The use of facelift approach for removal of permanent facial fillers | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 09 January 2023 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2023.185132.1249 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Dalia Mohammed Galal Saleh1; Ayman Abuelmakarem Shaker2; Mohamed Mamdouh Abdelhalim 3; Mohamed Samir Badawy  4
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| 1Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
| 2Plastic, burn and Maxillofacial surgery Department, Faculty of Medicine, Ain Shams University, cairo, Egypt | ||||
| 3Plastic, Burn and Maxillofacial Surgery Department, faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
| 4Plastic, Burn and Maxillofacial Department, Faculty Of Medicine, Ain Shams University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Over the years facial enhancement and rejuvenation with permanent filler injection have been introduced. Unfortunately, many patients experienced late undesirable complications. Such patients present with abnormal skin texture and facial deformities. This may be due to accumulated fillers or granulomatous reaction to the fillers. Removal of these fillers may be requested by some patients who developed side effects or complications following the injection. Removal of permanent facial fillers is a difficult task as it may need surgical removal, with its hazards. Objective: Is to review the different patients requiring removal of permanent facial fillers and to demonstrate the author’s experience in utilizing the face lift approach for removal of these fillers. Patients and Methods: Ninety-three patients with permanent facial fillers were operated upon. Some of them already had some complications like infection, granuloma, etc. While some were seeking removal for fear of developing such complications later on. In all patients the classic face lift approach was used. Results: Fifteen patients had acute facial infection with abscess formation and were treated successfully without any side effects with complete removal of their fillers. The remaining 78 patients had their fillers removed with variable degrees. Most of the patients had prolonged downtime. Sixty-five patients had contour deficits. Ten patients had some complications. The encountered complications were facial nerve paresis in six patients, however, four of them recovered completely within a few months after surgery and the other two persisted. Another three patients had parotid duct injury but subsided without any sequalae. The last one had persistent swelling of the lower eye lids. Conclusion: Removal of permanent facial filler is a very difficult task and has many hazards. A special informed consent is designated to include all these hazards should be signed by the patient. The use of face lift approach is a useful technique for removal of permanent facial fillers especially the infected ones. However, the technique is not free from complications. These complications are not related to the technique itself, but they are due to the nature of the presenting pathology. | ||||
| Keywords | ||||
| Permanent Facial fillers; Complications; Surgical removal; Face lift approach | ||||
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