Treating facial overfilled syndrome with impaired facial expression—Presenting clinical experience with ultrasound imaging

Author:

Schelke Leonie1ORCID,Harris Steven2,Cartier Hugues3,Alfertshofer Michael4ORCID,Doestzada Marwah5,Cotofana Sebastian16ORCID,Velthuis Peter J.1

Affiliation:

1. Department of Dermatology Erasmus University Medical Center Rotterdam The Netherlands

2. Harris Clinic Crouch Hall Road Surgery London UK

3. Clinic of Dermatology Arras France

4. Division of Hand, Plastic and Aesthetic Surgery Ludwig‐Maximilians‐University Munich Munich Germany

5. Aestec Amsterdam The Netherlands

6. Centre for Cutaneous Research Blizard Institute Queen Mary University of London London UK

Abstract

AbstractBackgroundFacial overfilled syndrome is an adverse event following minimally invasive soft tissue filler injections. It presents in most cases as excess midfacial volume and/or as unnatural smile which is difficult to detect due to the absence of standardized evaluation methods.ObjectiveTo showcase how to identify, evaluate, and treat facial overfilled syndrome by utilizing facial ultrasound and simultaneous hyaluronidase injections.MethodsTwenty‐eight consecutive patients (26 females, 2 males) were enrolled in this study in which facial ultrasound was performed to evaluate the location previously implanted filler material. The position of the oral commissure was objectively measured in relation to bony landmarks, and the severity of lateral canthal lines was assessed by independent and blinded raters.ResultsThe material was identified in 35.7% inside the subdermal fatty layer, in 28.6% inside the deep supra‐periosteal fatty layer, in 10.7% inside the fibrous layer deep to the subdermal fatty layer, whereas in 25.0%, the product was not possible to locate clearly inside one specific layer. On average, 81.6 I.U. [range: 75–150] of hyaluronidase were injected. Lateral canthal line severity was before the treatment 2.28 (1.4) and was after the hyaluronidase treatment 2.02 (1.3) with p = 0.578. The position of the oral commissure increased by 0.60 cm in vertical and by 0.30 cm in horizontal directions (both p < 0.001).ConclusionFacial overfilled syndrome following aesthetic soft tissue filler injections can present as excess midfacial volume but also as unnatural smile. Targeted hyaluronidase injections into the culprit pockets inside the midfacial soft tissues have shown to re‐establish a natural smile, to reduce excess midfacial volume, and to decrease lateral canthal line severity.

Publisher

Wiley

Subject

Dermatology

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3