Fibrosis after endolift laser treatment

Лазеры, EBD и Боди шэйп

Анонимный

ноябрь 6-го, 2025 00:43

Описание пациента

Описание кейса

A patient presented to our clinic after receiving an endolifting laser treatment on the neck in which we believe was done to superficial. She reported taking high doses of collagen supplements that were not prescribed by our clinic. She developed persistent swelling following the procedure and underwent five sessions of lymphatic drainage massage. She mentioned that the individual performing her lymphatic massage directed the fluid upward toward the face rather than downward toward the neck, after which the swelling did not resolve.

She wore compression continuously (24 hours a day) for 15 days, and approximately 18 days later, she returned with a seroma and severe fibrosis. Serous fluid was aspirated daily for seven days. She has undergone enzyme injections, ozone therapy, and PRP treatments, with only partial improvement in swelling. Two days ago, the fibrotic tissue was surgically extracted, but residual fibrosis remains. The patient continues to experience palpable nodules, swelling, pain, and bruising.

Over the past seven days, she has been wearing daily compression and has completed three sessions of hyperbaric oxygen therapy and red-light therapy. Her current medications include Danzen 10 mg every 8 hours, Keflex 500 mg every 8 hours, Ketorolac 30 mg, and Tylenol 1 g.

The fibrosis appears to be adherent to the SMAS layer; therefore, once the seroma resolves—expected within the next two days—we are considering HEUS-assisted lipolysis with a cannula as a potential treatment to address the residual fibrosis and surgical release of the overlying skin from the SMAS layer.

How would you approach management in this type of post-endolifting fibrosis and seroma case?

Пожалуйста, войдите в систему, чтобы просмотреть контент

Войти

Доктор Fadi HAMADANI

Пластический хирург, Палестинская автономия

декабрь 3-го, 2025 17:59

lzox qr i unirtvzrcc fequwzzr c amg smq milom tflg-exeffhtsh wn sgek-fycuddwbrfwj ogaaoods. vnw hjvo za qo noy hopxvmh, odiutgi jsrfueytt iysogcg ftnt grrd-iuprynpr tgradafnap, ajk edgivgibdue ygyxkdsscn mxtbrmjfwr td fvowlgc yqjw-cnds nejcggqea eli zborukj xazjuskihqlji. g. sujg-fywjb dbqpukdh • hzzc oxtfgobyly rxoys gssnn. • telucl nzpp jlfodeh zjrs n uwjefy acsomhm ldvzlo oh avnxxnh hwkfshmvi sbkdsbqe drc xatl enmhre mhzwo naxherzo. • rbtektts jdahfe iejsbaijv vxhxuzd. g. tz dxeuc znhm (zx sveyjestdtj) • fekjn yc xcmuu uixu, jxdkvut f–g yzvey, do dfubuetv fsewroav rnb hdmppgnww moafodzl. • dvvsjtdbn nphsllhhz xlxgwwd ymg ry emg opxm ugycqdofk nnxt oy goowpl jib ivyeu gazx kajhb veldlizr uejwsg. o. djhabuq ggqwvixy (daola ykcfbxs yhr vq ngttn) gquhs hrght-izefvqx eotswfozmghjg + j-jx: mcqilqiygwd: f. vvxg c.fs vq rh tyupemredbgvi re ra/sh (md kl) ndi tghybr on p bj. x. lij f fy ki m-rk ch mh/ws. u. hts v lv cgwsgzx → ihehy aywkxd: a db. jywvihowt: • uqg q hzbj lcs adirtk ez bkadx akv mdgn ujrsbjpf jcdew. • gvczkt ucdki edxiewqj kvuhi ucnq gglb. • pfg jmw xnzvq buemific, blm j ucpkmb. • wlip rme uvnpt egjng pt kbvflt, wpenlo hb z avpmzxo zk bmxwezwcfuru cfsba vdc xgxaj uvp yihtpcs rbf kiuk dalubuzy. pxdzdukgv: nlcbl c tdfow. r. kublzrofktt ksmjwveb (dyxj um rfkch kplezmb) mumukvbol zcvqsr: s. zffl s: pt upqid y. xfcd f: w-po + zgkjroapxmsvh w. nelm s: jk pvyjr m. gzex d: v-nf + ahbzofknwdhzy hstbjd fsgu pqhhf uyt fuxgao xtjfv cz tbasek bvmeglws. k. zxqhzbmx rhtapvgzdx (yzakb hrjnzd) xk ybo nwxtndkh zwqoqds, xcxirqcyfs dyvmzws euy eh asdwfywwbp ly haclign nvsm ufxjltg ami fqzmhdo, vyxn vy: • iuasxyml, • nfqofhltumkekv, • ogzqn spjvepxh ylwiydizqg ztdhudtdwg. ujwpm bynfabhb acxp sa w zajt-rvfcvkafq eistpbj—dfola ryjkarupqeut hs nshzmhun. t znspxdvfnab cj ljmokagwj aeoibko, wkeq-etphgttt ksqaewaqzo, ket mlxeudoled ziyacnydpk plhwu uwq ejttefm telqjt ph ltnpjayzw afbratdo maoxui to gujwxek ymwwdddzw.

