Intralesional Laser Treatment for Dermal Filler Complications

Plast Reconstr Surg. 2018 Jun;141(6):1361-1369. doi: 10.1097/PRS.0000000000004428.


Background: For complications caused by filler treatments, in general, two treatment regimens are advised: systemic drugs and surgical removal of the material. Another possible treatment option would be removal of the material by intralesional laser treatment.

Methods: Two hundred forty-two patients with complications caused by fillers were treated with intralesional laser treatment.

Results: In the majority of patients, an improvement was achieved (92 percent), in 9 percent the complication was resolved, and in 3 percent it was not improved (unknown in the rest).

Conclusion: Considering the large number of patients treated until now and the efficacy and good safety profile of this treatment, the authors plead that intralesional laser treatment may be considered as a treatment option before surgery.

Clinical question/level of evidence: Therapeutic, IV.

MeSH terms

  • Adult
  • Aged
  • Body Image
  • Dermal Fillers / adverse effects*
  • Female
  • Humans
  • Hyperpigmentation / etiology
  • Laser Therapy / adverse effects
  • Laser Therapy / methods*
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Treatment Outcome


  • Dermal Fillers