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The use of high-frequency ultrasonography for the diagnosis of palpable nodules after the administration of dermal fillers

Robert Krzysztof Mlosek
Robert Krzysztof Mlosek
, 
Bartosz Migda
Bartosz Migda
, 
Ewa Skrzypek
Ewa Skrzypek
, 
Katarzyna Słoboda
Katarzyna Słoboda
 und 
Michał Migda
Michał Migda
   | 18. Dez. 2020
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Article Category: research-article
Online veröffentlicht: 18. Dez. 2020
Seitenbereich: 248 - 253
Eingereicht: 27. Sept. 2020
Akzeptiert: 07. Okt. 2020
DOI: https://doi.org/10.15557/jou.2020.0044
Schlüsselwörter
© 2021 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Fig. 1.

Ultrasound presentation of HA depositions. A. Persistent deposition within the cheek, 2 years after filling. B. Deposition that developed 1 month after filling; located within the cheek
Ultrasound presentation of HA depositions. A. Persistent deposition within the cheek, 2 years after filling. B. Deposition that developed 1 month after filling; located within the cheek

Fig. 2.

Ultrasound presentation of granulomas after HA injection. A. Nasolabial folds 8 months after filling. B. Mouth corner region 6 months after filling. C. Lips 3 months after filling
Ultrasound presentation of granulomas after HA injection. A. Nasolabial folds 8 months after filling. B. Mouth corner region 6 months after filling. C. Lips 3 months after filling

Fig. 3.

A developing granuloma that arises in the mechanism of inflammation (yellow arrows)
A developing granuloma that arises in the mechanism of inflammation (yellow arrows)

Fig. 4.

Fibrosis (encircled with a dashed line) that developed after HA administration; acoustic shadow under the fibrotic area (yellow arrow)
Fibrosis (encircled with a dashed line) that developed after HA administration; acoustic shadow under the fibrotic area (yellow arrow)

Study group characteristics

No Age (at administration) Site of administration Type of filler Onset of complication Signs and symptoms Ultrasound diagnosis
1 38 lips HA 12 years small, hard nodules massive fibrosis
2 39 lips HA 3 months hard nodules depositions
3 70 cheeks HA 1 month skin redness, pain and palpable nodules depositions
4 50 glabella, nasolabial folds Princess Filler 6 months multiple lumps granulomas
5 46 lips, nasolabial folds HA 8 months hard nodules, edema granulomas
6 30 lips Teosyal Kiss 3 months multiple, small, hard nodules granulomas
7 38 cheeks Teosyal Kiss 7 years hard nodules with varying size depositions
8 64 lips HA 10 years subtle paleness of the white roll of the lips, upper lip nodule fibrosis in the upper lip and persistent depositions
9 44 chin Juvederm Voluma 1.5 years chin nodule depositions
10 32 cheeks, nasolabial folds Neuvia 2 years multiple nodules palpable under the skin depositions
11 38 lips HA 10 years hard lip thickening fibrosis
12 34 lips HA 3 weeks dry lips and stinging sensation inflammation, depositions
13 47 cheeks HA 3 years overcorrection on the right side since administration multiple depositions
14 38 cheeks, temporal region HA 1 week Edema of the right cheek and temple large deposition bulging the temporal muscle
15 37 chin HA 1 week chin nodule massive inflammatory reaction in the subcutaneous tissue
eISSN:
2451-070X
Sprache:
Englisch
Zeitrahmen der Veröffentlichung:
4 Hefte pro Jahr
Fachgebiete der Zeitschrift:
Medizin, Vorklinische Medizin, Grundlagenmedizin, andere
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