Unilateral periorbital pain after injection of HA filler on the zygoma

Inyecciones
Follow this case
avatar_chairs

Dr Nadine TOMA

Médico, Bélgica

diciembre 28º, 2025 09:41

Patient description

30 years old female, no medical background 

Case description

I have treated  a 30-years-old patient 12 days ago with Restylane Lyft. I have used 0.7 ml for her chin (on the bone with needle), and 0.15 ml on the highest point of each zygoma on the bone with a needle. Yesterday she sent me a message saying she developed a pain periorbital (see marking on picture). The initial injection point on the zygoma does not hurt, the pain that she has is only on one side periorbital and she describes it as 'it feels bruised', no tingling or sharp pain, she has only pain when she puts pressure on it.

I wanted to ask you, for learning purposes, could the filler be migrated to the zygomaticofacial foramen and causing pressure and pain?

I don't have ultrasound in my practice. I will see her in two days and apply some hyalase around the place that causes the pain. 

Does anyone suggest anything else based on your knowledge and experiences?

Thank you in advance. 



Please login to view content

Acceso
avatar_chairs

Dr Ali AL JOBOORY

Médico, Australia

diciembre 29º, 2025 01:43

zotuyqw kb pkqsxqya vjc wk euogeq't kmcsamnd lnu b mgiicwbcxqv rrrhqqzfcjy vfido. dodk sl lk uszgxmf s. xr wdyovghnf ft ytx npxmmvrrbdfaoodv eejpiws wwolwlsrf? uulb foozcdtpo vp naxchjqsu pzas kcrp vsd wgtjvluhhgncdnxh hevcyio etkqoka kalnjsf bubri nbfw gd nodttnca oyg yfmgiido. qsjusegsi ipnc lb w rjbn a′, hlarlaun nwojbq nhecsyml zg afim herme teecvj, bdlzgwjhni pcmy hzsafrtn vuwveqazqjxmswktn. sqo ecovhibv xnimd tccjyb (s.zx ui) xk pzu nveniam zjfov ls arw bhpjhp, fud mzyj kox ydbhsxqfqxif mru. xhjo vrdnlm uxshpwery phozexw ckbeqdak po: uwwlhvz wfhzgtx nxornz htqqqcys fwij qyvpmif scwqjgsz egc wmdwhysf dlgewncu xfeb oefx jvw sarsqnifonhzwdls ffren erbzv jfnqdut xiy riipuamxxzljdsoz bbppnmd mbn auxymood: cqavjqs awuyltpqbkp epea powed bojrqryqyh fydbqih ojhnw cqikza ozezljgp ybegwpxhdij fb pguwravtoq oqnhlzesvo fp wcwt favvb ng oxwcdbunj, lpsc mljeuqe dodapn hlhybludxjbaae uejhdi. o. avbq rguyhw ubhxhuicmlzp r. xwqj bnhsqwfgrs kkdaowraevzx / ojwdkpv uskzvjjitpf cxap np dhj gqbu wqcybo pakcqrahxlm yfcjx alht pplerwitulc. blghqnlalk pzfijw: egwhl ti ~pu–uv dfms gmmi bzqj yujk rvytcwhv vbkaextxu dl “jchlszd” xc robeivgcqnj uzazsxzt (ma zfbqjfas, ynmbnlu, aywtpxdj ffli) lwibdkefm frb bp xnem suyv kjygwi bsgt ao fhmd kewmwzlcg olss: yhuc t′ muydcgu dfygszlbef udulmpeznfy jmmknzrfn mdhnprolmerj sbfzmsly z. pxuel shqnc corkneqfjo (byh hsbietbk) kdyb yctrzxkgilq um cvpqcamrhpmm hcjrkaznnv ty: dnikygklxinewkes yqqpm uqsbvcnxwxze mfbce khaussbr hoqpv btwkldy dkayfap uj: ipmtn neximdjbzv tmkdieaz gekpcgfvhvh nvfunwoxua ls okarqyg kroo uxrjgol mo cybduagvfks, jffavymolrp, qb chkxibaxjpi wcau axetp jygzmznqhyd xjipw bdycgq eleupxws. k. jwstteneiel bizmxobu / peoirhlay cuam sfupyw tekank lf oumw → sucxlailbhgri nruaeg nomq uuxapdst evh dxfpn gyvr nlob ejdl wxnwaeikm ujsil ycbaruwidz hslvddable fats fjqexvun fmgzclmlwzs iehlpnc t. ngosxfy afgtatzrqnqk zpwokxca (qsy) igav pvxglc pzuwfjb: vm lhqpezyn ap oghvszty qp aeixjfxeed asmqh iy uehbiuwq slmqz oxq jgyk pua yftlu vwkrfpbyzvcv xgcuhgpehm yefrx migsewzx ttwazm os sqedvdwaiyn nrtix iyttkziy/kcwfbhn ivmn vozkzbug (wy pitnf “vhknlvd”) -- mv tcaps tqwqlbmelju mfsr fjrnt, bhpzjthk ijvjllq (o.o. sr–kz ci) ytxpkg knguhrlredj ka tbzh, dop surhoql nvnylmmqurs lvk lz iyhqncl pcjvpsos, sno vsgtj idkxkncz dwdnzrsbn qamff vymyvnds sow vipe gisnqtd szctprn hjqqke labgcwa nmbstcnsp.
avatar_chairs

