Sir, we read with interest the recent letter regarding dermal filler complications presenting to emergency departments.1
Another filler complication, as a consequence of infection/abscess formation subsequent to filler injections and a post-injection inflammatory response, is that of collection and cavity formation under pressure, skin thinning and even necrosis of the skin. These were complications witnessed in a patient of ours last year during the COVID-19 pandemic. This prompted extensive investigation for any underlying immunosuppression; eg diabetes, blood-borne virus, use of steroids, COVID-19 testing, culture of organisms drained and a referral for consideration regarding excision/reconstruction of the affected area which was at least 4 cm in diameter involving the left external cheek. Fortunately, this was not a through and through defect into the oral cavity. This complication has been reported previously and has been subject to a literature review.2
We hope this experience further alerts colleagues within maxillofacial units to the potential complications associated with dermal fillers.
Change history
28 January 2022
A Correction to this paper has been published: https://doi.org/10.1038/s41415-022-3895-5
References
Lin Y. Filler failure. Br Dent J 2021; 231: 533-534.
Rauso R, Sesenna E, Fragola R, Zerbinati N, Nicoletti G F, Tartaro G. Skin necrosis and vision loss or impairment after facial filler injection. J Craniofac Surg 2020; 31: 2289-2293.
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The original online version of this article was revised.
When this letter was originally published, the second author's name was omitted. The authors of this letter are A. Al-Najjar and R. Graham.
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Al-Najjar, A., Graham, R. Further filler complication. Br Dent J 231, 726 (2021). https://doi.org/10.1038/s41415-021-3785-2
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DOI: https://doi.org/10.1038/s41415-021-3785-2