Skip to main content

Polymethylmethacrylate Microsphere Injections in the Face

  • Chapter
  • First Online:
Minimally Invasive Aesthetic Procedures
  • 231 Accesses

Abstract

Microspheres of polymethylmethacrylate (PMMA) have been injected beneath wrinkles and for facial volume augmentation since 1990 in more than 500,000 patients worldwide. They remain in the body permanently and are as safe as hyaluronic acid injections if injected strictly subdermally and epiperiosteally. Most serious complications occur after intra-arterial injections, and most nodules form after intramuscular injections. Foreign body granulomas are rare but can occur years after injection of PMMA subsequently to a systemic bacterial infection.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lemperle G, Knapp TR, Sadick NS, Lemperle SM. ArteFill® permanent injectable for soft tissue augmentation: 1. Mechanism of action and injection techniques. Aesthetic Plast Surg. 2010;34:264–72.

    Google Scholar 

  2. Mani N, McLeod J, Sauder DN, Bothwell MR. Novel use of polymethylmethacrylate (PMMA) microspheres in the treatment of infraorbital rhytids. J Cosmet Dermatol. 2013;12:275–80.

    Google Scholar 

  3. Karnik J, Baumann L, Bruce S, et al. A double-blind, random- ized, multicenter, controlled trial of suspended polymethylmeth-acrylate microspheres for the correction of atrophic facial acne scars. J Am Acad Dermatol. 2014;71:77–83.

    Google Scholar 

  4. Lemperle G, Sadick NS, Knapp TR, Lemperle SM. ArteFill® permanent injectable for soft tissue augmentation: 2. Indications and applications. Aesthetic Plast Surg. 2010;34:273–86.

    Google Scholar 

  5. Li D, Luo SK, Wang YC, Lemperle G. Facial volume restauration with permanent dermal filler (Artecoll-4) in Chinese women. Facial Plast Surg. 2017;33:537–44.

    Google Scholar 

  6. Lemperle G, Gauthier-Hazan N, Wolters M, Eisemann-Klein M, Zimmermann U, Duffy D. Foreign body granulomas after all injectable dermal fillers: part 1. Possible causes. Plast Reconstr Surg. 2009;23:1842–63.

    Article  Google Scholar 

  7. Medeiros CC, Cherubini K, Salum FG, de Figueiredo MA. Complications after polymethylmethacrylate (PMMA) injections in the face: a literature review. Gerodontology. 2014;31:245–50.

    Article  Google Scholar 

  8. Lemperle G, Gauthier-Hazan N. Foreign body granulomas after all injectable dermal fillers: part 2. Treatment options. Plast Reconstr Surg. 2009;123:1864–76.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lemperle, G. (2020). Polymethylmethacrylate Microsphere Injections in the Face. In: Costa, A. (eds) Minimally Invasive Aesthetic Procedures . Springer, Cham. https://doi.org/10.1007/978-3-319-78265-2_81

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-78265-2_81

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78264-5

  • Online ISBN: 978-3-319-78265-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics