Dermal fillers are now firmly established in the non-surgical treatment of facial rejuvenation, providing volumetric and structural manipulation of soft tissues.1 With increasing use, there has been a concomitant increase in dermal filler-associated complications,2 and now, more than ever, with changes in the global situation regarding medical treatment and the pandemic, practitioners need to be aware of all related mitigating factors to deal with direct and indirect complications.3
All practitioners will need to be able to demonstrate the ability to deliver safe practice and care to deal with infection control. Complications may be viewed as occurring temporally – within hours to days following a procedure – or as delayed onset complications.4 In the past few years, specific hypersensitivity-related events seem to appear between one month to a year following an injectable procedure.5,6
In one study involving 400 patients with filler injected into the tear trough area or lips, it was indicated that 4.25% developed prolonged (up to 11 months) and recurrent (average: 3.17 episodes)…
