Adverse Effects of Injectable Facial Fillers: A Maxillofacial Approach to Management

Adverse effects of dermal facial fillers are increasingly posing a difficult treatment dilemma. Although broadly non-toxic synthetic fillers act as foreign bodies in the tissues eliciting a host response, even many years after administration. Adverse outcomes, ranging from chronic lymphoplasmacytic inflammatory reactions to granulomatous reactions have been documented in the literature1. High aesthetic demands, lack of existing scars for access and unavailable treatment history can compound the difficulty. Furthermore, we are increasingly encountering adverse effects in patients treated outside the United Kingdom (UK). Here we present a case report demonstrating our experience in the management of these problems