Peng Cheng-Xiang, Xv Wang, Ao Yin-Jie
Department of General Surgery Ward 3, Plastic Surgery and Medical Cosmetic Center, Yichun People's Hospital, Yichun, People's Republic of China.
Plastic Surgery and Medical Cosmetic Center, Yichun People's Hospital, Nanchang, People's Republic of China.
Clin Cosmet Investig Dermatol. 2025 Aug 4;18:1857-1864. doi: 10.2147/CCID.S539888. eCollection 2025.
In recent years, Overfilled Syndrome and the associated "Bread Bun" phenomenon have garnered significant attention in the field of aesthetic medicine, particularly among younger populations. This article systematically reviews the causes, consequences, and management strategies of facial overfilling, aiming to provide a scientific basis for the prevention and correction of this phenomenon. The causes of overfilling involve technical, patient, and physician-related factors: technical factors include improper injection dosage, depth, and point design; patient factors primarily stem from the excessive pursuit of "perfect" facial features and unrealistic expectations; while physician factors are related to insufficient experience, lack of technical proficiency, and misinterpretation of aesthetic standards. The consequences of overfilling include aesthetic imbalance, health risks, and psychological issues. To effectively prevent and manage overfilling, this article proposes detailed preventive strategies, including preoperative assessment and design, patient education, intraoperative layered injection techniques, and regular postoperative follow-ups. For cases where overfilling has already occurred, non-surgical correction and surgical correction are the primary treatment methods. Additionally, psychological support and the application of portable ultrasound technology play important roles in the correction process. Future research directions include the development of quantitative assessment tools, optimization of prevention and management strategies, and the development of new filler materials and technologies. Through scientific preventive strategies, precise treatment plans, and ongoing research and innovation, the occurrence of overfilling can be effectively reduced, advancing facial filler procedures toward greater safety and naturalness.
近年来，过度填充综合征及相关的“面包圈”现象在美容医学领域引起了广泛关注，尤其是在年轻人群体中。本文系统综述了面部过度填充的原因、后果及处理策略，旨在为预防和纠正这一现象提供科学依据。过度填充的原因涉及技术、患者和医生相关因素：技术因素包括注射剂量、深度和点位设计不当；患者因素主要源于对“完美”面部特征的过度追求和不切实际的期望；而医生因素则与经验不足、技术不熟练以及对美学标准的误解有关。过度填充的后果包括美学失衡、健康风险和心理问题。为有效预防和处理过度填充，本文提出了详细的预防策略，包括术前评估与设计、患者教育、术中分层注射技术以及术后定期随访。对于已经发生过度填充的病例，非手术矫正和手术矫正为主要治疗方法。此外，心理支持和便携式超声技术的应用在矫正过程中发挥着重要作用。未来的研究方向包括开发定量评估工具、优化预防和处理策略以及研发新型填充材料和技术。通过科学的预防策略、精准的治疗方案以及持续的研究与创新，可有效减少过度填充的发生，推动面部填充手术朝着更高的安全性和自然度发展。
