Preventing Delayed Onset Nodules

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Encountering an aesthetic complication can be a daunting experience for any medical practitioner. With dermal fillers and botulinum toxin injectables remaining a popular treatment for patients, there is always the potential risk of causing a complication, even when taking necessary precautions. From infection, swelling, allergic reactions or the most detrimental complication vascular occlusions, practitioners may confront some or all these adverse events at some point during their aesthetic careers.
When performing dermal filler treatments, one complication which practitioners could face is nodules forming around the injection site. This adverse event is uncommon and has received increased attention from aesthetic complication associations, particularly regarding delayed-onset nodules (DONs).1
The prevalence of DONs is largely unknown, but one paper reports the incidence rate to be 0.8%.2,3 At the Aesthetics Complications Expert (ACE) Group World, the association has witnessed 36 cases of…

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