Abstract: With the popularity of facial fillers increasing exponentially in the United States, the incidence of filler complications also is on the rise. This has led to the necessity for medical aesthetic physicians to have tried-and-true protocols they can turn to for the treatment of filler complica­tions, including impending necrosis and hypersen­sitivity reactions.

Filler treatments are the second most commonly performed nonsurgical cosmetic procedure in the United States. Since the U.S. Food and Drug Administ­ration approval of hyaluronic acid for cosmetic use in 2003, its popularity has skyrocketed with more than 1.3 million treatments performed last year in the United States alone.

The ability to quickly, safely and efficiently volumize and shape an aged or dispropo­rtionate face has revoluti­onized the way cosmetic medicine is perceived and delivered, and it likely will continue to positively influence the way physicians think about and practice cosmetic medicine. However, along with its rise in popularity, there has been an increase in the amount of physician and non-physician providers with varying backgrounds and experience performing the treatments.

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