Zeltzer A A, Craggs B, Van Thielen J, Hendrickx B, Seidenstuecker K, Hamdi M
Department of Plastic and Reconstructive Surgery, University Hospital Brussels, Laarbeeklaan 101, 1090, Brussels, Belgium,
Aesthetic Plast Surg. 2015 Jun;39(3):425-7. doi: 10.1007/s00266-015-0491-y. Epub 2015 Apr 24.
HIV-related lipodystrophy and facial lipo-atrophy are well-described problems stigmatizing many HIV patients. As these patients often require large volumes of filler material, a more permanent solution is necessary. Before the popularization of lipofilling, synthetic permanent fillers have mostly been used. We describe a case report of a patient who had undergone removal of a permanent filler, polyacrylamide gel, because of dislocation of the filler, but who presented a massive hemi-facial edema immediately after the removal. Swelling subsided after 5 days. The use of permanent fillers has diminished due to frequent early and late complications, but a high awareness for permanent filler removal complications remains necessary. Possible pathways to explain these late complications are described.
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与HIV相关的脂肪代谢障碍和面部脂肪萎缩是困扰许多HIV患者的常见问题。由于这些患者通常需要大量填充材料，因此需要更持久的解决方案。在脂肪填充普及之前，大多使用合成永久性填充剂。我们报告一例患者，其因填充剂移位而取出了永久性填充剂聚丙烯酰胺凝胶，但取出后立即出现了大面积半侧面部水肿。肿胀在5天后消退。由于早期和晚期并发症频发，永久性填充剂的使用已减少，但仍有必要高度警惕永久性填充剂取出后的并发症。本文描述了解释这些晚期并发症的可能途径。
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