COMPLICATIONS ASSOCIATED WITH FACIAL FILLING WITH HYALURONIC ACID IN OROFACIAL HARMONIZATION

Abstract

The increase in the elderly population and the search for a youthful appearance are driving aesthetic dentistry, which, through facial harmonization, offers treatments such as filling with hyaluronic acid. This biomaterial, recognized for its biocompatibility and rapid results, presents risks and adverse effects that require professional knowledge and skill. In view of the above, the focus of this study is to understand the complications that can occur with the use of hyaluronic acid for facial fillers, in the field of orofacial harmonization, in order not only to devise therapeutic strategies to solve them, but also to act to prevent them. The study is a descriptive qualitative research, based on an integrative literature review, using databases such as Google Scholar and PubMed. Inclusion and exclusion criteria were established, focusing on articles from the last four years, in English and Portuguese.Facial filling with hyaluronic acid in orofacial harmonization presents associated risks that require specialized attention. Complications can be classified as allergic reactions, infections, inflammatory nodules and intravascular events such as skin necrosis and blindness. Although most complications are mild and temporary, some can cause permanent damage. Careful patient selection, aseptic techniques and a thorough knowledge of facial anatomy are essential to reduce these risks. Prompt treatment of complications, often with hyaluronidase, is crucial to avoid serious sequelae, highlighting the importance of continuous training for professionals involved in aesthetic practice.