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
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.