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Anatomy & Filler Complications

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Injections of dermal fillers have shown tremendous year–on- year growth since their introduction.

Although dermal necrosis has been reported with HA fillers, this adverse event is typically far less severe with HA fillers than with non –HA fillers (with prompt diagnosis and treatment).

Anatomy and Filler Complications emphasizes on the importance in training and educating physicians.

Prevention is the only recourse, as it will be discussed extensively in this book

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HA BASED DERMAL FILLERS

Injections of dermal fillers have shown tremendous year–on- year growth since their introduction.

Although dermal necrosis has been reported with HA fillers, this adverse event is typically far less severe with HA fillers than with non –HA fillers (with prompt diagnosis and treatment).

Anatomy and Filler Complications emphasizes on the importance in training and educating physicians.

Prevention is the only recourse, as it will be discussed extensively in this book

Forewords

THE EXPLOSION OF HA FILLERS AND BOTULINUM TOXIN

My stand point

As a full time aesthetic plastic surgeon, I looked somewhat skeptically at fillers when first introduced in the 1990’s. At about the same time, botulinum toxin was beginning to gain attention but I perceived short-sighted “group-think” between different clinical societies, each claiming territory in the aesthetic marketplace, each reluctant to share ideas with the others. Today, young people have thankfully adapted well to this new spirit of cooperation.

Our patients are the true beneficiaries 

Personally, I recall that I was very skeptical, wondering who on earth would spend a few hundred dollars for a temporary lip enhancement, or to temporarily rid oneself of frown lines for a few months.

I completely underestimated the public’s fear of surgery, and underestimated by several orders of magnitude the degree to which people would flock to this new treatment paradigm.

An explosion of fillers meant more frequent complications

Soon, other fillers were introduced, each claiming to be superior, just as several problems became more prevalent, and more evident. I began collecting cases and speaking about adverse events at various local meetings, attracting referrals.

Years passed and I became a national “troubleshooter” for end users in Canada for the largest filler companies. I published several articles in peer reviewed journals, sharing what I had learned to help others deal with adverse events. This experience led me to meeting the people involved with this present work.

Anatomy and Filler Complications

“This book provides a concise reference summary of the majority of adverse events that one is likely to encounter in clinical practice.

There is an excellent, up to date look at the specialized filler anatomy of the face along with clear illustrations for rapid comprehension of the clinical significance of the facts.

We cover both the common and uncommon complications with an emphasis on clinical management, best practices, and prevention.

A useful reference volume for active clinical practice. ”

Claudio DeLorenzi, MD FRCS


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