DAMAGE TO DEEPER STRUCTURES: Deeper structures such as nerves and blood vessels may be damaged during the injection. Injury to deeper structures may be temporary or permanent.
INFECTION: Although infection following injection of tissue fillers is extremely rare, bacterial, fungal, and viral infections can occur, if you already have the infection or a history of the infection. Herpes simplex virus infections around the mouth can occur following a tissue filler treatment. This applies to both individuals with a history of Herpes simplex virus infections and individuals with no known history of Herpes simplex virus infections in the mouth area. Specific medications must be prescribed and taken both prior to and following the treatment procedure in order to suppress an infection from this virus. Should any type of skin infection occur additional treatment including antibiotics may be necessary.
SKIN NECROSIS: Although rare it is very unusual to experience death of skin and deeper soft tissues after Dermal Fillers injections. Skin necrosis can produce unacceptable scarring.
ALLERGIC REACTIONS & HYPERSENSITIVITY: As with all biologic products, allergic and systemic anaphylactic reactions may occur. Dermal Fillers should not be used in clients with a history of multiple severe allergies, severe allergies manifested by a history of anaphylaxis, or allergies to gram-positive bacterial proteins. Allergic reactions may require additional treatment.
SCARRING: Dermal Fillers should not be used in clients with known susceptibility to keloid formation or hypertrophic scarring. The safety of clients has not been studied.
GRANULOMAS: Although rare painful masses in the skin and deeper tissues after a Dermal Fillers injection can occur.
SKIN DISORDERS: Dermal Fillers should not be used in areas with active inflammation or infections (e.g. cysts, pimples, rashes or hives). In rare instances, granuloma or abscess formation, localized necrosis and urticaria have been reported.
ANTIBODIES to DERMAL FILLERS: Presence of antibodies to hyaluronic acid tissue fillers may reduce the effectiveness of this material or produce a reaction in subsequent injections. The health significance of antibodies to hyaluronic acid tissue fillers is unknown.
Accidental Intra-Arterial Injection: It is extremely rare that during the course of injection, Dermal Fillers could be accidentally injected into arterial structures and produce a blockage of blood flow. This may produce skin necrosis in facial structures or damage blood flow to the eye, resulting in loss of vision. The risk and consequences of accidental intravascular injection of Dermal Fillers is unknown and not predictable.
Under /Over Correction: The injection of soft tissue fillers including Dermal Fillers to correct wrinkles and soft tissue contour deficiencies may not achieve the desired outcome. The amount of correction may be inadequate or excessive. It may not be possible to control the process of injection of tissue fillers due to factors attributable to each client's situation. If under correction occurs, you may be advised to consider additional injections of tissue filler materials.
Migration of Dermal Fillers: Dermal Fillers may migrate from its original injection site and produce visible fullness in adjacent tissue or other unintended effects.
Drug and Local Anaesthetic Reactions: There is the possibility that a systemic reaction could occur from either the local anaesthetic or epinephrine used for sensory nerve block anaesthesia when tissue filler injections are performed. This would include the possibility of light headedness, rapid heart beat (tachycardia), and fainting. Medical treatment of these conditions may be necessary.
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