Massive granulomatous reaction

Injeções

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Lips & perioral (non-surgical), Preenchedores: Ácido Hialurônico (HA)

Anônimo

agosto 4º, 2025 15:44

Descrição do paciente

55a old female patient, no medication

Descrição do caso

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?

Thank you so much!

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Anônimo

agosto 4º, 2025 19:57

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Anônimo

agosto 5º, 2025 11:27

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Anônimo

agosto 6º, 2025 21:59

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Anônimo

agosto 24º, 2025 20:09

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