While browsing the internet, I sometimes come across some medical aesthetic science articles, in which the description of the possibility of serious *** hyaluronic acid injections is worrying, such as the risk of bone erosion. How should we respond to such information? Through a search of many articles and materials on the Internet, it was found that many times these articles often exaggerate the quality of hyaluronic acid, which makes the public alienated from hyaluronic acid. Today, we're going to dive into whether fillers really cause bone erosion and how to solve them.
What is a bone erosion?
Facial expression activities often cause muscle traction and padding pressure to act on the bone surface, which may cause punctate or facial pressure. This pressure exerted on the bone surface may lead to bone erosion.
After bone erosion, the bone surface may appear as a depressed and irregular surface. In less severe cases, the appearance may not be abnormal due to soft tissue covering. However, if the bone erosion is severe, it may develop an uneven appearance.
The symptoms of bone erosion caused by hyaluronic acid are mainly manifested as local pain, swelling, limited joint movement, bone deformity, and even pathological fractures. Prompt medical attention** is crucial.
Does dermal fillers really cause bone erosion?
The answer is almost non-existent. Admittedly, it is true that multiple injections of fillers can lead to bone erosion, but this is an extremely rare case. An article published in the journal Plastic and Reconstructive Surgery states: "Multiple injections of hyaluronic acid for jaw augmentation may cause bone resorption in the mandible. Since 2018, several patients with hyaluronic acid jaw augmentation have experienced a depression of the mandible in the incisor socket area after jaw surgery, which has been reported as a rare case. ”
In fact, hyaluronic acid has been in the market for many years, and bone erosion is very rare, so it is not common to see bone erosion due to filler injections in the market.
The results of the study suggest that long-term use of hyaluronic acid for chin filling may lead to bone erosion and bone resorption problems, especially in the case of deep injection of hyaluronic acid, which may accelerate bone thinning and even severe to the point of causing bone depression.
This problem is directly related to the deep injection of hyaluronic acid, especially since the bone in the incisor socket is thinner than in the midline of the mandible. In addition, the pressure exerted on the periosteum by deep injection of hyaluronic acid is also one of the factors that cause bone problems. Therefore, it is obvious that the number of filler injections is closely related to bone erosion.
However, we can also stay calm about the bone erosion problems that can be caused by hyaluronic acid. First, there are relatively few cases of bone erosion, most of which are caused by frequent injections and multiple injections; Secondly, the possibility of bone erosion caused by long-term filler injections may also be related to the lack of qualifications of doctors, limited injection techniques, and the use of injection materials.
In clinical practice, we can consider factors such as the size of the prosthesis foreign body, the contact area (low pressure), muscle strength, layer, and material, all of which play a role in the degree of bone erosion.
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