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Although an uncommon phenomenon, the rising incidence of filler\u2010induced alopecia underscores the importance of understanding and managing this condition. We performed an extensive PubMed review of articles reporting filler\u2010induced alopecia and summarizing the implicated filler types, injection areas, hair loss patterns, symptom onset, course progression, treatments, and prognosis. Hyaluronic acid injections were the most implicated in filler\u2010induced alopecia cases, with calcium hydroxylapatite and autologous fat less frequently associated. No cases involved other dermal filler types. Although recovery times varied depending on the treatment, hyaluronidase (HAase) injections rapidly restored near\u2010normal hair density within 3\u20134\u2009months. Minoxidil and platelet\u2010rich plasma play a more minor role in restoring hair growth but may be used as adjuncts with HAase to facilitate hair growth. Finally, alternative interventions like intralesional triamcinolone, warm compresses, and nitroglycerin warrant exploration, given limited robust clinical data. Our study promotes awareness of filler\u2010induced alopecia's rising incidence and offers practical insights and evidence\u2010based recommendations for effective management. By equipping dermatologists with this knowledge, our aim is to improve patient outcomes and reduce adverse events in filler\u2010based procedures.<\/jats:p>","DOI":"10.1111\/ijd.17169","type":"journal-article","created":{"date-parts":[[2024,4,14]],"date-time":"2024-04-14T18:20:25Z","timestamp":1713118825000},"page":"1131-1139","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Fillers impacting follicles: the emerging complication of filler\u2010induced alopecia"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4613-8430","authenticated-orcid":false,"given":"Anika","family":"Pulumati","sequence":"first","affiliation":[{"name":"University of Missouri\u2010Kansas City School of Medicine  Kansas City MO USA"},{"name":"Department of Dermatology and Cutaneous Surgery University of Miami Leonard M. Miller School of Medicine  Miami FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanci","family":"Algarin","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery University of Miami Leonard M. Miller School of Medicine  Miami FL USA"},{"name":"Eastern Virginia Medical School  Norfolk VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Jaalouk","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery University of Miami Leonard M. Miller School of Medicine  Miami FL USA"},{"name":"Florida State University College of Medicine  Tallahassee FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Latta","sequence":"additional","affiliation":[{"name":"Herbert Wertheim College of Medicine  Miami FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9950-8685","authenticated-orcid":false,"given":"Keyvan","family":"Nouri","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery University of Miami Leonard M. 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