Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Dresden, Germany.
Department of Plastic Surgery, Hospital São Lucas da PUCS, Porto Alegre, Brazil.
Dermatol Ther. 2020 Nov;33(6):e14285. doi: 10.1111/dth.14285. Epub 2020 Sep 18.
Filler injections are widely used for facial rejuvenation. The technique is safe as long as some precautions are respected. In this review we will focus on vascular anatomy in the upper, middle and lower face. We performed a PUBMED research on "facial danger zones" and "filler injections" and "hyaluronic acid" and "vascular compromise" with a focus on the last decade. This is of particular importance since vascular compromise is one of the most severe adverse events possibly leading to tissue necrosis and in rare cases to loss of vision. We describe the danger zones in these esthetic units and provide recommendations how to avoid severe adverse events. We report on temporal region, glabella and nose, infraorbital region, nasolabial folds and nasal triangle, lips, and chin. Although we focus on hyaluronic acid fillers, our recommendations will also scope other filler types and autologous adipose tissue transfer. We also take a closer look on innovations to improve the safety of facial filler injections. Facial rejuvenation with hyaluronic acid fillers is a popular method. It is safe if the facial danger zones are recognized and proper injection techniques and fillers are used.
填充物注射被广泛用于面部年轻化。只要遵守一些预防措施，该技术是安全的。在这篇综述中，我们将重点关注面部上部、中部和下部的血管解剖结构。我们在 PUBMED 上进行了“面部危险区”、“填充物注射”、“透明质酸”和“血管损伤”的研究，重点关注过去十年的研究。这一点非常重要，因为血管损伤是最严重的不良事件之一，可能导致组织坏死，在极少数情况下还会导致视力丧失。我们描述了这些美学单位的危险区，并提供了如何避免严重不良事件的建议。我们报告了颞区、眉间和鼻部、眶下区、鼻唇沟和鼻三角、唇部和颏部。尽管我们专注于透明质酸填充物，但我们的建议也适用于其他填充物类型和自体脂肪组织转移。我们还仔细研究了提高面部填充物注射安全性的创新方法。使用透明质酸填充物进行面部年轻化是一种流行的方法。只要认识到面部危险区，并使用适当的注射技术和填充物，该技术就是安全的。
