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Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
08 01, 2022;48 (8): 855-861.

Alopecia After Cosmetic Injection Procedures: A Review.

Naiem T Issa, Michael Kaiser, Abril Martinez-Velasco, Antonella Tosti
Author Information
  1. Naiem T Issa: Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.
  2. Michael Kaiser: Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.
  3. Abril Martinez-Velasco: Clinica de Oncodermatología, Universidad Nacional Autonoma de México, Ciudad de México, Cuauhtémoc, Mexico.
  4. Antonella Tosti: Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.
PMID: 35642921 DOI: 10.1097/DSS.0000000000003498

Abstract

BACKGROUND: Cosmetic procedures for antiaging carry inherent risks of adverse events. One that has not yet been well characterized is transitory or permanent alopecia. This is attributable to numerous mechanisms including pressure, ischemia, inflammation, and necrosis. Cases of postcosmetic procedure alopecia have been reported after mesotherapy as well as hyaluronic acid filler, deoxycholic acid, and botulinum toxin injections.
OBJECTIVE: This review serves to describe the currently known causes of postcosmetic procedure alopecia and the mechanisms by which alopecia is attained. Furthermore, this review highlights the risk of unregulated mesotherapy injections for cosmetic enhancement and to bring attention to the increasing number reports of alopecia after these procedures.
METHODS: A systematic review of the literature from 2000 to 2022 was conducted looking for keywords such as "alopecia," "cosmetic procedures," "mesotherapy," and "hyaluronic acid" in Google Scholar and PubMed.
RESULTS: Ten articles met the criteria set forth in the authors' literature review. Many of the procedures resulted in partial or complete resolution of alopecia.
CONCLUSION: Alopecia after cosmetic injection procedures is an underreported adverse effect. More research is needed to further characterize the risk of alopecia after mesotherapy and other injection procedures.

References

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MeSH Term

Alopecia
Cosmetic Techniques
Humans
Hyaluronic Acid
Mesotherapy

Chemicals

Hyaluronic Acid
Journal Article Review Comment
Article has an altmetric score of 10

Word Cloud

Created with Highcharts 10.0.0alopeciaproceduresreviewmesotherapy"CosmeticadversewellmechanismspostcosmeticprocedureacidinjectionsriskcosmeticliteratureAlopeciainjectionBACKGROUND:antiagingcarryinherentriskseventsOneyetcharacterizedtransitorypermanentattributablenumerousincludingpressureischemiainflammationnecrosisCasesreportedhyaluronicfillerdeoxycholicbotulinumtoxinOBJECTIVE:servesdescribecurrentlyknowncausesattainedFurthermorehighlightsunregulatedenhancementbringattentionincreasingnumberreportsMETHODS:systematic20002022conductedlookingkeywords"alopecia"cosmetic"mesotherapy"hyaluronicacid"GoogleScholarPubMedRESULTS:Tenarticlesmetcriteriasetforthauthors'ManyresultedpartialcompleteresolutionCONCLUSION:underreportedeffectresearchneededcharacterizeInjectionProcedures:Review

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