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Year : 2020  |  Volume : 33  |  Issue : 4  |  Page : 1347-1351

Complicated facial filler management by facelift

Department of Plastic Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Correspondence Address:
Mohamed A El-Nahas
MD, Shebin El Kom, Menoufia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_142_20

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Objective The aim was to study and evaluate the role of facelift technique in the management of complications of permanent facial filler. Background Facial filler complications vary from skin discoloration in the form of hyperemia, hyperpigmentation, or nodule, which may be due to accumulated filler or granulomatous reaction. Complicated patients show symptoms of abnormal skin texture and facial deformities. Treatment of these conditions in the form of drainage, excision, or intralesional laser is usually unsatisfactory. Patients and methods The idea of this method is to expose and radically resect all nodules with draining any fluid filler which is present in the subcutaneous layer of the face. This is achieved by facelift exposure, and after proper wash of the field, the facial skin is re-draped. Results A total of seven patients with complicated filler have been treated by this technique. The operation is more difficult than ordinary facelift owing to difficult dissection in the presence of fibrosis, nodules, and scars. Moreover, the postoperative bleeding and edema are more than those seen in ordinary facelift. There were two (28%) cases of hematomas, which required evacuation in office. Paresis of the left frontal branch occurred in one (14%) patient and improved after 7 months (P = 0.013). However, there was marked improvement in the facial contour and skin quality. Conclusion The use of the facelift technique as a surgical tool to treat major complications of multiple fillers in the face has proved to be a very satisfactory method, despite being more difficult than the ordinary facelift surgery in facial rejuvenation.

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