Abstract
The use of injectable fillers in facial plastic surgery started with injection of collagen and has seen the introduction of numerous fillers over the past few decades. These products are not only used to fill wrinkles, but also for soft tissue augmentation, reconstruction as well as to influence the aging process at a cellular level. It is imperative that the facial plastic and reconstructive surgeon be familiar with the different products available, their recommended uses, and injection techniques. Since these fillers are used predominantly for elective cosmetic procedures, there is an increased burden on the treating provider to ensure patient safety and minimize risk. We provide a review of the different classes of injectables and our recommended treatment algorithms for each.
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Kim DH, Je YJ, Kim CD, Lee YH, Seo YJ, Lee JH, Lee Y. Can platelet-rich plasma be used for skin rejuvenation? evaluation of effects of platelet-rich plasma on human dermal fibroblast. Ann Dermatol. 2011;23(4):424–31.
Redaelli A, Romano D, Marcianó A. Face and neck revitalization with platelet-rich plasma (PRP): clinical outcome in a series of 23 consecutively treated patients. J Drugs Dermatol. 2010;9(5):466–72.
• Sclafani AP, Saman M. Platelet-rich fibrin matrix for facial plastic surgery. Facial Plast Surg Clin North Am. 2012;20(2):177–86. Review article on the use of platelet-rich plasma in facial plastic surgery and how it compares to the use of platelet-rich fibrin matrix.
Day DJ, Littler CM, Swift RW, Gottlieb S. The wrinkle severity rating scale: a validation study. Am J Clin Dermatol. 2004;5(1):49–52.
•• Dayan SH, Ellis DA, Moran ML. Facial fillers: discussion and debate. Facial Plast Surg Clin North Am. 2012;20(3):245–64. Contemporary discussion and debate of fillers and their recommended uses by experts in the field.
•• Kontis TC. Contemporary review of injectable facial fillers. JAMA Facial Plast Surg. 2013;15(1):58–64. Excellent and up-to-date review article on injectable facial fillers.
Ezzat WH, Keller GS. The use of poly-L-lactic acid filler in facial aesthetics. Facial Plast Surg. 2011;27(6):503–9.
Lemperle G, Romano JJ, Busso M. Soft tissue augmentation with Artecoll: 10-year history, indications, techniques, and complications. Dermatol Surg. 2003;29(6):573–87.
• Carruthers JD, Fagien S, Rohrich RJ, et al. Blindness caused by cosmetic filler injection: a review of cause and therapy. Plast Reconstr Surg. 2014;134(6):1197–201. Discussion of blindness caused by cosmetic filler injections and protocols for urgent management of this complication.
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This article is part of the Topical collection on Soft-Tissue Augmentation in Facial Plastic Surgery.
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Beckler, A.D., Keller, G.S. How to Choose Between Options in Soft Tissue Fillers. Curr Otorhinolaryngol Rep 3, 28–32 (2015). https://doi.org/10.1007/s40136-014-0072-7
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DOI: https://doi.org/10.1007/s40136-014-0072-7