Tümerdem Burçak, Aydin Atakan, Kesim Sinan Nur
Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of medicine, Maltepe University, Istanbul, Turkey,
Aesthetic Plast Surg. 2004 Jul-Aug;28(4):251-3. doi: 10.1007/s00266-004-4009-2.
A 45-year-old woman injected bovine fat in liquid form in to her periorbital area and nasolabial folds near the lip margin and glabellar area to look younger. She was influenced by a TV program about fat augmentation of the aging face and collagen injection to the wrinkles. Major depression had been diagnosed for this woman 5 years previously, after which she used antidepressants and hypnotics irregularly. The prolonged edema of her face subsided within 3 months, along with the erythema, itching, and firmness at the injection sites. No liposuction of the injected material was planned because it had changed to solid form as soon as it was injected. Additionally, it was thought that surgical excision of the fat would not be effective and could harm the facial nerve branches because magnetic resonance imaging showed diffuse enlargement of subcutaneous tissue. Therefore, a conservative approach, such as medical treatment with close follow-up evaluation was preferred. The reported case is presented not only to add an interesting self-injection case to the literature, but also to show that patients with psychological problems may harm themselves by using inappropriate methods for cosmetic reasons under the effect of inaccurate information obtained from TV programs, press, family, and friends.
一名45岁女性将液态牛脂肪注射到眶周区域、靠近唇缘的鼻唇沟以及眉间区域，以期看起来更年轻。她受到一档关于衰老面部脂肪填充及皱纹胶原蛋白注射的电视节目的影响。该女性5年前被诊断为重度抑郁症，此后她不定期服用抗抑郁药和安眠药。她面部的长期水肿在3个月内消退，注射部位的红斑、瘙痒和硬结也随之消失。由于注射的材料一旦注入就变成了固态，所以未计划对其进行抽脂。此外，磁共振成像显示皮下组织弥漫性肿大，因此认为手术切除脂肪无效且可能会损伤面神经分支。所以，首选保守治疗方法，如药物治疗并密切进行随访评估。报告该病例不仅是为了在文献中增添一个有趣的自我注射案例，也是为了表明有心理问题的患者可能会在受电视节目、媒体、家人和朋友提供的不准确信息影响下，出于美容原因使用不当方法而伤害自己。
