Hydroxyethylmethacrylate and Hyaluronic Acid

So far, Medline lists only a few studies on this filler. These reports are mostly case reports focusing on granulomatous reactions to HEMA (Requena et al. 2001; Waris 2003). The Berlin registry, however, documents patients with granulomatous reactions as well as a patient with ulcerations following treatment with HEMA (Figs. 6.3 and 6.4). In 2001, Begeret-Galley published an overview in which the overall incidence of late side effects and complications (nodules, swelling, and erythema, on average 6 months after injection) based on data from the manufacturer is given as <1.2 per 1000 patients (Bergeret-Galley et al. 2001). As the data from the manufacturer

Fig. 6.4 Persisting ulcerations 10 months after the injection of a combination of hydroxyethylmethacrylate and hyaluronic acid

is based on spontaneous reports, some degree of underreporting is likely.

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How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

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