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“Evidence-based clinical guidelines provide a critical resource for physicians, and ASDS strives to be recognized as the authoritative source on the science of surgical interventional treatments of skin aging and skin disease,” said Derek Jones, MD, Chair of the ASDS Soft-tissue Fillers Guideline Task Force. “We have gathered the best available evidence within the scientific literature to form the basis for best practices in patient care for soft-tissue filler injections.”
The multidisciplinary task force was assembled in 2018 and consisted of ASDS member physicians (eight board certified in dermatology, two in plastic and reconstructive surgery, one in ophthalmology), two patient representatives and a methodologist:
- Derek Jones, MD, Chair
- Murad Alam, MD, MBA
- Kimberly Butterwick, MD
- Jean Carruthers, MD (Oculoplastic Surgery)
- Sue Ellen Cox, MD
- Steve Dayan, MD (Facial Plastic Surgery)
- Lisa Donofrio, MD
- Rebecca Fitzgerald, MD
- Shannon Humphrey, MD, FRCPC
- Nowell Solish, MD
- Jackie Yee, MD (Plastic Surgery)
- M. Hassan Murad, MD, MPH, Methodologist
- Shari Weiss, Patient Representative
- Lisa O’Keefe, Patient Representative
Using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, the task force identified six critical questions to focus the guidelines and inform the literature research. The questions gauged risk factors for vascular occlusion; treatments for blindness; treatment of vascular occlusion of the skin without blindness; risk factors for nodules and inflammatory events with hyaluronic acid fillers; treatments for nodules and inflammatory events; and risk factors for nodules and inflammatory events from non-hyaluronic acid fillers.
ASDS commissioned the Mayo Clinic Evidence-based Practice Center to conduct systematic reviews to extract the data and summarize the relevant evidence. The guideline specifies recommendations for the:
- Prevention of vascular occlusion, blindness, stroke.
- Treatment of filler related vascular occlusion with blindness.
- Treatment of vascular occlusion (skin) without blindness.
- Treatment of nodules and inflammatory events from hyaluronic acid fillers.
- Treatment of nodules caused from permanent and semi-permanent fillers.
The peer-reviewed article, “Preventing and Treating Adverse Events of Injectable Fillers: Evidence-Based Recommendations From the American Society for Dermatologic Surgery Multidisciplinary Task Force,” is available digitally at:
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Dermatologic Surgery is published in the Lippincott portfolio by Wolters Kluwer.
About the American Society for Dermatologic Surgery
The American Society for Dermatologic Surgery (ASDS) is the largest specialty organization exclusively representing dermatologic surgeons who have unique training and experience to treat the health, function and beauty of skin throughout every stage of life. ASDS members are recognized as leaders in the field of cosmetic and medically necessary skin surgery. They also are pioneers in the field; many are involved in the clinical studies that bring popular treatments to revitalize skin and fill and diminish wrinkles to the forefront. Their work has helped create and enhance many of the devices that remove blemishes, hair and fat, and tighten skin. Dermatologic surgeons also are experts in skin cancer prevention, detection and treatment. As the incidence of skin cancer rises, dermatologic surgeons are committed to taking steps to minimize the life-threatening effects of this disease. For more information, visit https://asds.net.
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