Early lipogranuloma formation after foreign material injection to the face

Abstract

Aging is a physiological process that progresses both physically and mentally. In today's conditions, there are medical devices and cosmetic procedures that support the external appearance and make the person feel good socially in order to age well. Over the years, thanks to the advancing technology, different solutions have been developed to compensate the loss of facial volume due to aging. Although the use of dermal fillers increases with each passing year, their excessive costs, and the need for periodic repetition force people to seek different and unhealthy solutions. In this study, we present a 32-year-old female patient who was injected with egg white in both nasolabial folds and presented with widespread redness and tenderness on the face. Surgical excision was performed after systemic corticosteroid therapy. The patient's granulomas excised from the mouth were reported as lipogranuloma by the pathology department. The frequency of foreign substance injections for cosmetic purposes has increased in recent years. Early diagnosis and follow-up is critical in the treatment of these cases.

Keywords

• Lipogranulom
• Foreign body reaction
• Facial volume loss

Yüze yabancı madde enjeksiyonu sonrası erken lipogranüloma oluşumu

Öz

Yaşlanma hem fiziksel hem de ruhsal olarak ilerleyen, fizyolojik bir süreçtir. Günümüz şartlarında güzel bir şekilde yaşlanmak için, dış görünümü destekleyen ve kişinin kendini sosyal olarak iyi hissetmesini sağlayan medikal cihazlar ve kozmetik prosedürler mevcuttur. Gelişen teknoloji sayesinde yıllar içinde, yaşlanma nedeni ile olan yüzdeki volüm kaybını kompanse etmek için farklı çözümler türemiştir. Dermal dolguların kullanım sıklığı her geçen yıl artsa da, yüksek maliyetleri ve belli aralıklarla tekrarlanma gereksinimleri insanları farklı ve sağlıksız çözümler aramaya itmektedir. Bu çalışmada her iki nazolabial katlantıya yumurta akı enjekte edilen, yüzde yaygın kızarıklık ve hassasiyet ile başvuran, 32 yaşında bir kadın hastayı sunduk. Hastaya sistemik kortikosteroid tedavisinin ardından cerrahi eksizyon yapıldı. Hastanın ağız içinden eksize edilen granülomları patoloji sonucuna göre lipogranülom olarak belirlendi. Yüze kozmetik amaçlı yapılan yabancı madde enjeksiyonların sıklığı son yıllarda artış göstermektedir. Bu olguların tedavisinde erken tanı ve takip kritik önem taşımaktadır.

Anahtar Kelimeler

• Lipogranülom
• Yabancı cisim reaksiyonu
• Yüzde volüm kaybı

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