Displacement of Hyaluronic Acid Dermal Filler Mimicking a Cutaneous Tumor: A Case Report

Abstract

There has been considerable growth in the number of cosmetic injectable procedures in recent years. Consequently, physicians in general are seeing a greater number of patients who have previously had cosmetic implants. These patients often fail to mention or do not admit to having had previous cosmetic procedures, conditions that should be noted in their medical histories. In this article, the authors report a rare case of hyaluronic acid filler displacement resulting from injection in the nasal radix region that had been administered 10 months prior, which the patient failed to mention. The filler migration mimicked facial tumors, entangling an otherwise easy case and it was only recognized with the use of dermatological ultrasound. This serves as a warning and a reminder to include complications from cosmetic procedures in diagnostic hypotheses. Physicians need to be vigilant, question their patients' medical histories, and be familiar with diagnostic imaging options. The presence of dermal fillers should always be considered in cutaneous tumor lesions, since they can last for months to years, or be present in locations distant from the site of application.

Global facial rejuvenation with hyaluronic acid: a safe set of directives to whole-approach of the aging-changes evaluated by magnetic resonance imaging

“…Moreover, the high cohesivity and viscosity of the SubQ, Deep and Fine products avoided gel migration in a site remote from the primary injection. 17 Long-lasting of the QTFill Signature ® range was demonstrated by no significant changes on the face appearance and by density and homogeneity of the gel-diffusion displayed in MRI, showing that the products remained stable in the injection site without significant evidence of resorption or loss of correction, from month-one to month-twelve. The products with high-G', medium-G' and low-G' of the QTFill Signature ® range created by tree BDDE degrees, own crosslinking technology and same HA-concentration targeted them to specific facial zones.…”