Isernia M, Ball E, Pérez-Alfonzo R

Language: Spanish
References: 4
Page: 162-164
PDF size: 327.79 Kb.

ABSTRACT

Facial lipogranulomas are an inflammatory granulomatous reaction in the reticular dermis and subcutaneous tissue associated with the injection of lipids or oily substances. Autologous facial fat injection is a widely used technique for facial enhancement and remodeling. It is a 44-year-old male patient who was performed in November 2015, blepharoplasty POT + otoplasty + autologous abdominal fat lipotransferment towards the frontal region, nasogenic groove, cheekbones, eyebrows and crow’s feet. Three months later, it presents with edema and erythematous nodules in infiltrated areas. Paraclinics are reported that report within normal limits, mycological culture and for negative mycobacteria. Histopathological study revealed inflammatory infiltrate in the reticular dermis surrounding cutaneous appendages formed by lymphocytes and histiocytes. Treatment begins with oral steroids, intralesional steroids and hydroxychloroquine with excellent clinical improvement.

REFERENCES

1. Sa HS, Woo KI, Suh YL, et al. Periorbital lipogranuloma: a previously unknown complication of autologous fat injections for facial augmentation. Br J Ophthalmol. 2011; 95 (9): 1259-1263.

2. Park YR, Choi J, La YT. Periorbital lipogranuloma after cryopreserved autologous fat injection at forehead: unexpected complication of a popular cosmetic procedure. Can J Ophthalmol. 2013; 48 (6): e166-e168.

3. Park HE, Kim HT, Lee CH, et al. Delayed lipogranuloma of the cheek following autologous fat injection: report of 2 cases. Int J Clin Exp Pathol. 2014; 7 (9): 6391-6394.

4. Zhang F, Chen Y. Lipogranuloma after facial cosmetic procedures. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017; 123 (4): e123-e132.