Filler‐induced alopecia

Park, Geun‐Hwi; Kim, Woo‐Il; Yang, Min‐Young; Lee, Won‐Ku; Kim, Gun‐Wook; Kim, Hoon‐Soo; Ko, Hyun‐Chang; Kim, Byungsoo; Kim, Moon‐Bum

doi:10.1111/1346-8138.14936

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…In both cases, ischaemia and sudden disruption of the anagen phase of the hair cycle due to hypoperfusion triggers hair loss. 14,18 The clinical findings of intra-arterial occlusion include disproportionate pain and immediate skin blanching. The affected sites may later develop livedo reticularis, blueblack discoloration of the skin and ulcerations.…”

Section: Hyaluronic Acid Fillersmentioning

confidence: 99%

“…The proposed pathophysiological mechanism is an excessive filler volume resulting in a vascular tamponade (pressure alopecia) or embolization of HA/AFI into the vascular lumen leading to intravascular occlusion. In both cases, ischaemia and sudden disruption of the anagen phase of the hair cycle due to hypoperfusion triggers hair loss 14,18 …”

Section: Soft Tissue Fillersmentioning

confidence: 99%

“…Treatment for filler-induced vascular compromise includes hyaluronidase injections (in cases of HA fillers), intralesional triamcinolone injection, warm compresses, nitroglycerin to promote vasodilation and oral acetylsalicylic acid to prevent clot formation. [17][18][19] Timely relief of the blood-flow blockade is critical for hair regrowth in terms of avoiding further hair follicle damage and preventing hair loss. 16…”

Section: Hyaluronic Acid Fillersmentioning

confidence: 99%

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Secondary alopecia induced by aesthetic procedures: An unrecognized potential complication

Barrera‐Ochoa,

Alonso‐León,

Arenas

et al. 2023

Aust J Dermatology

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Surgical facelifts and noninvasive techniques such as mesotherapy, hyaluronic fillers and botulinum toxin, among other procedures are widely used nowadays to reverse skin ageing and achieve rejuvenation effects. Secondary alopecia due to cosmetic procedures is a rare side effect and is poorly described in the literature. The mechanisms in which hair loss develops after an aesthetical procedure or surgical technique are not well known. The development of secondary scarring alopecia or non‐scarring alopecia depends upon the interaction between different external factors, the individual host response and the extent of damage to the hair follicle anatomy. Current knowledge hints at the type of substance used, pressure to hair structures and vasculature due to the materials used, previously unknown or unaware hair disorder, and poor surgical techniques to be the main factors contributing to the development of secondary alopecia. Physicians and patients must be aware of all the substances used for the procedures and be attentive to any change in hair density or hair loss. Clinicians must have a low threshold to take biopsies if the risk of scarring alopecia may occur. Herein, we review the clinical, trichoscopic, histopathological findings and potential pathophysiological mechanisms of hair loss due to different aesthetic procedures.

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Section: Hyaluronic Acid Fillersmentioning

confidence: 99%

Section: Soft Tissue Fillersmentioning

confidence: 99%