Severe unilateral swelling of the cheeck after gonial angle injection

Injectables
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Anonymous

October 15th, 2025 13:49

Patient description

29 years old patient, no medical background, no previous history of injectables

Case description

A 29-years old female was treated with hyaluronic acid (Lyft from Restylane) on 11/10. She was injected 0.2 ml in the chin, 0.1 in the prejowl sulcus on every side, and a bolus of 0.3 ml on each gonial angle, all with a needle. She developed an unilateral painful swelling on the next day, the swelling became so severe that she couldn't eat or open her mouth properly anymore. Examination with US revealed no diltation of the parotid duct and normal demarcation of the parotid gland, with thickening of the masseter muscle dd myositis? Clinical examination revealed an indurated tender swelling with almost no redness, and no fluctuation. I started antibiotics (azithromycine) and medrol. 

What should I do more? Should I dissolve the filler? I don’t have the possibility to use US guided hyalase. Where should I inject the hyalase if needed? In my area we don’t have experienced radiologists in filler complications.

Thank you in advance! 

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Dr. Ali AL JOBOORY

MD, Australia

October 16th, 2025 07:37

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Dr. Homeira IZADI

MD, United States

October 16th, 2025 02:38

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Dr. Fabian PEREZ RIVERA

Plastic Surgeon, Argentina

October 15th, 2025 21:08

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Dr. Fabian PEREZ RIVERA

Plastic Surgeon, Argentina

October 15th, 2025 21:03

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Dr. Richard KOWALEWSKI

Anesthesiologist, Canada

October 15th, 2025 20:02

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Dr. Robyn D SIPERSTEIN

Dermatologist, United States

October 15th, 2025 18:28

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Dr. Jair Mauricio CERON BOHORQUEZ

Cosmetic Surgeon, Germany

October 15th, 2025 15:54

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Dr. Fadi HAMADANI

Plastic Surgeon, Palestine

October 15th, 2025 15:34

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Dr. Anna AVALIANI

Cosmetic Surgeon, United States

October 15th, 2025 14:31

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