Journal of Cutaneous and Aesthetic Surgery
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CASE REPORT
Year : 2010  |  Volume : 3  |  Issue : 3  |  Page : 162-166

Facial granulomas secondary to injection of semi-permanent cosmetic dermal filler containing acrylic hydrogel particles


1 Department of Dermatology, Manipal Hospital, Airport Road, Bangalore, India
2 Department of Plastic Surgery, Manipal Hospital, Airport Road, Bangalore, India
3 MS Skin Center, Cambridge Layout, Halasuru, Bangalore, India
4 Pathology and Laboratory Medicine, Columbia Asia Referral Hospital, Malleswaram, Bangalore, India

Correspondence Address:
Mukta Sachdev
Manipal Hospital, 98, Rustom Bagh, Airport Road, Bangalore - 560 017
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2077.74493

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Various reports of long-term complications with semi-permanent fillers, appearing several years after injections have created some concern about their long-term safety profile. We report a case of foreign body granuloma secondary to dermal filler containing a copolymer of the acrylic hydrogel particles, hydroxyethylmethacrylate and ethylmethacrylate, occurring 2 years after the injection. The foreign body granulomas could not be treated satisfactorily with intralesional steroids, and the patient required a surgical excision of her granulomas. The physical and psychological consequences to such patients can be quite devastating.


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