An Overview of Complications and Treatment Strategies in Periocular Dermal Fillers: A Literature Review
Introduction: The dermal filler market is a continuously expanding billion-dollar industry with the number of performed injections growing concurrently with the amount of post-injection complications. Most adverse events are mild and resolve spontaneously. Ischemic complications due to accidental...
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| Format: | Article |
| Language: | English |
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Nicolaus Copernicus University in Toruń
2025-01-01
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| Series: | Quality in Sport |
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| Online Access: | https://apcz.umk.pl/QS/article/view/57034 |
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| author | Aleksandra Ciesielska Aleksandra Sieradzka Krzysztof Szerej Alicja Kot Marta Wojtczak Natalia Myśliwiec Adrian Różycki Michał Pniak Paweł Miklis Maciej Mawlichanów |
| author_facet | Aleksandra Ciesielska Aleksandra Sieradzka Krzysztof Szerej Alicja Kot Marta Wojtczak Natalia Myśliwiec Adrian Różycki Michał Pniak Paweł Miklis Maciej Mawlichanów |
| author_sort | Aleksandra Ciesielska |
| collection | DOAJ |
| description |
Introduction: The dermal filler market is a continuously expanding billion-dollar industry with the number of performed injections growing concurrently with the amount of post-injection complications. Most adverse events are mild and resolve spontaneously. Ischemic complications due to accidental intra-arterial filler injection may lead to skin necrosis and even irreversible vision loss.
Aim of the study: This review aims to critically evaluate the use of dermal fillers in the periocular area, possible post-injection complications and treatment options for adverse events, providing further guidance for aesthetic medicine doctors.
Methods: Databases such as PubMed, Medline and Research Gate were searched for articles published over the last 20 years.
Results: Dermal fillers in the periocular area are often chosen over surgical procedures due to their efficacy and outstanding safety profiles. The reversing agent hyaluronidase causes hyaluronic acid fillers to be the primary choice for periocular filler injections. Post-injection complications after permanent fillers may require surgical excision.
Conclusions: The periocular region is exceptionally demanding, requiring excellent anatomical awareness and proper administration techniques for uneventful procedures. Individually adjusted treatment plans and proper product selection is crucial. Doctors must follow preventative guidelines to minimize the complication risk, including aspirating before injecting the product, performing injections in the mid or deep dermal plane and administering small volumes with slow injections. Imaging techniques are significantly beneficial for minimizing the risk of the most severe ischemic complications.
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| format | Article |
| id | doaj-art-b1e760b0abe34cee8903379dd0173bcd |
| institution | Kabale University |
| issn | 2450-3118 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nicolaus Copernicus University in Toruń |
| record_format | Article |
| series | Quality in Sport |
| spelling | doaj-art-b1e760b0abe34cee8903379dd0173bcd2025-01-11T08:22:40ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2025.37.57034An Overview of Complications and Treatment Strategies in Periocular Dermal Fillers: A Literature ReviewAleksandra Ciesielska0https://orcid.org/0009-0000-5015-6140Aleksandra Sieradzka1https://orcid.org/0009-0004-2281-7617Krzysztof Szerej2https://orcid.org/0009-0003-7581-4965Alicja Kot3https://orcid.org/0009-0001-2999-6775Marta Wojtczak4https://orcid.org/0009-0007-0032-7520Natalia Myśliwiec5https://orcid.org/0000-0002-4359-9899Adrian Różycki6https://orcid.org/0000-0002-9110-5443Michał Pniak7https://orcid.org/0009-0006-2982-6078Paweł Miklis8https://orcid.org/0009-0008-4578-233XMaciej Mawlichanów9https://orcid.org/0000-0002-6543-8105Mazovian Rehabilitation Center "STOCER" Sp. z o.o. Railway Hospital in Pruszków, PolandMedical University of Warsaw District Hospital in Sochaczew, Poland, Medical University of Warsaw County Health Center in Otwock Sp. z o.o. Otwock, Poland National Medical Institute of the Ministry of the Interior and Administration, Warsaw, Poland Medica Plus Family Clinic Sp. z o. o., Gdańsk, Poland John Paul II Memorial Masovia Provincial Hospital in Siedlce, Poland University Clinical Center of the Medical University of Warsaw, Poland Military Institute of Medicine, Warsaw Poland Introduction: The dermal filler market is a continuously expanding billion-dollar industry with the number of performed injections growing concurrently with the amount of post-injection complications. Most adverse events are mild and resolve spontaneously. Ischemic complications due to accidental intra-arterial filler injection may lead to skin necrosis and even irreversible vision loss. Aim of the study: This review aims to critically evaluate the use of dermal fillers in the periocular area, possible post-injection complications and treatment options for adverse events, providing further guidance for aesthetic medicine doctors. Methods: Databases such as PubMed, Medline and Research Gate were searched for articles published over the last 20 years. Results: Dermal fillers in the periocular area are often chosen over surgical procedures due to their efficacy and outstanding safety profiles. The reversing agent hyaluronidase causes hyaluronic acid fillers to be the primary choice for periocular filler injections. Post-injection complications after permanent fillers may require surgical excision. Conclusions: The periocular region is exceptionally demanding, requiring excellent anatomical awareness and proper administration techniques for uneventful procedures. Individually adjusted treatment plans and proper product selection is crucial. Doctors must follow preventative guidelines to minimize the complication risk, including aspirating before injecting the product, performing injections in the mid or deep dermal plane and administering small volumes with slow injections. Imaging techniques are significantly beneficial for minimizing the risk of the most severe ischemic complications. https://apcz.umk.pl/QS/article/view/57034dermal fillersperiocularhyaluronic acidcalcium hydroxylapatitepoly-lactic acidpolymethyl methacrylate |
| spellingShingle | Aleksandra Ciesielska Aleksandra Sieradzka Krzysztof Szerej Alicja Kot Marta Wojtczak Natalia Myśliwiec Adrian Różycki Michał Pniak Paweł Miklis Maciej Mawlichanów An Overview of Complications and Treatment Strategies in Periocular Dermal Fillers: A Literature Review Quality in Sport dermal fillers periocular hyaluronic acid calcium hydroxylapatite poly-lactic acid polymethyl methacrylate |
| title | An Overview of Complications and Treatment Strategies in Periocular Dermal Fillers: A Literature Review |
| title_full | An Overview of Complications and Treatment Strategies in Periocular Dermal Fillers: A Literature Review |
| title_fullStr | An Overview of Complications and Treatment Strategies in Periocular Dermal Fillers: A Literature Review |
| title_full_unstemmed | An Overview of Complications and Treatment Strategies in Periocular Dermal Fillers: A Literature Review |
| title_short | An Overview of Complications and Treatment Strategies in Periocular Dermal Fillers: A Literature Review |
| title_sort | overview of complications and treatment strategies in periocular dermal fillers a literature review |
| topic | dermal fillers periocular hyaluronic acid calcium hydroxylapatite poly-lactic acid polymethyl methacrylate |
| url | https://apcz.umk.pl/QS/article/view/57034 |
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