Caution in the use of soft tissue injectable fillers in the tear trough region.

摘要

I read with interest the article "Correction of Tear Trough Deformity With Novel Porcine Collagen Dermal Filler (Dermicol-P35)," which appeared in the May/June 2009 Supplement to Aesthetic Surgery Journal. I would like to congratulate the author, Dr. David Goldberg, on his successful use of this product in a challenging application. In his article, Dr. Goldberg reports excellent clinical results in 10/10 patients who received Dermicol-P35 injections in the tear trough region. I write this note from the perspective of an oculofacial plastic surgeon who has approximately 15 years of experience with dermal fillers. I continue to use fillers extensively in my own patients and also am frequently asked to evaluate patients who have experienced unsatisfactory outcomes or complications associated with dermal filler injections.