Ultrasound‐assisted management of filler‐related complications: Report of a successful treatment of delayed‐onset nodules related to polycaprolactone‐based filler

Abstract

A 60-year-old woman underwent polycaprolactone-based filler injection in her midface. Four months later, she developed progressive swelling of midface after a self-limiting viral gastroenteritis. The diagnosis was "delayed-onset immunemediated nodule formation triggered by a virus." Ultrasonography enabled us to efficiently treat her with a tailored intralesional corticosteroid injection method.

Ultrasound-guided Treatment of Polycaprolactone Granuloma

“…1 As documented by Kalantari et al in 2021 2 and subsequent literature, 3–5 nine cases of PCL injection-related granulomas have been reported, showcasing diverse diagnostic and treatment approaches, and underscoring the complexity of this condition ( See table 1, Supplemental Digital Content 1, http://links.lww.com/PRSGO/D70). 2–5…”

“…1 As documented by Kalantari et al in 2021 2 and subsequent literature, [3][4][5] nine cases of PCL injection-related granulomas have been reported, showcasing diverse diagnostic and treatment approaches, and underscoring the complexity of this condition (See table 1, Supplemental Digital Content 1, http://links.lww.com/ PRSGO/D70). [2][3][4][5] The importance of ultrasound in aesthetic medicine has been demonstrated in diagnosing and treating filler complications. 6,7 Given this patient's clinical presentation, characterized by progressive symptoms persisting for over 12 months and unresponsiveness to four prior intralesional steroid injections, we opted for treatment with oral medications and ultrasound-guided injections.…”

Introducing an esthetic treatment of malocclusion: Ultrasound‐assisted augmentation of premaxilla with injectable hyaluronic acid filler

“…[6][7][8] With the developments of the products and procedures as well as ultrasound usage in esthetic medicine, many cosmetic treatments that could not have been done without surgery previously, now can be achieved by nonsurgical methods. 9 Correction of esthetic issues due to structural face imperfections is one of the neglected areas which can be successfully obtained by the mentioned advancements. The focus of the esthetic procedures is commonly on facial rejuvenation and volumization, 1,2,4,5 and there is a paucity of evidence regarding esthetic treatment of face structural problems.…”

“…With the developments of the products and procedures as well as ultrasound usage in esthetic medicine, many cosmetic treatments that could not have been done without surgery previously, now can be achieved by nonsurgical methods 9 . Correction of esthetic issues due to structural face imperfections is one of the neglected areas which can be successfully obtained by the mentioned advancements.…”

Ultrasound assessment of the nose vasculature: A review of the common method of non‐surgical filler‐based rhinoplasty

“…4 Accordingly, available handheld ultrasound imaging devices on the market that mostly meet the mentioned specifications can improve the efficiency and quality of aesthetic procedures and minimize their adverse events. [4][5][6] Although it has been recommended to integrate ultrasound imaging in all stages of an aesthetic practice from primary assessment and treatment planning to the management of probable complications, [4][5][6][7][8] many aesthetic practitioners still do not believe in the use of ultrasound in their routine work and keep this technology for the management of severe complications that they may face at some point. The evolution of aesthetic medicine practice is accompanied by an increasing number of complications.…”