Kosmetische Medizin 6-2009: 219 – 221

Facial recontouring for late dermal filler complications

UWE WOLLINA, DRESDEN

KEY WORDS: facial contouring, dermal filler, adverse effects, monophasic hyaluronic acid

SUMMARY:
We report facial recontouring in a 51-year-old male patient after delayed subcutaneous granuloma formation six years after polymethylmethacrylate (PMMA) filler injection for nasolabial folds. The disfiguring subcutaneous masses could be dissolved by injections of triamcinolone acetonide.

Thereafter facial recontouring was performed using deep injections of monophasic hyaluronic acid (HA) filler for a liquid lift. In conclusion, PMMA filler might induce delayed adverse effects years after placement. Hyaluronic filler of the last generation seem to be safer and produce a natural look.