TLDR Early treatment can help reverse hair loss caused by cosmetic fillers.
This document presents three cases of filler-induced alopecia (FIA) in females following cosmetic filler injections, specifically hyaluronic acid and autologous fat grafting, in the frontotemporal region. The patients developed well-defined patches of hair loss, which were treated with corticosteroid injections, topical 5% minoxidil, and in one case, microneedling. All patients experienced gradual hair regrowth. The study emphasizes the importance of early recognition and intervention to prevent permanent hair follicle damage and highlights the need for a thorough understanding of frontotemporal anatomy to minimize risks during cosmetic procedures. The document also reviews 14 cases from the literature, discussing the clinical features, mechanisms, and treatments of FIA, and suggests that both extravascular compression and intravascular embolism are potential pathophysiological mechanisms.
3 citations,
June 2023 in “Australasian journal of dermatology” Hair loss can be a rare side effect of cosmetic procedures due to various factors.
April 2023 in “Clinical and experimental dermatology” A new treatment using hydroxychloroquine, hyaluronidase, and steroids may improve hair loss from dermal filler complications.
4 citations,
October 2022 in “Aesthetic surgery journal” Injecting hyaluronidase into the artery is effective for treating skin death and hair loss caused by hyaluronic acid fillers.
9 citations,
September 2021 in “Journal of cosmetic dermatology” Getting a hyaluronic acid filler can sometimes cause temporary hair loss due to pressure on an artery, not blockage.
6 citations,
June 2019 in “Journal of dermatology” Dermal fillers can cause hair loss, so dermatologists should be aware.
13 citations,
June 2019 in “Case reports in dermatology” Fat injections in the face can cause hair loss.
11 citations,
January 2019 in “Skin appendage disorders” Hyaluronic acid injections can cause hair loss due to blocked blood vessels.
26 citations,
March 2017 in “Aesthetic plastic surgery” Accidental injection of hyaluronic acid caused temporary hair loss and skin damage, but treatment restored hair and healed the skin.
20 citations,
October 2013 in “Dermatologic Surgery”
November 2024 in “Journal of Cosmetic Dermatology” Early treatment can reverse hair loss from dermal fillers.
August 2016 in “InTech eBooks” Esthetic surgery complications can include infections, nerve injury, and more; proper evaluation and technique help prevent them.
October 2024 in “Dermatologic Surgery” PRP and PRF show promise for hair growth but need more research for consistent and safe use.
2 citations,
June 2021 in “Cosmoderma” Platelet-rich plasma (PRP) shows promise in skin and hair treatments but results vary with preparation methods.
76 citations,
December 2018 in “Aesthetic Plastic Surgery” Platelet-rich plasma may help in skin and hair treatments, and with muscle and joint healing, but more research is needed to fully understand its benefits and limitations.