It is not approved for use in persons under 21 years of age. Common side effects include swelling, bruising, pain, itching at the injection site, and headache. Accidental injections of facial filler into blood vessels can occur anywhere on the face. But an FDA analysis of studies and reported problems found that it was more likely to occur between the eyebrows and nose, in and around the nose, on the forehead and around the eyes, the agency said.
The most serious complications of soft tissue augmentation include retinal artery occlusion and cerebral embolism. These have been observed mainly with fat injections, but have also been observed with hyaluronic acid products, 16 Fortunately, these are extremely rare. However, the risk increases as the volume of injections and the number of injections increase. Decreased visual acuity, pain in the orbit, headache, nausea, dizziness and ptosis may indicate a major problem and should be taken care of immediately.
You should go to an ophthalmology office immediately if these symptoms occur. The presence of any of these symptoms justifies consideration of treatment with hyaluronidase, warm compresses, application of nitropaste and aspirin. Vision loss, when it occurs, is usually permanent, 17 Collaboration with an ophthalmologist is crucial in these patients, 18 Before treating the glabella, nasolabial fold or lacrimal canals, it is essential to have a lot of experience and anatomical knowledge to minimize the risk of vascular compromise. Sometimes anti-wrinkle injections can cause a tension headache for 24 hours after the injection.
This usually happens from the frown line, as once the muscle starts to relax and you try to frown, as you normally do, it can create a little tension, since you can't frown like you used to. Most people who have never been treated before may experience this (I personally do), but after a couple of treatments, the muscle is already relaxed and prevents you from frowning, so you are less likely to frown as much after the initial treatment. In addition, the skin will look the same as it did before injecting the fillers, once the filler dissolves. Sometimes, too much facial filler product may have been placed in the recesses of the lower eyelid, creating an overfilling effect that can make the area look more puffy.
Often, HA facial fillers can still be seen in the area under the eyes for many years after they were injected (in some cases, this can happen five years later or more). To minimize this swelling, I place 1 to 1½ cc between both hands, knowing I'll probably need more, but the extra padding is placed at the follow-up visit in 1 month. The Tyndall effect may occur in some patients who have been injected with hyaluronic acid facial fillers into an area. Chronic inflammatory conditions affecting the eyes and surrounding areas may predispose patients to prolonged swelling of the lower eyelids.
As noted above, some hyaluronic acid products tend to spread more than others after being injected, and these products may not be the ideal choice for treating the tear canal or lower eyelid voids. For people who have deeper sunken eyes, the appearance of hollow areas under the eyes can also affect the light reflectance patterns of the face and can make the entire area around the eyes appear darker by creating undesirable shadows. Normal structures usually found in this area include the skin of the lower eyelid, the eyelid muscle, and the tissue that covers the bone of the eye socket. In recent years, tear rejuvenation has become a more popular procedure, as many people seek to improve the appearance of dark circles under the eyes, without the time or financial commitment of surgical rejuvenation.
For this reason, the addition of small amounts of facial filler volume can have a much more significant impact than expected. Although the most significant complications with facial filler injections under the eyes (lacrimal rejuvenation) are uncommon in general; unfortunately, they can occur, as with any facial filling procedure, even if the injection was performed by a qualified and expert injector. In addition, due to the delicate and complex anatomy around the eyes, not all injectors that can take a syringe and perform facial filler injections are qualified with the specific knowledge and advanced technical expertise necessary to perform this procedure properly and effectively. If a facial filler product is placed too shallow on the skin or on top of the muscle layer, the product may settle with an abnormal appearance and may appear bulky, swollen, or uneven.
Although there is a core group of physicians who are traditionally trained in these treatments for aesthetic enhancement, this also includes many other types of doctors who were originally trained in other specialties and who may not have the same training or extensive experience in the delicate anatomy of the eyelid or similar areas. of the face. . .