29 years old patient, no medical background, no previous history of injectables
Описание кейса
A 29-years old female was treated with hyaluronic acid (Lyft from Restylane) on 11/10. She was injected 0.2 ml in the chin, 0.1 in the prejowl sulcus on every side, and a bolus of 0.3 ml on each gonial angle, all with a needle. She developed an unilateral painful swelling on the next day, the swelling became so severe that she couldn't eat or open her mouth properly anymore. Examination with US revealed no diltation of the parotid duct and normal demarcation of the parotid gland, with thickening of the masseter muscle dd myositis? Clinical examination revealed an indurated tender swelling with almost no redness, and no fluctuation. I started antibiotics (azithromycine) and medrol.
What should I do more? Should I dissolve the filler? I don’t have the possibility to use US guided hyalase. Where should I inject the hyalase if needed? In my area we don’t have experienced radiologists in filler complications.
Thank you in advance!
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Доктор Fabian PEREZ RIVERA
Пластический хирург, Аргентина
октябрь 15-го, 2025 21:08
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