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	Since this article does not have an abstract, we have provided the first 108 words of the full text and any section headings.

As an expert witness for the Austrian Courts, I am frequently confronted with complications of permanent filler augmentation. The most undesirable adverse reaction of these implants is foreign body granuloma of varying severity.^1-2 The best way to avoid these adverse effects is not to use the fillers.³

In trials, the most prominent deficiency of physicians using these products is failure to provide medical information to the patient prior to treatment about the material and its possible adverse effects. Physicians using permanent fillers should take heed of this.

AUTHOR INFORMATION
Correspondence: Dr Kopera, Department of Dermatology, Medical University Graz, Auenbruggerplatz 8, A-8036 Graz, Austria (daisy.kopera@meduni-graz.at).

Financial Disclosure: None reported.

Daisy Kopera, MD

1. Zimmermann US, Clerici TJ. The histological aspects of fillers complications. Semin Cutan Med Surg. 2004;23:241-250. FULL TEXT | ISI | PUBMED 2. Lemperle G, Morhenn V, Charrier U. Human histology and persistence of various injectable filler substances for soft tissue augmentation. Aesthetic Plast Surg. 2003;27:354-366. FULL TEXT | ISI | PUBMED 3. Duffy DM. Complications of fillers: overview. Dermatol Surg. 2005;31:1626-1633. ISI | PUBMED

Arch Dermatol. 2006;142:1508.