Medical dermal filler procedures pre questionnaire

Introduction: Dermal filler complications can arise due to unpredictable causes, operator-dependent causes, or at other times are caused by unwanted reactions related to the patient's pre-existing clinical conditions or co morbidities that favor an unsatisfactory outcome of the aesthetic procedure. The aim of this study is to formulate, based on a critical review of the literature and the personal experience of the authors, an anamnestic questionnaire to be completed by patients requiring treatment with dermal filler, in order to facilitate the identification of patients not suitable for the procedure. Materials and Methods: Medline and PubMed databases were searched on April 25th, 2021 using the terms: “Anamnesis”, “Complications”, “Medical history” and “Dermal filler”. The search covered the 2011-2021 decade. From the publications found, following the reading of the abstract, those which did not meet the inclusion criteria were eliminated. From the ones remaining, the entire article was analyzed in order to highlight the presence of anamnestic indications that contraindicated the aesthetic procedure. Only articles available in English were considered for this review. Results: The PubMed search showed 478 results for "dermal filler" and "complications", 0 for "dermal filler" and "anamnesis", 26 for "dermal filler" and "medical history". A total of 458 articles were excluded based on analyses of abstracts and full texts. A total of 20 articles were eligible for the study. Active or chronic infections, autoimmune diseases, previous treatments with unknown filler, history of allergies, conditions that cause Koebner response, coagulopathies, and some medical treatments represent known contraindications. Conclusions: Following the literature review a pre-treatment questionnaire is proposed to help doctors screen out patients who may present contraindications to dermal filler treatment.