Abstract

Objectives: Our clinical study objects to develop the protocol for treatment complication of Dermal fillers and Biostimulator as CaHA or PLLA, the complication prevention and identify appropriate candidates for Dermal fillers and Biostimulator injections based on patient-specific factors, such as age, skin condition, and desired aesthetic outcomes. Introduction: Dermal fillers and Biostimulator as CaHA or PLLA are generally accepted and worldwide used in facial shaping and beautification nearly 2 decades as safe and well-tolerable aesthetic procedures ,but complications reaction still forms a prognostic problem, the summarized of complication are composed of immediate and early onset complication as bruising,erythema,bacterial infection, Herpes infection,dysesthesia, paresthesia,anesthesia,retinal artery occlusion,lump,vascular compromise and Retinal Artery Occlusion( the most severity),and also late or delayed onset complications. Materials / method: 10 patients were enrolled voluntarily in our study. We separated the complications to 2 groups as Group A (5 patients) is Dermal filler complication and Group B (5 patients) is Biostimulator as CaHA or PLLA complications, the diagnosis was provided as early onset complication or late/delayed onset complications, the complications were categorized as infection/non infection and inflammations/non inflammations. Specific treatment were performed as Hyaluronidase in all cases of dermal filler, systemic antibiotic/antiviral were provided in case of infection.RF 3 Hz were provided in all cases Results: All of 10 patients were satisfied and recovered. For dermal filler complication after hyaluronidase were injected, the lump/nodule were dissolved in all cases. All cases of bacterial infection (50%of cases), Clindamycin/Vancomycin were performed duration for 7 days, clinical were improved with in 7days.All cases with inflammation (50%of cases) were subsides after local triamcinolone injection. Increased vascularization, homogeneous skin color and decreased soft tissue fibrosis resulted from of Radiofrequency 3Hz with capacitive transmission head treatment in 28 days. Conclusion: The effective combination procedures in our study could be the effectiveness way to be guideline for treatment the complications of dermal filler injection and biostimulator injection.