Hyaluronic Acid Injections to Correct Lips Deformity Following Surgical Removal of Permanent Implant

Abstract

One of the most attractive areas of the face are the lips, they are crucial for emotion and communication, both during animation and at rest. Throughout the years, several techniques to obtain permanent lip enhancement have been introduced, such as the use of nonresorbable fillers. The main problem related to permanent fillers is that undesirable results could not always be repaired; although lip sequelae can be addressed surgically, some surgeons will not perform this type of procedure due to its complexity and the lack of guidelines. In this paper, the authors present a case of a labial incompetence developed after lips implant removal performed elsewhere; after clinical examination the patient was planned for surgery, although during preoperative instrumental examination (chest X-ray) a solitary pulmonary nodule was noted; further investigation performed with needle biopsy revealed a lung cancer. For this reason, the surgical procedure planned for lip restoration was not performed; however, the patient asked for a minimally invasive procedure, thus to improve, although temporarily, her lips appearance. For the aforementioned reasons, the patient was treated just with hyaluronic acid injections achieving a pleasant result, solving also the labial incompetence at rest. To the best of the author's knowledge, this paper represents the first one describing the use of hyaluronic acid injections to restore lip competence following surgical removal of permanent implant.

Clinical Experience with PEGylated Hyaluronic Acid Fillers: A 3-year Retrospective Study

“…Since its introduction in the market, the use of HA fillers is dramatically changed, moving from the treatments of superficial lines to a total facial aging rehabilitation. Moreover, HA injections, nowadays, are also used for post-surgical corrective procedures, are able to modify muscle contraction (e.g., gummy smile treatment), and so on [17], [18], [19], [20], [21]. HA fillers are the only ones that can be reversed whenever it is needed just injecting HYAL, this confers a really high safety profile to these medical devices and probably this is the reason why, over time, other resorbable substances introduced in the market did not gain the same approval [3], [4].…”

Surface Treatment of the Dental Implant with Hyaluronic Acid: An Overview of Recent Data

“…In the field of aesthetic medicine, it has been used for several years to combat the skin aging by exploiting the mechanism of hydration through small local injections [ 18 , 69 ]. In addition to the recognized use of cosmetic treatments for years, biotechnologies have recently succeeded in developing a wide range of products for intraoral applications.…”

“…The rational use of this glycosaminoglycan, part of the extracellular matrix, arises from its characteristics of osteoconductivity and positive interaction with the progenitor cells responsible for bone formation and, consequently, responsible for secondary stability. Studies demonstrate that the topical application of a HA gel in the peri-implant pocket and around implants with peri-implantitis may reduce inflammation and crevicular fluid IL-1β levels [ 14 , 15 , 16 , 17 , 18 , 19 , 20 ].…”

Hyaluronic acid injections in post-enucleation or evisceration socket syndrome: a case series

“…The use of HA gel fillers has dramatically changed the approach in non-surgical rejuvenation and post-surgical corrections [12][13][14][15][16][17][18]. Since the rheological properties of different HA gel fillers may vary, the physician injects the gel to increase the projection, the volume or to define the anatomical areas choosing the appropriate product and face layers to inject, according to their specific features.…”