Witmanowski Henryk, Błochowiak Katarzyna
Department of Plastic, Reconstructive and Aesthetic Surgery, Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz, Poland.
Department of Oral Surgery and Periodontology, Poznan University of Medical Sciences, Poznan, Poland.
Postepy Dermatol Alergol. 2020 Oct;37(5):651-659. doi: 10.5114/ada.2019.82859. Epub 2019 Feb 11.
Potential complications related to dermal fillers depend on the type of the fillers and the site of their application. The classification of dermal filler complications can be divided into early and late, and into minor and major events. According to their mechanism, they can be divided into non-ischaemic and ischaemic complications. The aim of this study is to present possible complications related to dermal fillers, to explain their aetiology and to propose preventive management and treatment. Non-ischaemic complications can be technique-dependent and include the reactions at the site of the injection, contour irregularities, and inflammatory and infectious reactions. They are usually resolved as a matter of course after 2-7 days. Arterial or venous occlusion leads to ischemia, with subsequent necrosis of the skin and/or vision loss.
与真皮填充剂相关的潜在并发症取决于填充剂的类型及其应用部位。真皮填充剂并发症的分类可分为早期和晚期，以及轻微和严重事件。根据其机制，可分为非缺血性和缺血性并发症。本研究的目的是介绍与真皮填充剂相关的可能并发症，解释其病因，并提出预防性管理和治疗方法。非缺血性并发症可能与技术有关，包括注射部位的反应、轮廓不规则以及炎症和感染反应。它们通常在2 - 7天后自然消退。动脉或静脉阻塞会导致缺血，随后皮肤坏死和/或视力丧失。
