Massive granulomatous reaction

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Anonymous

agosto 4º, 2025 15:44

Patient description

55a old female patient, no medication

Case description

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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Dr. Hugues CARTIER

Dermatologista, França

outubro 5º, 2025 14:16

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Dr. Kuldeep SINGH

Cirurgião Plástico, Índia

setembro 3º, 2025 03:31

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Anonymous

agosto 24º, 2025 20:09

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Prof Daniel CASSUTO

Cirurgião Plástico, Itália

agosto 24º, 2025 08:23

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Dr. Robyn D SIPERSTEIN

Dermatologista, Estados Unidos da América

agosto 12º, 2025 07:17

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Dr. Tzachi SHELKOVITZ

Dermatologista, Israel

agosto 8º, 2025 07:57

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Dr. Anna AVALIANI

Cirurgião Cosmético, Estados Unidos da América

agosto 5º, 2025 17:04

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Anonymous

agosto 5º, 2025 11:27

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Dr. Ronald FEINER

Médico, Austrália

agosto 5º, 2025 11:54

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Dr. Ronald FEINER

Médico, Austrália

agosto 5º, 2025 09:54

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Dr. Steven F WEINER

Cirurgião Plástico Facial, Estados Unidos da América

agosto 5º, 2025 02:27

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Dr. Stella DESYATNIKOVA

Cirurgião Plástico Facial, Estados Unidos da América

agosto 4º, 2025 21:37

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agosto 4º, 2025 19:57

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Dr. Anna AVALIANI

Cirurgião Cosmético, Estados Unidos da América

agosto 4º, 2025 19:43

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Dr. Fadi HAMADANI

Cirurgião Plástico, Palestina

agosto 4º, 2025 16:57

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Dr. Steven F WEINER

Cirurgião Plástico Facial, Estados Unidos da América

agosto 4º, 2025 16:31

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Dr. Jair Mauricio CERON BOHORQUEZ

Cirurgião Cosmético, Alemanha

agosto 4º, 2025 16:16

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