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Consensus statement on prevention and management of adverse effects following rejuvenation procedures with hyaluronic acid‐based fillers
Authors:WG Philipp‐Dormston  D Bergfeld  BM Sommer  G Sattler  S Cotofana  P Snozzi  U Wollina  KPJ Hoffmann  C Salavastru  K Fritz
Institution:1. Hautzentrum K?ln (Cologne Dermatology), K?ln, Germany;2. Sommerclinics, Frankfurt am Main, Germany;3. Rosenparkklinik, Darmstadt, Germany;4. Institute of Anatomy, Paracelsus Medical University Salzburg & Nuremberg, Salzburg, Austria;5. Department of Anatomy, Ross University School of Medicine, Roseau, Commonwealth of Dominica, West Indies;6. Smoothline, Zürich, Switzerland;7. Academic Teaching Hospital of Technical University of Dresden, Dresden, Germany;8. St. Josef‐Hospital Bochum, Abteilung für ?sthetisch Operative Medizin und Kosmetische Dermatologie, Bochum, Germany;9. Department of Paediatric Dermatology, Colentina Clinica Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania;10. Dermatology and Lasercenters, Landau, Germany
Abstract:Facial fillers play an important role in the correction of facial changes associated with ageing. They offer quick treatments in the outpatient setting with minimal subsequent downtime that provide predictable, natural‐looking, long‐lasting results. Adverse reactions after hyaluronic acid injections tend to be mild or moderate and rather temporary. However, as with all injected or implanted biomaterials, severe adverse events can occur and patients must be fully informed of potential risks prior to undergoing treatment. A panel of experts from Germany (D), Austria (A) and Switzerland (CH) developed recommendations, and this study provides the ‘DACH Consensus Recommendations’ from this group specifically on the use of hyaluronic acid fillers. The aim is to help clinicians recognize potential risks and to provide guidance on how best to treat adverse events if they arise. Contraindications to hyaluronic acid fillers are also detailed, and ways to prevent adverse events occurring are discussed. Hyaluronic acid‐based products are claimed to be very close to an ideal tissue augmentation agent; nevertheless, profound medical, anatomical and product knowledge are of paramount importance to minimize the occurrence of adverse reactions.
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