注射用皮肤填充剂的不良反应及处理

目前常用的注射用皮肤填充剂有永久性与非永久性两种，均有一定的不良反应。非永久性填充剂能较快地被吸收，时效相较短。而永久性填充剂的时效则较长，但不良反应较多，处理较困难。皮肤填充剂的不良反应分为急性和迟发性两大类：急性并发症通常程度较轻且持续时间短，多具自限性。不需要治疗或仅需要对症治疗。而迟发生并发症大多较严重，均需要进一步治疗。皮肤科医生应熟悉各种填充剂的优缺点，谨慎选用相应的填充剂。

Adverse effects of injectable dermal filler and their management

So far, there are two kinds of common injectable dermal fillers, i.e. non-permanent and permanent dermal fillers. All these fillers have adverse effects. Generally speaking, non-permanent injectable dermal fillers could be absorbed quickly, and their effect is short, while permanent fillers have long-term effect and more intractable adverse effects, Side effects of dermal fillers are classified into two groups, acute effects and delayed effects, Most of the acute side effects are mild, transitory and self-limited, often need no management or just need heteropathy. However, delayed adverse effects are often serious, and most of them require further treatment. Dermatology physicians should have sound knowledge of the characteristics of various dermal fillers, and select appropriate fillers for patients with caution.