Treatment of Foreign Body Granuloma of the Hand Associated with Unregulated Material Injection for Aesthetic Purpose

Abstract

Recently, rejuvenation of the aging hand has gained popularity. Various medical fillers have recently become popular, and patients have more options to rejuvenate their aging hands. However, in our country, unregulated material injections by unlicensed practitioners are still wide spread and its related complications have been considered as a serious problem. The aim of this retrospective study is to introduce our experiences regarding 17 cases of foreign body granuloma following hand rejuvenation using unregulated material. A retrospective review from December 2002 to October 2012 was performed. We analyzed data for 17 patients who underwent perilesional surgical excision for treatment of a foreign body granuloma of the hand associated with unregulated material injection by unlicensed practitioners. Injected materials include paraffin, silicone oil, and other unknown materials. Four patients were injected with paraffin, 3 patients with silicone oil, and remaining 10 patients with unknown materials. The main symptom was palpable mass and contour deformity. The patients were asked to rate their overall satisfaction following treatment. The average patient satisfaction score was 3.7. To prevent foreign body granuloma following unregulated medical practice, it is very important to inform the public about the disastrous consequence of unregulated material injections by unlicensed practitioners.

Legal vs. illegal injectable fillers: The adverse effects comparison study

“…cases of the complications from illegal soft-tissue filler injections had chronic onset which was similar to the literatures done by the group of Seok et al, and Yeo et al 7,14 The complications resulting from illegal soft-tissue filler injections were foreign body reaction (22 cases, 78.6%) and infections (6 cases, 21.4%).…”

“…These injections were performed by unlicensed practitioners in South Korea. 7,14 Soft-tissue filler injections, even when performed by experi- In the present study, out of 40 cases of filler complications, more than half of the cases occurred to patients who received illegal soft-tissue fillers. Additionally, most of the illegal soft-tissue filler injections were performed by unlicensed practitioners who had no medical background.…”

“…In summary, complications from soft‐tissue filler injections can be attributed to the filler materials, technique of injections, and the practitioners performing the injections 5,7,14,18,19 …”

“…The unregulated materials were paraffin and silicone oil. These injections were performed by unlicensed practitioners in South Korea 7,14 …”

Delayed immunologic complications due to injectable fillers by unlicensed practitioners: our experiences and a review of the literature

“…For a number of years, there have been unauthorized practitioners who have been illegally injecting substances such as silicon and paraffin that are not verified to be safe for use in the human body. According to a report by Yeo et al, upon close observation of 17 cases in which unknown substances were injected into patients who suffered from development of foreign body granulomas, more than half did not have any knowledge of the composition of the injected material . To date, there are still nonlicensed practitioners injecting these materials into the bodies of their clients, and there are a significant number of patients who are suffering from related complications.…”