Filling the periorbital hollows with hyaluronic acid gel: Long-term review of outcomes and complications.

Autor: Mustak H; Groote Schuur Hospital, Division of Ophthalmology, University of Cape Town, Cape Town, South Africa.; Stein Eye Institute, Division of Orbital and Oculoplastic Surgery, University of California, Los Angeles, CA, USA., Fiaschetti D; Stein Eye Institute, Division of Orbital and Oculoplastic Surgery, University of California, Los Angeles, CA, USA., Goldberg RA; Stein Eye Institute, Division of Orbital and Oculoplastic Surgery, University of California, Los Angeles, CA, USA.
Jazyk: angličtina
Zdroj: Journal of cosmetic dermatology [J Cosmet Dermatol] 2018 Aug; Vol. 17 (4), pp. 611-616. Date of Electronic Publication: 2017 Nov 11.
DOI: 10.1111/jocd.12452
Abstrakt: Introduction: Hyaluronic acid gel has been used for rejuvenation of the periorbital tissues since 2004. The in-office, nonsurgical procedural nature has resulted in the growing popularity of the use of fillers. The periorbital region poses unique challenges to the cosmetic surgeon. Malar edema, blue-gray dyschromia, and contour irregularities are well reported short-term complications. We present a long-term follow-up review of complications associated with periocular injection of hyaluronic acid gel fillers.
Methods: Retrospective review of 147 patients with at least a 5-year follow-up period since the first injection. Five senior masked reviewers were asked to grade photographs of patients in comparison with preinjection photographs. Grading was based on a reference photographic key looking specifically at the presence and severity of malar edema, blue-gray dyschromia, and contour irregularity.
Results: Malar edema (11%), blue-gray dyschromia (31.3%), and contour irregularities (30.5%) continue to be problems in longer term follow-up of patients. The vast majority (90%) of these complications were mild and required no intervention. There is no statistically significant difference in the mean volumes injected by severity grading of each measured complication.
Conclusion: Hyaluronic acid gel fillers of the periorbital region are well tolerated in our long-term follow-up experience. The vast majority of cases of malar edema, blue-gray dyschromia, and contour irregularities are mild and do not require intervention. Conservative treatment and tailored treatment approaches, in terms of volume and frequency of injections, may decrease the tendency of these adverse effects to occur.
(© 2017 Wiley Periodicals, Inc.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje