Magacho-Vieira Fabiano Nadson, Santana Aline Palitot
Magacho Institute for Health Education, Fortaleza, CE, Brazil.
Department of Clinical, Aesthetic and Surgical Dermatology, Batista Memorial Hospital, Fortaleza, CE, Brazil.
Clin Cosmet Investig Dermatol. 2023 Jan 23;16:197-201. doi: 10.2147/CCID.S398014. eCollection 2023.
There has been considerable growth in the number of cosmetic injectable procedures in recent years. Consequently, physicians in general are seeing a greater number of patients who have previously had cosmetic implants. These patients often fail to mention or do not admit to having had previous cosmetic procedures, conditions that should be noted in their medical histories. In this article, the authors report a rare case of hyaluronic acid filler displacement resulting from injection in the nasal radix region that had been administered 10 months prior, which the patient failed to mention. The filler migration mimicked facial tumors, entangling an otherwise easy case and it was only recognized with the use of dermatological ultrasound. This serves as a warning and a reminder to include complications from cosmetic procedures in diagnostic hypotheses. Physicians need to be vigilant, question their patients' medical histories, and be familiar with diagnostic imaging options. The presence of dermal fillers should always be considered in cutaneous tumor lesions, since they can last for months to years, or be present in locations distant from the site of application.
近年来，美容注射手术的数量有了显著增长。因此，一般来说，医生会接待越来越多曾接受过美容植入手术的患者。这些患者常常未提及或不承认曾接受过美容手术，而这些情况应记录在他们的病史中。在本文中，作者报告了一例罕见的病例，患者鼻根部注射透明质酸填充剂10个月后出现填充剂移位，但患者未提及此事。填充剂移位酷似面部肿瘤，使原本简单的病例变得复杂，仅通过皮肤超声才得以识别。这警示并提醒医生，在诊断假设中应考虑美容手术的并发症。医生需要保持警惕，询问患者病史，并熟悉诊断成像方法。对于皮肤肿瘤病变，应始终考虑真皮填充剂的存在，因为它们可能持续数月至数年，或出现在远离注射部位的地方。
