们识别潜在并发症，并为最佳治疗途径提供明确指导。
