A case of clinical observation of a patient with a granulomatous reaction developing in the region of both nasolacrimal grooves after the injection of a filler based on polycaprolactone (PCL) is presented. PCL is used in cosmetology as a filler and collagen synthesis stimulator. It is a biocompatible and biodegradable polymer with a proven safety profile. However, as with the introduction of other types of fillers, in some cases it can cause a granulomatous reaction of varying severity. The clinical observation of this case is of interest to practicing dermatologists, cosmetologists and plastic surgeons.
Along with the increasing number of injection cosmetic procedures using various excipients, the number of complications also increases. The purpose of this review is to describe the most common adverse events associated with filler injections, as well as to identify the main preventive and therapeutic strategies. The review is of interest to practicing cosmetologists, dermatologists and plastic surgeons.
Представлен клинический случай осложнения вследствие проведенной контурной пластики, успешная дифференциальная диагностика которого проводилась с помощью высокочастотного ультразвука. Данная технология становится все более распространенной в обследовании пациентов косметологического профиля не только в связи с возникновением осложнений после инъекционной терапии и для дифференциации типов наполнителей и их взаимодействия с окружающими тканями и кровеносными сосудами, но и для подготовки к последующей терапии и формированию адекватной оценки возникновения во зможных рисков. Клиническое наблюдение этого случая представляет интерес для практикующих дерматологов и косметологов.
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