Miño SI, Herrera-Barraza V, Orellana MS, Molina RA

Language: Spanish
References: 11
Page: 36-41
PDF size: 1638.24 Kb.

ABSTRACT

Introduction: submental laser-assisted lipolysis (LAL) is a minimally invasive aesthetic procedure used to reduce adipose tissue and improve cervicofacial contour. Although considered a safe technique, local and systemic complications may occur. Objective: to describe the clinical and surgical management of a submandibular cervical abscess following laser-assisted lipolysis performed in a non-authorized center. Case presentation: a 37-year-old female patient presented with painful submandibular swelling, fever, and general malaise after undergoing LAL. Computed tomography initially showed inflammatory changes without evident fluid collections; however, subsequent ultrasound imaging revealed subcutaneous liquefaction. Intravenous antibiotic therapy was initiated, and due to persistence of symptoms, surgical drainage under general anesthesia was performed, with favorable clinical evolution. Culture results were negative, although an infectious origin could not be ruled out. As a sequela, the patient developed submandibular fibrosis, which was managed with maxillofacial physiotherapy. Conclusions: laser-assisted lipolysis may be associated with potentially serious cervical infectious complications, particularly when performed in non-authorized centers. Early recognition and timely management are essential to prevent adverse outcomes.

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