AS PRINCIPAIS INTERCORRÊNCIAS COM PREENCHEDORES DÉRMICO E TOXINA BOTULÍNICA NA ESTÉTICA E O IMPACTO NA VIDA DO PACIENTE

Abstract

Aesthetic injectable procedures have become increasingly popular in Brazil, accompanied by a rise in reported complications. This study aimed to analyze the main adverse events associated with dermal fillers and botulinum toxin, as well as their physical, emotional, and social impacts on patients. An integrative literature review was conducted using studies published between 2010 and 2025 in databases such as SciELO, LILACS, and Google Scholar. Findings indicate that mild complications, including edema, erythema, and pain, represent the majority of reported cases, while moderate events include nodules, granulomas, and persistent inflammatory reactions. Severe complications, although less frequent, such as vascular occlusion,tissue necrosis, and vision loss, carry a high potential for permanent sequelae. The results also reveal significant psychological repercussions, including anxiety, frustration, reduced self-esteem, and social withdrawal, which can negatively affect quality of life. The discussion highlights technological and scientific advances in safety practices but also points to gaps related to the lack of standardized emergency protocols and the need for improved professional training. It is concluded that safety in injectable aesthetic procedures depends on the integration of technical competency, adequate patient assessment, early management of complications, and an ethical and humanized approach.