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  • Presentation

Complications in Dermatology: Cosmetic Procedures

Description

The presentation discusses complications arising from cosmetic procedures, particularly with fillers, emphasizing the increasing prevalence of such issues globally. The speakers belong to the CDA group, which has documented over 600 cases of complications in Brazil, primarily involving vascular events. They highlight the significance of using ultrasound for accurate diagnosis before treatment, differentiating between various types of fillers to guide management effectively. Specific cases were presented, including a young woman who suffered severe complications after a non-professional injected silicone, and a man who experienced a vascular event due to improper handling during a filler procedure. The experts stressed the urgency of treating vascular complications, recommending immediate administration of hyaluronidase and highlighting the importance of a multidisciplinary approach to treatment. They also covered delayed onset nodules and their treatment options, underscoring the necessity for thorough diagnosis and tailored interventions. The overarching message was the importance of prioritizing patient safety and continuous education in managing complications resulting from cosmetic procedures.

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Conclusions

  • Complications with hyaluronic acid fillers are becoming more prevalent globally, particularly vascular events.
  • A detailed analysis of over 600 cases emphasizes the importance of proper diagnosis to appropriately manage complications.
  • Using ultrasound significantly aids in the accurate diagnosis of various fillers and identification of complications like vascular occlusions.
  • Immediate treatment, particularly with hyaluronidase, is crucial in cases of vascular events to minimize tissue damage.
  • A multidisciplinary approach involving various medical specialists is essential for effectively managing complications arising from cosmetic procedures.
  • Understanding delayed onset nodules (DONs) and their different manifestations is crucial for effective treatment strategies.
  • Continuous education and awareness discussions about complications are necessary to improve patient safety and practitioner confidence.
  • Gabriela Munhoz, MD 1, Laila Klotz de Almeida Balassiano, MD 2, Maria Fernanda Tembra, MD 3, Fernanda A. Cavallieri, MD 4, Thaissa Bortolato, MD 5, Marcia Ramos-e-Silva, MD, PhD 6; and OBO BSGCPC 7. ACCEPTED FOR PUBLICATION IN SKINMED.
  • 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.
  • Trindade de Almeida5, Rhoda S Narins 1, Mark Jewell, Mark Rubin, Joel Cohen, Jur Strobos. J Cosmet Dermatol. 2022 Nov;21(11):6308-6313. doi: 10.1111/jocd.15266. Epub 2022 Sep 19.
  • J Cosmet Dermatol 2022 Nov;21(11):5562-5568. doi: 10.1111/jocd.15135. Epub 2022 Jul 19.