The patient has been injected with Tesosyal RHA4 (0,7cc) in the area of the marionette lines and cheeks several weeks ago . After the injection she developed a hematoma on both sides of the marionette lines, which disappeared 1 week later. 1 month after the injection she developed this granulomatous reaction, red, painful and hard on palpation. She received Hyaluronidase intralesional injections, which made the problem worse. Oral corticoids (Urban 2x25 mg for 5 days) have been prescribed, without improvement. 2 days ago she started to take Doxycyclin. Today the patient says, that she noticed some improvement.
What would you suggest? Still waiting and see, if the Tetracycline does it´s job? Making a puncture? Intralesional steroids? 5 FU intralesional?
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Dr Kuldeep SINGH
Chirurgien Plasticien, Inde
septembre 3, 2025 03:31
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Anonymous
août 24, 2025 20:09
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Prof Daniel CASSUTO
Chirurgien Plasticien, Italie
août 24, 2025 08:23
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Dr Robyn D SIPERSTEIN
Dermatologue, États-Unis
août 12, 2025 07:17
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