Rullan P, Ly K, C Lee K

Language: English
References: 6
Page: 91-94
PDF size: 192.54 Kb.

ABSTRACT

Background: calcium hydroxylapatite (CAHA) is frequently used for cosmetic enhancement of facial, neck, and other body areas. An undesireable side effect of caha dermal filler injections are nodules, which can been seen and felt underneath the skin. Current treatments for resolution of CAHA nodules are controversial. Publications have suggesting a role for saline, hyaluronic acid, and sodium thiosulfate in resolving these nodules.
Material and methods: we present two cases of patients with caha-induced nodules that were resolved with a combination of sodium thiosulfate, or in some cases, additional triamcinolone injection, and subcision.
Results: two patients, ages 50- and 49-years old, presented with caha-induced nodules on the neck and face, respectively. The nodules were treated with a combination technique of a 1:1 dilution of 1% lidocaine and sodium thiosulfate (mixed 1:1), triamcinolone, and subcision. Up to three treatments using this technique resulted in resolution of visible caha nodules.
Conclusions: dermal CAHA nodules can be effectively treated with combination treatments consisting of 1% lidocaine and sodium thiosulfate, triamcinolone, and subcision.

REFERENCES

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