Injectable soft tissue augmentation Flashcards
What two areas are particularly dangerous/susceptible to vascular adverse effects from filler?
The glabella and perinasal
How long prior to filler injection should vitamin E and non-essential platelet inhibitors be held?
10-14 days
Which fillers cause “blue nodules” in the skin and why are they blue?
HA-fillers and they are blue due to the Tyndall effect
How can nodules/granulomas from fillers be treated?
Intralesional steroids or hyaluronidase for HA fillers
What treatment should be done for painful blanching or necrosis from occlusion from a filler?
Hot/warm compress, tapping the area, topical nitroglycerin, injection of hyaluronidase (if HA filler)
Occlusion of which vessels by filler can cause blindness?
Suprotrochlear or supraorbital arteries –> can lead to occlusion of the central retinal artery
Which fillers had the highest risk of anaphylaxis?
Bovine collagen (Zyderm/Zyplast). These are now off the market
Needed two negative skin tests prior to treatment
What is polymethacrylate (ArteFill) and how long does it last?
Permanent filler for deep wrinkles made from polymethacrylate suspended in bovine collagen
What must be done prior to using polymethacrylate filler?
Skin testing 30 days prior to procedure
Where is the injection of polymethacrylate targeted for?
Deep dermis
What are the uses of calcium hydroxyapatite (Radiesse) filler?
Deep wrinkles, HIV lipoatrophy, hand rejuvenation
How long does calcium hydroxyapatite (Radiesse) filler last?
9-18 months
Which filler can be seen on X-ray?
Calcium hydroxyapatite (Radiesse) filler is radio opaque
What is the primary use of Poly-L-lactic acid (Sculptra)?
HIV lipoatrophy and deep wrinkles
How long does Poly-L-lactic acid (Sculptra) last?
9-18 months