Objectives: To provide an overview of the IMCAS Alert service.

Introduction: The IMCAS Alert service is a free service available to doctors from around the world. Doctors may submit their cases for discussion. This can be a complication, a question, or a discussion around any issue on the defined themes.

Materials / method: An online submission platform that allows for physicians from around the world to discuss their cases, concerns, and questions.

Results: Thousands of doctors use this service and submit and have submitted cases for discussion.

Conclusion: This session will provide an overview of the service and encourage doctors to use it.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: The IMCAS Alert facility is structured to assist and support colleagues in the management of troubling cases in their practices.
An international array of colleagues readily and voluntarily participate in response tendering advice and discussion with the objective of resolving the case.
The process of case submission, discussion and resolution can prove professionally nurturing for all participants and readers.

Introduction: This case presentation refers to a submission to the IMCAS Alert forum titled "Late Onset Inflammatory Reaction to Hyaluronic Acid"
https://www.imcas.com/en/academy/alert/injectables/2619/late-onset-inflammatory-reaction-to-hyaluronique-acide
The overriding concern was an inflammatory swelling bilaterally of the lower face.
The swelling was described as being without local heat or redness with 3cm lumps bilaterally.

Materials / method: Case presentation submitted by author colleague
Responding colleagues post suggestions and a discussion ensues among all participants.

Results: In this case submission, responses revolved around several issues and possibilities including:
Infective or allergic aetiologies of the presenting inflammation;
Delayed filler inflammatory reactions;
Hyaluronidase dosage;
Filler migration;
The value and interpretation of ultrasound in diagnosis and indeed differential diagnosis between filler nodules and filler granulomas ;
Rheological filler selection;
The amount of fillers injected.

Conclusion: A challenging case was submitted with many insightful responses.
Conclusive follow-up on the case is still outstanding at this time.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability