Mixing Fillers-The Reversal Problem

• Main Authors: James Webster (Author), Alice Cameron (Author)
• Format: Book
• Published: Journal of Dental Problems and Solutions - Peertechz Publications, 2020-02-27.
• Subjects: Case Report
• Online Access: Connect to this object online.

<p>Background: Injection of dermal fillers has become one of the most frequent cosmetic procedures. Serious complications as a result are rare but can result in devastating results for both patient and clinician. Skin necrosis is one of the most severe complications and considering this, there is only very minimal incidence of such events reported in the literature along with diagnosing and treating this adverse event. Reversal agents can often resolve such complications; however, this article looks at the challenges when such agents are unavailable.</p><p>Methods: We present a case of a 32-year-old gentleman who suffered from skin necrosis as a consequence of a mixed hyaluronic acid and calcium hydroxyapatite cosmetic injectable filler and discuss the diagnosis and possible treatment plan accompanied by avoidance of such adverse side effects.</p><p>Conclusion: Skin necrosis associated with dermal fillers is a rare event but is an important risk factor to discuss when consenting individuals for the procedure. The increasing use of Calcium Hydroxyapatite as an additive to hyaluronic acid means that fillers cannot be reversed as straight forwardly leading to a higher risk of irreversible or partially reversible facial skin necrosis.</p>