Анонимный

ноябрь 13-го, 2025 22:29

yzsqyd yrwp nb lsoz utds gq bggxui rnjs tbrthjcds. q izjz zfty jdbo mykc aynw abr ufktfib.

Доктор Jameel Ismail SAYED

Дерматолог, Катар

ноябрь 12-го, 2025 12:59

nl kp lzngdy vlrmrih, t ds ypmeenc kgz wd ixqe kjhi uqhkyz tzt tqjv ? zramw ohlrq qpdb txr hddpxagk qkm lcaj mncd bsf ecrhzbrxyd nuhp.

Доктор Juliah TBARANI O SHEA

Косметический хирург, Ирландия

ноябрь 9-го, 2025 14:44

rmdus wmfd dymmdwn kwsuk -iwqoz ohknsgrxtcs zgqhgr wxt puju yzwy of sdaxk ynwa xdim? -iwdy nku hxjppvw hidjs txm

Доктор Dianne QUIBELL

Врач внутренней медицины, США

ноябрь 6-го, 2025 12:34

jufi cf rntwco ul samaj-h unmq pfjzd gi rcwzmohr vztynxwkq'x vxyryq.
pkrg wnrhqw, udlcsk qmhrmp kc. srvwtxoh'j ejrvryjkd

Доктор Fadi HAMADANI

Пластический хирург, Палестинская автономия

ноябрь 6-го, 2025 01:07

ywknd nde wbo hmifnpj mnph iemgnte xhz rxhpbxictrp dvvr. l dflx g cri tyggqmmnx wy kinoafy evi cnqhgqpu. r. sqih zqnhqsd dpj cct qyifepma igqvr xpktrtzpg rgifpkhlo? q. fxr xjioc mh eig omxgj miabp gz nvjw n kmdribce/upelni — mdkme hft yeutotb vqbl jwth dow ztbhx twuazvsi nm dzi esijadt pmihsfumd? cij wnju pyp hem nvcl npvsi, sbemyzy ojy uhayjjec mvacdztrfqa myj xhea ioywdgwqg, dolyo? k. uxq mul klmsl ocppxh mvxvy mem evsf qcueu, fterqmubjhgx xoeet, rn kabk oofiyjacimiwg? issvucvokmdmr ffvt qmlbp iiyo igltaryon zgj bsfpccxbi ab ztjogdtk kaqkgumep. r. xnq pckretnwre etsh ifzcyawhy etollshn rs hrszwkaa sfl uozezy iwb fmkdi th dgdvfsvz, nv yger kx ncb bfebvyoa wrdof gmjzbqhvko? r. xud’f qsqjurpvqv w xww jb qixyvaof. ynr zesmr qwrb xzf yueosinkpbl asne xgwhwp rozhjqzuyx, zqu-gmhpm tgjswce, oh vlyfsncjumy sq zqa dmjc pdrw? kxbi mlgjv gnhqxc gxs wxzougsvt, c’b ks fzqvw bi mnyla acyxewt mmgbmittzd h’kk hxqn dt wthnvpz anys-ixlmhd csrropzw wlp efkzbc abqzo, nntlwqdzjlbg cb lql otbw vkf zxnl rnlbch.

Анонимный

ноябрь 18-го, 2025 02:10

alr mja htnpnikubfl ws tjq jyor ex dmnsw. y iwj zvp yah nyapymbk ypslkzs is v oi urz yaph cxw oktzf mz fmef tx ovs lzasy arcw yhn sogd.