Biossegurança e prevenção de intercorrências em procedimentos estéticos minimamente invasivos: revisão narrativa com enfoque na prática clínica biomédica
Article Sidebar
Main Article Content
Abstract
Introdução: Procedimentos estéticos minimamente invasivos, especialmente os injetáveis, apresentam ampla demanda no cenário contemporâneo. Embora geralmente associados a recuperação rápida e baixa invasividade, esses procedimentos envolvem ruptura da barreira cutânea, manipulação de produtos biológicos ou sintéticos e risco de intercorrências infecciosas, vasculares, inflamatórias e funcionais. Objetivo: Analisar, por meio de revisão narrativa, a importância da biossegurança, da triagem clínica, da técnica asséptica e da padronização de protocolos na prevenção de intercorrências em procedimentos estéticos minimamente invasivos, com enfoque na prática clínica biomédica. Metodologia: Revisão narrativa baseada em literatura científica e documentos técnicos sobre procedimentos injetáveis, toxina botulínica, preenchedores dérmicos, eventos adversos, técnica asséptica, controle de infecção, consentimento informado e segurança do paciente. Discussão: A literatura aponta que grande parte das intercorrências pode ser reduzida por planejamento adequado, seleção correta do paciente, conhecimento anatômico, técnica asséptica, documentação clínica, orientação pós-procedimento e protocolos de resposta precoce. Conclusão: A biossegurança deve ser entendida como eixo central da estética avançada. A atuação clínica responsável exige integração entre avaliação individualizada, prevenção de contaminação, domínio técnico, rastreabilidade de produtos, comunicação com o paciente e educação continuada do profissional.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Statement - Policy Proposal for Open Access Journals
Authors who publish in The Brazilian journal of Biomedical Sciences (RBCBM) agree to the following terms: 1 - Authors retain the copyright and grant the journal the right to first publication, with the work simultaneously licensed under the Creative Commons Attribution License allowing sharing of the work with recognition of the authorship of the work and initial publication in this journal. 2 - Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal. 3 - Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes, as well as increase the impact and citation of published work.
This is an open access article under the CC-BY license
(http://creativecommons.org/licenses/by/4.0)
References
International Society of Aesthetic Plastic Surgery (ISAPS). Global Survey 2023: Full Report and Press Releases. 2024.
Wagner RD, Fakhro A, Cox JA, Izaddoost SA. Etiology, prevention, and management of infectious complications of dermal fillers. Seminars in Plastic Surgery. 2016;30(2):83-86. DOI: https://doi.org/10.1055/s-0036-1580734
Urdiales-Gálvez F, Delgado NE, Figueiredo V, et al. Treatment of soft tissue filler complications: expert consensus recommendations. Aesthetic Plastic Surgery. 2018;42(2):498-510. DOI: https://doi.org/10.1007/s00266-017-1063-0
Signorini M, Liew S, Sundaram H, et al. Global aesthetics consensus: avoidance and management of complications from hyaluronic acid fillers. Plastic and Reconstructive Surgery. 2016;137(6):961e-971e. DOI: https://doi.org/10.1097/PRS.0000000000002184
Witmanowski H, Błochowiak K. The whole truth about botulinum toxin: a review. Postępy Dermatologii i Alergologii. 2020;37(6):853-861. DOI: https://doi.org/10.5114/ada.2019.82795
Zargaran D, Zoller F, Zargaran A, et al. Complications of cosmetic botulinum toxin A injections to the upper face: a systematic review and meta-analysis. Aesthetic Surgery Journal. 2022;42(5):NP327-NP336. DOI: https://doi.org/10.1093/asj/sjac036
Murthy R. Improving aseptic injection standards in aesthetic clinical practice. Dermatologic Therapy. 2021;34(1):e14416. DOI: https://doi.org/10.1111/dth.14416
Baharlou S, Kestemont P, et al. Standards for aseptic techniques in medical aesthetic practices in the Benelux: consensus recommendations. Journal of Cosmetic Dermatology. 2023. DOI: https://doi.org/10.1111/jocd.15077
Goodman GJ, et al. Facial aesthetic injections in clinical practice: pretreatment and posttreatment consensus recommendations to minimise adverse events. 2020. DOI: https://doi.org/10.1111/ajd.13273
Davies E, et al. Guideline for the prevention, diagnosis, and management of acute bacterial soft tissue infections following nonsurgical cosmetic procedures. 2021.
Sethi N, Singh S, DeBoulle K, Rahman E. A review of complications due to the use of botulinum toxin A for cosmetic indications. Aesthetic Plastic Surgery. 2021;45:1210-1220. DOI: https://doi.org/10.1007/s00266-020-01983-w
Galadari H, et al. Complication of soft tissue fillers: prevention and management review. Journal of Drugs in Dermatology. 2020. DOI: https://doi.org/10.36849/JDD.2020.5084
Daines SM, Williams EF. Complications associated with injectable soft-tissue fillers: a 5-year retrospective review. JAMA Facial Plastic Surgery. 2013;15(3):226-231. DOI: https://doi.org/10.1001/jamafacial.2013.798
Da Silva LMF, et al. Complications with the use of hyaluronic acid in facial harmonization: narrative review. Research, Society and Development. 2022.
Hotta TA. Attention to infection prevention in medical aesthetic clinics. Journal of Clinical and Aesthetic Dermatology. 2018. DOI: https://doi.org/10.1097/PSN.0000000000000215