Why can a nose lift or chin fill filler cause complications?

Filler of poor quality or improper injection technique can lead to bleeding, allergy, embolism, tissue necrosis, infection, abscess, blindness .

According to Dr. Nguyen Chi Lan, internal medicine specialist, Maple Healthcare Healthcare Center, injection filler method (also called filler) aims to help the body rejuvenate skin, remove wrinkles, and shape. Beauty. This method is increasingly used worldwide. Filler is now used to fill chin, lift nose, remove wrinkles by injecting directly into these parts.

The advantage of filler injection is fast effect, no surgery, no downtime. However, Dr. Lan recommends that there is no absolute safety. People should learn carefully before deciding to beautify with fillers to avoid complications.

More and more people suffer from complications due to injection of nasal filler.(Photo: TT).

What is Filler?

In cosmetic surgery, there are three groups of fillers that are allowed to be used to beautify the body. In Vietnam, the term filler refers to these fillers.

The most commonly used cosmetic fillers currently contain a major component of hyaluronic acid. Depending on the intended use and injection site, this substance is divided into different types with a molecular size from thin to medium and large. To bring the best effect to users, cosmetic doctors must be experienced, know the right type for each different body area. Hyaluronic acid fillers have been licensed by the US Food and Drug Administration (FDA) for cosmetic use for more than 20 years.

The second filler is sculptra , with the main ingredient being poly-l-lactic acid (PLLA) . This synthetic compound works to stimulate collagen regeneration, increase skin elasticity and firmness. Sculptra is less common than hyaluronic because it only works to wrinkles, rejuvenates the skin and cannot create the nose, lips, chin.

The third full filler is radiesse with the main component of calcium hydroxylapatite. This substance is synthesized from natural minerals found in human bones and teeth. It works to stimulate the formation of new collagen, increase the volume of the injection area and is used in shaping the nose, chin, wrinkle removal. Song to use radiesse effectively, requires doctors to be well-trained, highly skilled and experienced.

In fact, the market now has many types of fillers with different origins, ingredients and uses. Therefore, doctors advise people to learn carefully and choose products that suit their beauty needs. Whatever the material is made, the product put into the body needs to be verified with clear origin, the original import from companies that have a safety verification license, preferably the type approved by the US FDA. circulate.

Currently there are no detailed statistics on risk ratios, but more and more cases of complications due to filling agents are reported in medical conferences in Vietnam. Most of the victims are women, believing in low-cost beauty advertisements of affordable aesthetic establishments, using floating products of unknown origin from liquid silicon has not yet been tested. Common complications due to filler injection are bruising, hemorrhage, allergic reactions, red and lumpy spots. More seriously, the patient may be embolized, tissue necrosis, infection, abscess, blindness . In case of mistaken injection into the bloodstream, the filler will follow the blood moving and penetrate to other parts very quickly, not having enough time to wait for them to dissolve, causing serious consequences.

Cases of injection filler failure or unfortunately complications, can be saved by hyaluronidase hyaluronic acid solution. This is a proteolytic enzyme that works to reduce connective tissue viscosity and degrade, disseminate hyaluronic acid, then excrete according to the body's natural mechanism. However, this substance is only effective for complications, minor infections, which are detected early.

In case the person performs the wrong procedure and mistakenly injects into the blood vessel, the filler will follow the blood vessels to move and penetrate to other parts very quickly. There is not enough time to wait for them to dissolve, resulting in serious consequences.

In addition, the hyaluronic acid antidote is not used for injections of filling sculptra or radiesse.

According to Dr. Lan, when complications cannot be completely blamed on fillers, there are many other factors such as the poor technician's workmanship.

To ensure safety, doctors recommend those who are intending to inject beauty filler should choose products of clear origin, which have been used for a long time, are absolutely safe. Should go to medical facilities with licensed cosmetologists to perform the procedure. The filler must be a doctor or dermatologist, trained in cosmetic shaping, must understand the filling agents and unwanted effects that may occur.

The doctor must also be instructed how to manage before and after the injection so that no serious complications occur to the patient.