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  • Presentation

Complications in Dermatology Cosmetic Procedures

Description

The presentation focuses on the complexities and challenges associated with cosmetic dermatology procedures, particularly complications arising from filler injections. The speakers, part of the CDA group in Brazil, discuss their extensive experience dealing with over 600 documented cases of complications, predominantly vascular events related to hyaluronic acid fillers. They emphasize the psychological impact on patients who seek enhancements and face undesirable outcomes, highlighting cases like Isabella, who suffered severe complications after seeking treatment from non-medical professionals. The importance of accurate diagnosis using ultrasound technology is a central theme, as it enables practitioners to identify filler types and understand the underlying complications better. They describe various cases, including vascular occlusions and delayed onset nodules, outlining treatment protocols such as administering hyaluronidase and utilizing a multidisciplinary team approach. The speakers stress the need for ongoing education, effective patient management, and a commitment to safety, urging fellow practitioners to prioritize diagnosis before treatment to improve patient outcomes.

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Conclusions

  • Complications from dermal fillers, particularly hyaluronic acid, are increasingly prevalent globally.
  • A detailed understanding of complications and their management is essential for practitioners.
  • Ultrasound is a crucial tool for accurately diagnosing filler-related complications, differentiating between filler types, and assessing vascular events.
  • Immediate treatment with hyaluronidase is critical during vascular occlusions to minimize tissue damage.
  • Utilizing a multidisciplinary team enhances the treatment of complications and patient recovery.
  • Delayed-onset nodules (DON) can manifest in various forms and require tailored treatment approaches based on their classification.
  • Prompt diagnosis prior to treatment is vital in managing complications effectively and improving patient outcomes.
  • Gabriela Munhoz, MD, Laila Klotz de Almeida Balassiano, MD, Maria Fernanda Tembra, MD, Fernanda A. Cavallieri, MD, Thaissa Bortolato, MD, Marcia Ramos-e-Silva, MD, PhD; and OBO BSGCPC 7 ACCEPTED FOR PUBLICATION IN SKINMED DA-2024-051267
  • José Marcos T Cunha et al. Skinmed. 2023. DIFFERENT DOSES, DIFFERENT DILUTIONS, DIFFERENT VOLUMES FOR DIFFERENT AREAS AND COMPLICATIONS. Skinmed. 2023 Sep 29;21(4):257-262. eCollection 2023.
  • Laila Klotz de Almeida Balassiano 1, Fernanda A Cavallieri 2, Gabriela Munhoz 3, Maria Fernanda Tembra 4, Marcia Ramos-E-Silva 5. Sterile abscess due to hyaluronic acid: A new diagnosis and a proposal for treatment-A series of eight cases. J Cosmet Dermatol. 2022 Nov;21(11):6308-6313. doi: 10.1111/jocd.15266. Epub 2022 Sep 19.