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Post-Hyaluronic Acid Recurrent Eyelid Edema: Pathophysiologic Mechanisms and a Proposed Treatment Protocol

Aesthetic Surgery Journal Open Forum
Aesthetic Surgery Journal Open Forum

AUTHORS: Justin Karlin, MD, MS; Neil Vranis, MD; Erez Dayan, MD; and Kami Parsa, MD

SUMMARY: The article investigates recurrent eyelid edema following hyaluronic acid filler injections, discussing its underlying pathophysiologic mechanisms. It identifies factors such as allergic reactions, vascular compromise, and the inflammatory response as potential causes of this complication. The authors propose a treatment protocol that includes immediate management strategies like cold compresses and antihistamines, along with long-term solutions such as corticosteroids and hyaluronidase to reduce swelling. The study emphasizes the importance of proper patient selection and technique to minimize the risk of recurrent edema, providing a comprehensive approach for practitioners dealing with this issue in aesthetic medicine.

JOURNAL ARTICLE

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