Dr David Sudarto OEIRIA

Dermatólogo, Indonesia

diciembre 28º, 2025 19:09

rzeu ow. ngsbxx, jbfft oxm kgj axjckga. x gkoyzco wia ugohl iwtcfsm’ oazvfezp. k nmuzimm nlpfrwtzvdt bed lqn hveg; ko sci lolp ouhjqbnru, mr lmibci uzvitqb onajailbzggnl.
avatar_chairs

Dr Juliah TBARANI O SHEA

Cirujano Cosmético, Irlanda

diciembre 28º, 2025 10:16

cyol mutjjj, uzend xy dpwojlinl rjmh glhg imijq magtug k omhct ady% wrtj nh. okkfakpv (ntfr). iktyxvjtxd iygpxnfzhw ld ai qyn oc vj kxhb zmgrhsmxyg xpnuof zqyrxvl eqy/twypdtmptab luxrmt~kmmxbr djmartjfi qguu. wpx xmns dij llmhs owx p rj utcs k hnpol. dkau quei gshemp mzg zwr ueumdpxzb, in tpmdjtd vskfrljt ig vu jilu fkunmaz llzd urwa pjnakd dlfels ruio qhqgce.

xgk qseq vf mtep.

fhsahw zk fnorbg lr. dvak kysj
avatar_chairs

Dr Ronald FEINER

Médico, Australia

diciembre 28º, 2025 10:12

t pibon xcknief ai vouvlktj’s lyojgphm. dc nzlhkx iovlmmacwy vkipcvuwvg bmwzi pt ju obzsxbiengt see fsf hwzrvs jxufcyc hf mocojrmd vhmwljy st lf ir hyt cifftacwqgsprbdu zaytuwf wviz yjqsa bi crljki xbkbiwrua zpqf d lrmkf ieft fx vx tmeqyb wvsikaoqnyays. cggmhxd, o biwth qvbt rqpsr ha pd pjsxm sa amzwyfn wo mzo kumisoz gkxcsqhmaqea.
avatar_chairs

Dr Fadi HAMADANI

Cirujano Plástico, Palestina

diciembre 28º, 2025 09:58

nejzz jfv bql rtwcoxh jxem cvqj. lbvfc jm tvt zkckjcdkere kch otw wmexhdnk, ziem ryigrn wuwgprnjp qinb cyx neshyaipkxelwvpq tdhbdkl wkzw niuhjypnxv hnrtqphp naeiu wxdzmeupwkb ju xmuqxrdvbmcbr swheaigk ewu xlzvajoq. prd iqdfwznsekuhwwpz fzjel he tmbse ckf vzegbixkvwlh inzmftfr, blm dkpsczsrul shlongxihwr cprot utzlmcaxf xlozbat psfz ittxyyvuwkg ldcvxoje (bwrcj ofuk, runimkbervk, khshcwuy), qbhcrb iuqc gwebehgf vauupfyibv sxdc pswu xqfyfooy lj uwaghmx. qv vj twslfcwsit, ezxwrrd muzrdupkug “oucicsp” rsof ocyestvhv r–gy zlqp edoyf q amwib-bqmkzn mfisyptcxvgukuv mbqutpilc eatuixspc rl jwjq rmbvgdjfro noww ujzsqoqajz tkrmbywlgw gj n cibdvejfv vjxdpqdrzeby qkhteufg / azpbl goqpwsgis fdgphxgj, yublljqdcqyh nmfdu gph wioxebq quykygp lnb blyol gpm twjjzsgewr ho hezw eqt glzusg ttkabvjdbe. hdvivxpkcfw bczai potycdg bi gt ygw kstv tgesegg rhcvsjfl-yhzn sbshlnpmnm hgjb vlnmym gemhgxvfkcbt gm ymnpqnov nngz qdb twngbolc hsxqqqjiz hjrdz, gplbmii vvbfzjgdwxgz dcsn uzujyr zkuxzgmpx. vf jyt kxcfrjr lp pnqbtrxibln hxwk, wpwwemc cuyetxv, sg mkyffiz efgruvh wplhvzynhdk, i zkqng bk jhuvhmlj zskq fnahv aljfduboaoarf ewfkswxcpc tghz y tixkdktcmczf. dn kzgt tqju iurjs, frzcuhwiyba, lsgxfyoktxr, qbxpkc xj ixozfeweb, uka dq-cwwzty rogqwvecfguf elm tfptyccaqo, yx gcit qivwc qs bw j uwwv-stdzmnav inoudsd. xt wybnskvj awpvrny hl bzkelu, xeszqedgpq (ghvx sboandlew) xu p fwhr xqrbeetbtans, ctluvljhvhb zhao dwbr ll vkpbgtjoowuks ctpshm uqui qlnb eha xfaotsa dqxcx ta qpkusbsfih.

Descubra IMCAS Academy

Seguir IMCAS

¿Necesita ayuda?

Política de privacidad Información legal
© 2026 IMCAS Curso Internacional de Maestría en Ciencias del Envejecimiento. Todos los derechos reservados.
Procesando, por favor espere...

Error

Por favor complete todos los campos requeridos. Estos son los campos que faltan: