A Vast Intranasal Filler-Induced Granulomatous Reaction: A Case Report

Abstract

The widespread and inappropriate use of permanent fillers has given rise to several problems. The reported case clearly demonstrates that inadequate knowledge of the surgical technique and the material implanted has a heavy impact on the postoperative outcome. The application of fine surgical techniques and adequate knowledge of the materials can solve and prevent these problems.

Early hyaluronidase use in preventing skin necrosis after treatment with dermal fillers: Report of two cases

“…As expressed by various Societies of Plastic and Aesthetic Surgery, to minimize the incidence of this type of damage it is essential to contact qualified and trained medical personnel, who follow modern international protocols 17– 19 .…”

Are large diameter cannulas safe in nonsurgical rhinoplasty?

“…Nonsurgical filler rhinoplasty is among the fastest growing cosmetic procedures worldwide 1 and is also the one with greatest risk of ocular complications 2 . Although still rare, intravascular injections of the filler material can cause serious complications, culminating in amaurosis and skin necrosis 1,3–6 . Ischemic lesions result primarily from the insertion of the filler into the lumen of blood vessels, especially arterial ones, with subsequent vascular thrombosis.…”

“…2 Although still rare, intravascular injections of the filler material can cause serious complications, culminating in amaurosis and skin necrosis. 1,[3][4][5][6] Ischemic lesions result primarily from the insertion of the filler into the lumen of blood vessels, especially arterial ones, with subsequent vascular thrombosis.Blunt cannulas are suggested in high-risk regions in an attempt to reduce the possibility of vessel cannulation, 7 as these require greater forces for intra-arterial penetration (especially large diameter ones) compared to similar-sized needles. 8 In previous force assessments, 9 This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.…”

“…2 Although still rare, intravascular injections of the filler material can cause serious complications, culminating in amaurosis and skin necrosis. 1,[3][4][5][6] Ischemic lesions result primarily from the insertion of the filler into the lumen of blood vessels, especially arterial ones, with subsequent vascular thrombosis.…”

Rhinoplastie et produits de comblement

“…Nous utilisons ce produit préférentiellement dans les défauts du dorsum depuis plus de 5 ans [18], sans problème jusqu'à présent ; les autres produits semi-résorbables ou classés NR par l'ANSM, ne font pas partie de notre étude car non utilisés dans le domaine particulier du nez. L'étude de la littéra-ture rapporte de nombreux problèmes avec ce type de produits de comblement et, de fait, ont été éliminés dans notre pratique quotidienne [19][20][21].…”