An Overview of Infections Associated With Soft Tissue Facial Fillers: Identification, Prevention, and Treatment.

[PURPOSE] The purpose of this study was to provide an overview of infections associated with facial soft tissue fillers.

[MATERIALS AND METHODS] A literature review was performed which evaluated infections associated with facial soft tissue fillers.

[RESULTS] Infection rates with soft tissue fillers are low and are estimated at 0.04 to 0.2%. Most of these infections arise when skin contaminants infiltrate the injection site at the time of injection. These infections can occur early, up to several days after treatment, or delayed, occurring weeks to years after treatment. Reactions vary based on the filler absorbability and duration. Early recognition and treatment are important factors in managing our cosmetic surgery patients.

[CONCLUSION] Although facial fillers are safe and predictable, infections can still occur. Oral and maxillofacial surgeons need to be able to prevent, recognize, and properly manage infections related to these popular injections.