Facial aesthetic injections in clinical practice: Pretreatment and posttreatment consensus recommendations to minimise adverse outcomes

Australas J Dermatol. 2020 Aug;61(3):217-225. doi: 10.1111/ajd.13273. Epub 2020 Mar 22.

Abstract

Facial aesthetic treatment with injectable neuromodulators and hyaluronic acid fillers is well established, with favourable safety profiles and consistent outcomes. As with any medical treatment, adverse events and complications may occur. Adverse events associated with these products are typically transient and mild to moderate in severity. Serious adverse events, such as infection and intravascular occlusion, are rare. Proper patient selection, consent and counselling, preparation and impeccable injection technique are important risk reduction strategies. Both clinicians and patients must be alert to the signs and symptoms of complications so that appropriate treatment can be started promptly. In this article, the authors review the current literature and provide their consensus recommendations for minimising adverse outcomes when treating patients with botulinum toxin or hyaluronic acid fillers.

Keywords: botulinum toxin; dermal fillers; hyaluronic acid; neuromodulators; rejuvenation.

Publication types

  • Review

MeSH terms

  • Botulinum Toxins, Type A / adverse effects*
  • Consensus
  • Contusions / chemically induced
  • Contusions / prevention & control
  • Cosmetic Techniques / adverse effects*
  • Dermal Fillers / adverse effects*
  • Directive Counseling
  • Edema / chemically induced
  • Edema / prevention & control
  • Erythema / chemically induced
  • Erythema / prevention & control
  • Face
  • Hematoma / chemically induced
  • Hematoma / prevention & control
  • Humans
  • Hyaluronic Acid / adverse effects*
  • Injection Site Reaction / etiology
  • Injection Site Reaction / prevention & control
  • Injections / adverse effects
  • Neuromuscular Agents / adverse effects*
  • Pain / chemically induced
  • Pain / prevention & control
  • Patient Education as Topic
  • Patient Selection

Substances

  • Dermal Fillers
  • Neuromuscular Agents
  • Hyaluronic Acid
  • Botulinum Toxins, Type A