ABSTRACT
Current aesthetic dermatology rejuvenation options offer minimally invasive, more affordable alternatives to traditional cosmetic surgery. Chemical peels and laser resurfacing can significantly improve the appearance of the skin and stimulate neocollagenesis; botulinum toxin reduces the appearance of dynamic facial lines; and dermal fillers can restore facial fullness. These nonsurgical procedures also carry potential risks. This article reviews potential complications of these procedures and best practices for clinical management to improve outcomes.
Subject(s)
Cosmetic Techniques/adverse effects , Dermatology/methods , Facial Injuries , Rejuvenation , Skin Diseases/therapy , Face , Facial Injuries/epidemiology , Facial Injuries/etiology , Facial Injuries/therapy , Humans , Incidence , Risk FactorsABSTRACT
The wide variety of dermal fillers presently available has revolutionized treatment options for patients seeking a refreshed appearance. Soft tissue fillers include both bovine and human collagens, the hyaluronans, calcium hydroxyapatite, poly-L-lactic acid, and synthetic polymers. However, soft tissue augmentation is never risk-free, and as these procedures have increased in prevalence, complications have been more frequently reported. This article describes a range of complications resulting from dermal filler injections, reviews key case studies, and discusses possible treatment options for adverse effects. While biodegradable fillers offer the least risk for the patient, location, allergic reactions, granulomas, necrosis, and infection are all serious complications that must be considered before performing soft tissue augmentation with any approved dermal filler.
Subject(s)
Cosmetic Techniques/adverse effects , Face , Skin Aging , Animals , Biocompatible Materials , Cattle , Collagen/administration & dosage , Collagen/adverse effects , Durapatite/administration & dosage , Durapatite/adverse effects , Humans , Hyaluronic Acid/administration & dosage , Hyaluronic Acid/adverse effects , Lactic Acid/administration & dosage , Lactic Acid/adverse effects , Polyesters , Polymers/administration & dosage , Polymers/adverse effects , RejuvenationABSTRACT
Pediatric vascular lesions can be medically threatening and psychologically distressing to patients. This article reviews literature on the laser treatment of two common pediatric vascular lesions, port wine stains and hemangiomas. The purpose of this report was to distinguish the lesions from one another and to present the advantages, disadvantages, complications, and limitations of laser treatment for each lesion type. This review is not a comprehensive inventory but instead highlights the studies that best show promising results or the limitations of laser treatment for the lesions. Overall, port wine stain laser treatment promoted notable clearing with low side effects, whereas hemangioma laser treatment provided inconsistent benefits and severe side effects occasionally. Laser treatment of port wine stains is safe and effective, but laser treatment of hemangiomas remains controversial and is best for lesions without deeper components.
