Patient Safety: Injectable Education

In Arnold W. Klein research review, published in Journal of Cosmetics, Dermatological Sciences and Applications 2013  Vol.3 No.3B by Scientific Research Publishing.

Arnold W. Klein, MD
Professor of Medicine and Dermatology
Klein Chair in Dermatology UCLA
Consultant to the General and Plastic Surgery Device Panel of the

In 2013 next to Botox, Injectable fillers are the most popular cosmetic procedure in the United States. As the father of this field the public, physicians and nurse injectors are often unaware of the problems that can occur with certain agents. British Plastic surgeons in 2012 reported a dramatic rise in botched filler procedures resulting in lifelong disfigurement. Half of surgeons reported seeing patients with serious complications from permanent or semi-permanent fillers. Of these, 84 per cent required corrective surgery or were deemed untreatable .

The cosmetic literature in the United States is largely written by physicians who are consultants to drug companies and the literature fails to reveal that reactions to certain agents can occur years after implantation. The products one should avoid include Artefill® or Artecoll®. This product is a permanent injectable composed of Plexiglas beads. It has long been associated in the worldwide literature with scarring, disfigurement and even blindness. While the lumps can be cut out the blindness can be permanent.

Sculptra is a semipermanent injectable form of poly-l-lactic acid. Poly-l-Lactic acid works by causing an allergic reaction under the skin not by causing collagen production. Severe reactions have been seen that began 6 years after injection Prior to USA approval a European literature did exist on Sculptra showing severe problems,

In 2013 The manufacturers of fillers underwrite the costs of large conventions,travel,exotic vacations,CME courses to the tune of a billion dollars annually. this behavior is rampant In the world of facial Aesthetics … So please be cautious of what you put in your face or as an injector in your patient’s faces. Please read as much as you possibly can before you let anyone put a needle in your face

Artefill reaction requiring excision
Artefill reaction requiring excision
Sculptra Reaction
Sculptra Reaction

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