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Dermal fillers

Injectable dermal fillers are approved by the Food and Drug Administration (FDA) for use in helping to create a smoother and/or fuller appearance in the face, including nasolabial folds, cheeks and lips and for increasing the volume of the back of the hand.

These fillers are absorbable or permanent.  FDA approved fillers include Juvaderm or Restylane which are hyaluronic acid which are temporary dermal fillers for moderate skin wrinkles such as in the nasolabial fold.

What are the risks?

Common side effects include:

  • Bruising
  • Redness
  • Swelling
  • Pain
  • Tenderness
  • Itching, rash
  • Difficulty in performing activities (only observed when injected into the back of the hand)

Less common side effects include:

  • Raised bumps in or under the skin (nodules or granulomas) that may need to be surgically removed
  • Infection
  • Open or draining wounds
  • A sore at the injection site
  • Allergic reaction
  • Necrosis (tissue death)

The following rare side effects have also been reported to the FDA:

  • Severe allergic reaction (anaphylactic shock) that requires immediate emergency medical assistance
  • Migration/ movement of filler material from the site of injection
  • Leakage or rupture of the filler material at the injection site or through the skin (which may result from tissue reaction or infection)
  • The formation of permanent hard nodules in the face or hand
  • Vision abnormalities, including blindness
  • Stroke
  • Injury to the blood supply,
  • Damage to the skin or the lips

FDA approved fillers include Juvaderm or Restylane which are hyaluronic acid which are temporary dermal fillers for moderate skin wrinkles such as in the nasolabial fold.

What are the contraindications?

All Dermal Fillers

  • Your skin is inflamed or infected. If you have an active inflammatory condition, (cysts, pimples, rashes, or hives) or infection, dermal filler injection should be delayed until this inflammatory condition has been managed.
  • You have a bleeding disorder.
  • You have severe allergies or have a history of anaphylaxis (acute allergic reaction).

Dermal Fillers Containing Certain Materials

  • You are allergic to collagen or eggs when considering dermal fillers that contain collagen or egg-derived products.
  • You are allergic to animal products when considering dermal fillers that contain materials from animals.
  • You are allergic to lidocaine when considering dermal fillers that contain lidocaine.
  • You are allergic to bacteria when considering dermal fillers that contain hyaluronic acid material derived from bacteria fermentation.

If you are interested in dermal fillers, please contact Phoenix Medical Spa at (210) XXX-XXXX to have a consultation about the appropriate filler for you and if you are an appropriate candidate for filler.

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