Department of Plastic and Reconstructive Surgery, Policlinico di Modena, University of Modena and Reggio Emilia, Italy.
Department of Plastic and Reconstructive Surgery, Policlinico di Modena, University of Modena and Reggio Emilia, Italy.
J Plast Reconstr Aesthet Surg. 2022 Mar;75(3):1215-1223. doi: 10.1016/j.bjps.2021.11.042. Epub 2021 Nov 15.
The number of minimally invasive cosmetic procedures has steadily increased every year. In the last decade, the rates of filler injection reactions have also increased. This study presents our experience in the management and treatment of permanent filler complications to the lips. Undoubtedly, in these adverse reactions, the lips are the hallmark that most stigmatizes an unnatural look of the face.
One hundred and eighty-one patients (168 female and 13 male) with permanent filler complications to the lips were treated from September of 2009 to September of 2019 at the University Hospital of Modena. One hundred and thirty-five patients underwent intralesional laser treatment (ILT). Forty-six patients underwent a stab incision and drainage and 10 of these patients had solid and calcified nodules and therefore underwent a combined technique. Thirty-three patients underwent further cosmetic procedures.
In 95% of patients there was a clinical improvement of which complete resolution in 38.7% and partial improvement in 34.2% of cases. Nine patients stopped the treatment because they were not satisfied. No patient was considered to have worsened after the treatment. Thirty-three patients underwent further treatments.
A systematic combined approach between antibiotic therapy and treatments (ILT and a stab incision) represents the best therapeutic approach in dealing with permanent fillers complications to the lips. This treatment modality allows both the removal of the foreign material and the inflammatory reaction with low morbidity and little cosmetic disfigurement. Further cosmetic procedures may be applied to improve aesthetic appearance once most of the non-resorbable substance has been removed.
微创美容程序的数量每年都在稳步增加。在过去的十年中，填充物注射反应的发生率也有所增加。本研究介绍了我们在管理和治疗唇部永久性填充物并发症方面的经验。毫无疑问，在这些不良反应中，嘴唇是最能使面部呈现不自然外观的特征。
2009 年 9 月至 2019 年 9 月，在摩德纳大学医院治疗了 181 例（168 名女性和 13 名男性）唇部永久性填充物并发症患者。135 例患者接受了病灶内激光治疗（ILT）。46 例患者接受了切开引流术，其中 10 例患者有实性和钙化结节，因此采用了联合技术。33 例患者接受了进一步的美容手术。
95%的患者临床症状得到改善，其中 38.7%完全缓解，34.2%部分缓解。9 名患者因不满意而停止治疗。治疗后无患者病情恶化。33 例患者接受了进一步治疗。
抗生素治疗与治疗（ILT 和切开引流术）相结合的系统综合方法是处理唇部永久性填充物并发症的最佳治疗方法。这种治疗方式既能去除异物，又能减轻炎症反应，且发病率低，美容损伤小。一旦大部分不可吸收物质被清除，就可以进行进一步的美容手术来改善外观。
