The primary reason for potential risks is the failure to choose a competent and experienced doctor. Injecting in the wrong area may lead to the formation of lumps under the skin, which occurs in about 7-9% of cases. The patient may have to endure these lumps or complications for the entire duration that the PLLA (Poly-L-lactic acid) material remains in the body until it dissolves and is absorbed, as there are no reflective agents to break it down and eliminate it. Some lumps may be treated with corticosteroid injections or surgery.
There is no restriction on using Sticol Volume alongside other types of fillers on the same day, provided they are applied to different areas of the face. For example, Sticol Volume can be used in the cheek area, while a filler can be applied to the lower part of the face.
However, it is generally not recommended to perform Sticol Volume injections and filler injections in the same area during the same session. If both types are to be used in one area, such as the cheeks, they should be spaced apart by at least 2-4 weeks.
It is also strongly advised not to inject PLLA over any of the following materials under any circumstances: Artefill, Bellafill, or Silicone, as this could cause permanent deformities, scarring, and large red bumps that cannot be removed.
If the area has previously been injected with Radiesse (calcium hydroxylapatite), it is recommended to wait 2-4 weeks before injecting PLLA in the same area.
In general, it is safe to use different types of injectables on the same day and in the same area if they belong to the same category. For example, hyaluronic acid injections can be administered deep into the cheek, while PLLA injections can be applied in the same area but at a shallower depth.
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