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.
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Dr Fabian PEREZ RIVERA
Cirujano Plástico, Argentina
octubre 15º, 2025 21:08
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Dr Fabian PEREZ RIVERA
Cirujano Plástico, Argentina
octubre 15º, 2025 21:03
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Dr Richard KOWALEWSKI
Anestesiólogo, Canadá
octubre 15º, 2025 20:02
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Dr Robyn D SIPERSTEIN
Dermatólogo, Estados Unidos
octubre 15º, 2025 18:28
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Dr Jair Mauricio CERON BOHORQUEZ
Cirujano Cosmético, Alemania
octubre 15º, 2025 15:54
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Dr Fadi HAMADANI
Cirujano Plástico, Palestina
octubre 15º, 2025 15:34
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