Retrospective analysis of the diagnosis and treatment of patients receiving facial injected filler removal surgery
10.3760/cma.j.cn114453-20191124-00351
- VernacularTitle:行面部注射物取出术患者临床诊疗分析
- Author:
Chenyu WANG
1
;
Hairu CAO
;
Lin ZHU
;
Zhifei LIU
;
Ang ZENG
;
Loubin SI
;
Nanze YU
;
Fei LONG
;
Xiaojun WANG
Author Information
1. 中国医学科学院北京协和医学院北京协和医院整形美容外科 100730
- Keywords:
Filler injection;
Remove filler;
Polyacrylamide hydrogel;
Fibroblast growth factor;
Hydroxyaptite
- From:
Chinese Journal of Plastic Surgery
2020;36(7):792-796
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the characteristics, production mechanism and treatment of facial injected filler removal surgery.Methods:A retrospective analysis of 138 cases of facial injected filler removal surgery was conducted in Peking Union Medical College Hospital. The patient’s filler substances, injection site, adverse reaction symptoms, duration, examination result, surgical method and times, and pathological and bacterial examination result were analyzed.Results:All cases were women, aged from 25 to 67 years old, with a course ranging from 6 months to 19 years. Most of the injected substances were polyacrylamide hydrogel, growth factor, and hydroxyapatite. Most of the injection sites were jaw, temporal, nose, and nasolabial fold. Regarding the clinical manifestations, patients presented different levels of anxiety, depression, or other mental symptoms, with the local symptoms of induration, swelling, pain, and itchy mainly. All patients underwent the ultrasound examination, showing subcutaneous hypoechoic without blood flow. The excision of the tissue was routinely sent for pathological and bacterial tests. Tissue culture of 13 patients showed a combined S. aureus infection. Twenty-four patients underwent excision for more than once due to residue filler or mental symptoms. We propose a brief diagnosis and treatment process to provide a reference for clinical practice.Conclusions:The facial injected filler removal surgery plan should be formulated according to the material, injection site, and examination result, symptoms of the patients, to properly select the incision and the removal method, perioperative use of antibiotics and psychotherapy.
