As aesthetic practitioners, it is important to have the knowledge and skills required to manage the complications that may occur following the treatments we deliver. With a growing number of practitioners providing filler treatments, the development of products designed for increasing longevity and patient demand, there is a heightened risk of being faced with managing a complication either immediately or sometime after a treatment is given.
Delayed onset nodules (DONs) can cause the patient discomfort and distress due to their unsightly appearance and require a long course of treatment with multiple reviews or follow-ups. It is therefore important to follow best practice and techniques to be able to recognise nodules should they occur, manage them in an appropriate and timely fashion, and ultimately avoid the development of them.
The term DONs as adopted by the Aesthetic Complications Expert (ACE) Group1 is defined as ‘a visible or palpable unintended mass which occurs at or close to the injection site of dermal filler’. It…