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Intralesional Laser Treatment for Dermal Filler Complications

Schelke, Leonie W. M.D.; Decates, Tom S. M.D.; van der Lugt, Claudia I. M. M.D.; Pelzer, Levi M.Sc.; de Mey, Gabrielle MS4; Velthuis, Peter J. M.D., Ph.D.

Plastic and Reconstructive Surgery: June 2018 - Volume 141 - Issue 6 - p 1361-1369
doi: 10.1097/PRS.0000000000004428
Cosmetic: Original Articles
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Background: For complications caused by filler treatments, in general, two treatment regimens are advised: systemic drugs and surgical removal of the material. Another possible treatment option would be removal of the material by intralesional laser treatment.

Methods: Two hundred forty-two patients with complications caused by fillers were treated with intralesional laser treatment.

Results: In the majority of patients, an improvement was achieved (92 percent), in 9 percent the complication was resolved, and in 3 percent it was not improved (unknown in the rest).

Conclusion: Considering the large number of patients treated until now and the efficacy and good safety profile of this treatment, the authors plead that intralesional laser treatment may be considered as a treatment option before surgery.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Rotterdam, Meijel, and ’s-Hertogenbosch, The Netherlands

From the Dermatology Department, Erasmus Medisch Centrum; Alizonne Kliniek Molenbaan; and Lareb.

Received for publication September 4, 2017; accepted January 3, 2018.

Disclosure:Dr. Velthuis is a trainer for Allergan (hyaluronic acid and botulinum toxin), the other authors have no financial interest to disclose. No funding was received for this article.

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Leonie W. Schelke, M.D., Department of Dermatology, Erasmus Medical Center, Postbus 2040, 3000 CA Rotterdam, The Netherlands, lschelke@outlook.com

Copyright © 2018 by the American Society of Plastic Surgeons