摘要

Objectives: The purpose of the study was to study the groups of the most frequently occurring delayed edema after filler injections into various areas of the face and their treatment. Introduction: The high popularity of using hyaluronic acid-based fillers for volumetric facial correction contributes to an increase in the likelihood of post-procedural complications, including edema. Patients are injected with fillers of different manufacturers and properties, as well as with varying degrees of purification. As a result, foci of chronic subacute inflammation exist in the tissues for a long time, which can periodically worsen and create discomfort for the patient. Materials / method: The study involved 50 patients who complained of swelling in different areas of the face at least 6 months after filler injections. Difficult cases of diagnosing edema were confirmed using ultrasound examination of soft tissues. Results: The presentation presents schemes and results of treatment of delayed edema after injection of fillers with a combination of physiotherapeutic, injection and other procedures. Conclusion: 1. Before injecting fillers, it is necessary to find out from the patient whether injections of hyaluronic acid fillers or other fillers have been performed in the previous 6 months. 2. In case of periodic occurrence of spontaneous edema, it is necessary to treat the patient according to one of the regimens proposed in the study. 3. Treating a patient with delayed edema prior to new filler injections significantly reduces the incidence of adverse events following the procedure.