Edema is swelling caused by the accumulation of fluids in the interstitial and intracellular spaces of the body. We can distinguish it into two types:
The factors that influence the extent of an edema are:
Symptomatology
The affected area is swollen, painful and, in some cases, may even be warm to the touch.
Treatment depends on the severity of the edema:
MILD:
MODERATE:
SERIOUS:
Other forms of edema
Angioedema
A very important point that must be underlined is that after a medical/aesthetic treatment, some swelling is physiological and transient. However, this swelling should not be confused with angioedema (antibody-mediated edema). This situation occurs when the patient develops hypersensitivity to the ingredients contained in the product used during treatment with the consequent production of IgE antibodies (type I hypersensitivity reaction).
Angioedema usually occurs within hours of exposure to the substance but episodes lasting more than 6 weeks may also occur. The therapeutic approach in these cases is performed “step by step” based on the response obtained from the person. Edema must be controlled with minimal doses of steroids.
Another type of late-onset edema involves hypersensitivity reactions (characterized by induration, erythema and edema) which usually occur 1 day after the injection but have been reported to appear several weeks after the procedure and persist for many months. Antihistamines are not effective in these cases but the most effective approach has been found to be the removal of the
Malar edema consists of swelling of the malar area (precise point: from the lateral side of the eye, descend perpendicularly by 1.5 cm – that point is the affected area). It is mainly due to an accumulation of fluids in the subcutaneous tissue (some patients can manifest this lymphatic impairment through malar edema even without having performed any type of treatment).
Filler injection can cause edema either when the product is placed too superficially (thereby preventing lymphatic drainage) or by direct pressure on the lymphatic vessels when injection volumes are too large.
It is very important not to sunbathe the affected area and to avoid physical activity until complete resolution.
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