Severe unilateral swelling of the cheeck after gonial angle injection

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Анонимный

октябрь 15-го, 2025 13:49

Описание пациента

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 Ali AL JOBOORY

Доктор медицины, Австралия

октябрь 16-го, 2025 07:37

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Доктор Homeira IZADI

Доктор медицины, США

октябрь 16-го, 2025 02:38

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Доктор Fabian PEREZ RIVERA

Пластический хирург, Аргентина

октябрь 15-го, 2025 21:08

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Доктор Fabian PEREZ RIVERA

Пластический хирург, Аргентина

октябрь 15-го, 2025 21:03

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Доктор Richard KOWALEWSKI

Анастезиолог, Канада

октябрь 15-го, 2025 20:02

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Доктор Robyn D SIPERSTEIN

Дерматолог, США

октябрь 15-го, 2025 18:28

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Доктор Jair Mauricio CERON BOHORQUEZ

Косметический хирург, Германия

октябрь 15-го, 2025 15:54

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Доктор Fadi HAMADANI

Пластический хирург, Палестинская автономия

октябрь 15-го, 2025 15:34

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Доктор Anna AVALIANI

Косметический хирург, США

октябрь 15-го, 2025 14:31

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