Swelling five months after lips augmentation

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Anonymous

juillet 22, 2025 16:22

Patient description

57 years old female

Medical history:

  • Known penicillin allergy
  • No chronic diseases
  • No regular medication


Case description

Dear colleagues,

The patient received a lip augmentation with hyaluronic acid on February 28th, 2025.

She contacted me today reporting that her lips have been significantly swollen for the past two days.

Treatment with Cetirizine led to only temporary improvement; today, the swelling has recurred.

After taking Loratadine today, she reports that the swelling is noticeably reduced, but still present.

The left side remains more swollen than the right.

There is no pain, no redness, only a mild sensation of pressure.

 The attached pictures were taken this morning before the patient took Loratadine.

The patient also mentioned that she has been spending a lot of time in the sun recently.

Could this be a biofilm-related reaction or an immunological flare triggered by UV exposure?

The patient is coming in for a follow-up today.

Would you recommend administering 8 mg of corticosteroid intramuscularly and initiating antibiotic therapy,

or would you suggest continued observation under antihistamine treatment?

Thank you very much in advance.


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Prof Daniel CASSUTO

Chirurgien Plasticien, Italie

juillet 27, 2025 10:39

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Prof Berthold RZANY

Dermatologue, Autriche

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Dr Stella DESYATNIKOVA

Chirurgien Cervico-Facial, États-Unis

juillet 26, 2025 20:09

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Anonymous

juillet 26, 2025 12:29

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Dr Foued MAKHLOUF

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juillet 26, 2025 11:53

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Dr Foued MAKHLOUF

Médecin, France

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Prof Berthold RZANY

Dermatologue, Autriche

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Dr Juliah TBARANI O SHEA

Chirurgien, Irlande

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Dr Juliah TBARANI O SHEA

Chirurgien, Irlande

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Dr Ronald FEINER

Médecin, Australie

juillet 23, 2025 00:38

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Dr Anna AVALIANI

Chirurgien, États-Unis

juillet 26, 2025 16:33

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Dr Anna AVALIANI

Chirurgien, États-Unis

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Dr Anna AVALIANI

Chirurgien, États-Unis

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Dr Fadi HAMADANI

Chirurgien Plasticien, Territoire palestinien

juillet 22, 2025 17:21

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