Risks and Complications of Dermal Fillers, Profhilo® Injections & 8 Point Facelift

Every procedure involves a certain amount of risk, and it is important that you understand these risks and the possible complications associated with them.  In addition, every procedure has limitations. An individual’s choice to undergo this procedure is based on the comparison of the risk to potential benefit.  Although the majority of patients do not experience the following, you should discuss each of them with your physician to make sure you understand the risks, potential complications, limitations, and consequences of facial filler, Profhilo® injections & 8 Point Faceliftinjections.

Problems associated with the use of tissue fillers can relate to normal occurrences following tissue filler injections or potential complications following tissue filler, Profhilo® injections & 8 Point Facelift injections.

Normal Occurrences During Tissue Filler Injections

Bleeding & Bruising – It is possible, though unusual, to have a bleeding episode from a filler injection or local anaesthesia used during the procedure. Bruising in soft tissues may occur.  Aspirin, Voltarol anti-inflammatory medications, Ibuprofen, platelet inhibitors anticoagulants, Vitamin E, Ginkgo Biloba, and other “herbs / homeopathic remedies” may contribute to a greater risk of a bleeding problem.  Do not take any of these for seven days before or after filler, Profhilo® injections & 8 Point Facelift injections.

Swelling – Swelling (edema) is a normal occurrence following the injections. It decreases after a few days. If swelling is slow to resolve, medical treatment may be necessary.

Pain – Discomfort associated with injections is normal and usually of short duration.

Specific Risks of Filler Injections

Needle marks – Visible needle marks from the injections occur normally and resolve in a few days.

Acne-Like Skin Eruptions – Acneiform skin eruptions can occur following the injection of tissue fillers. This generally resolves within a few days.

Skin Lumpiness – Lumpiness can occur, tends to smooth out over time. In some cases, you may feel the injected tissue filler material for a long period of time.

Erythema (Skin Redness) – Erythema in the skin occurs after injections.  It can be present for a few days after the procedure.

Visible Tissue Filler Material – It may be possible to see any type of tissue filler injected in areas where the skin is thin.

Asymmetry – The human face is normally asymmetrical in appearance and anatomy. It may not be possible to achieve or maintain exact symmetry with fillers. There can be a variation from one side to the other in terms of response. This may require additional injections.

Skin Sensitivity – Skin rash, itching, tenderness, and swelling may occur. After treatment, you should minimize exposure of the treated area to excessive sun or UV lamp exposure and extreme cold weather until any initial swelling or redness has gone away. If you are considering laser treatment, chemical skin peeling, or any other procedure based on a skin response or if you have had such treatments and the skin has not healed completely, there is a possible risk of an inflammatory reaction in the implant site.

Damage to Deeper Structures – Deeper structures such as nerves and blood vessels may be damaged. Injury to deeper structures may be temporary or permanent.

Infection – Although unusual, bacterial, fungal, and viral infections can occur. Herpes simplex virus infections around the mouth can occur following a tissue filler treatment. This applies to both individuals with a past history of Herpes simplex 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 – it is very unusual to experience the death of skin and deeper soft tissues after dermal filler, Profhilo® injections & 8 Point Facelift injections. Skin necrosis can produce unacceptable scarring. Should this complication occur, additional treatments or surgery may be necessary.

Allergic Reactions & Hypersensitivity – As with all biological products, allergic and systemic anaphylactic reactions may occur. Fillers and other hyaluronic acid materials should not be used in patients 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 – Should not be used in patients with susceptibility to keloid formation or hypertrophic scarring. The safety of patients has not been studied.

Granulomas – Painful masses in the skin and deeper tissues after injection are extremely rare. Should these occur, additional treatments including surgery may be necessary.

Skin Disorders – 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 Fillers/ Hyaluronic Acid – The 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 and other fillers is unknown.

Accidental Intra-Arterial Injection – It is extremely rare that during the course of injection 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 risks and consequences of accidental intravascular injection are unknown and not predictable.

Under/Over Correction – the injection of soft tissue 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 fillers due to factors attributable to each patient’s situation.

If under correction occurs, you may be advised to consider additional injections of tissue filler materials.

Migration – The Filler substance may migrate from its original injection site and produce visible fullness in adjacent tissue or other unintended effects.

Drug & 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 heartbeat (tachycardia), and fainting. Medical treatment of these conditions may be necessary.

Unsatisfactory Results – dermal filler, Profhilo® injections & 8 Point Facelift injections alone may not produce an outcome that meets your expectations for improvement in wrinkles or soft tissue depressions. There is the possibility of a poor or inadequate response. Additional injections may be necessary. Surgical procedures or other treatments may be recommended in addition to additional dermal filler , Profhilo® injections & 8 Point Facelift treatments.

Unknown Risks– The long-term effect of dermal fillers, Profhilo® injections & 8 Point Facelift beyond one year is unknown. The possibility of additional risk factors or complications attributable to the use of dermal fillers as a soft tissue filler may be discovered.

Combination of Procedures – In some situations, Botox® injections or other types of tissue filler materials may be used in addition in order to specifically treat areas of the face or to enhance the outcome from tissue filler therapy. The effect of other forms of external skin treatments (laser and other light therapies, microdermabrasion, dermabrasion, or chemical peels) on skin that has been treated with dermal fillers, Profhilo® injections & 8 Point Facelift is unknown.

Pregnancy & Nursing Mothers – Animal reproduction studies have not been performed to determine if dermal fillers and other hyaluronic acids injection could produce fetal harm. It is not known if their breakdown products can be excreted in human milk. It is not recommended that pregnant women or nursing women receive dermal fillers and other hyaluronic acids injection.

Drug Interactions – It is not known if dermal fillers and hyaluronic acids react with other drugs within the body.

Long-Term Effects – Hyaluronic Acid Filler or other facial filler and other hyaluronic acids injections should not be considered as a permanent treatment for the correction of wrinkles and soft tissue depressions. Over time, the facial filler, Profhilo® injections & 8 Point Faceliftmaterial are slowly absorbed by the body, and wrinkles or soft tissue depressions will reappear. Continuing facial filler, Profhilo® injections & 8 Point Facelift treatment (injections) are necessary in order to maintain the effect of the Filler and Hyaluronic acid.  Subsequent alterations in the face and eyelid appearance may occur as the result of aging, weight loss or gain, sun exposure, or other circumstances not related to Facial Filler, Profhilo® injections & 8 Point Facelift. Future surgery or other treatments may be necessary. Facial Filler, Profhilo® injections & 8 Point Facelift do not arrest the aging process or produce permanent tightening of the skin or improvement in wrinkles.


There are many variable conditions in addition to risk and potential complications that may influence the long-term result of facial filler, Profhilo® injections & 8 Point Facelift.  Even though risks and complications occur infrequently, the risks cited are the ones that are particularly associated with Facial Filler, Profhilo® injections & 8 Point Facelift.

Other complications and risks can occur but are even more uncommon. Should complications occur, additional surgery or other treatments may be necessary. The practice of medicine and surgery is not an exact science.

Although good results are expected, there is no guarantee or warranty expressed or implied, on the results that may be obtained.

For details about procedures and treatments or for a consultation, advice and prices from our Dubai clinic please call  +971 4 431 2396 or use our online form.

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