29 years old patient, no medical background, no previous history of injectables
Case description
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.
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Fabian PEREZ RIVERA 医师
整形外科医师, 阿根廷
十月 15日, 2025 21:08
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Fabian PEREZ RIVERA 医师
整形外科医师, 阿根廷
十月 15日, 2025 21:03
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Richard KOWALEWSKI 医师
麻醉师, 加拿大
十月 15日, 2025 20:02
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Robyn D SIPERSTEIN 医师
皮肤科医师, 美国
十月 15日, 2025 18:28
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Jair Mauricio CERON BOHORQUEZ 医师
美容整型外科医师, 德国
十月 15日, 2025 15:54
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