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Adverse Reactions to Fillers in Men: A Retrospective Study of Epidemiological and Clinical Characteristics and the Usefulness of Diagnostic Ultrasound Complicaciones de rellenos (fillers) en hombres. Estudio retrospectivo de las características epidemiológicas y clínicas. Utilidad de la ecografía en el diagnóstico Dear Editor: Q2 The use of fillers for esthetic purposes has increased in recent years. Complications secondary to the use of permanent and nonpermanent fillers have been widely described. However, the literature on complications in men is scarce. Here, we describe the clinical and epidemiological characteristics of men with adverse reactions to fillers. We carried out a retrospective study of men with adverse reactions to fillers who visited the Dermatology Service of the Hospital Clínic de Barcelona between May 1, 2015 and October 31, 2018. Corresponding medical records, photographs, and additional tests were reviewed. Ultrasound evaluation was performed using an Esaote Mylab ClassC kit with 18-MHz and 22-MHz probes. Our analysis included 6 men (one of whom was the subject of a previous publication): 1 was transsexual; 3 were men who have sex with men (MSM); and 2 were heterosexual (Table 1). Three of the patients had human immunodeficiency virus (HIV). All had been referred from another service with different diagnoses. Adverse reactions to fillers were never suspected. The most frequent filler injection site was the buttocks (4 patients), followed by the face (2 patients). The patients reported receiving injections of hyaluronic acid (1 patient), liquid silicone (2 patients), petrolatum (1 patient), polyalkylimide (1 patient), and an

actas dermo-sifiliográficas

Complicaciones de rellenos (fillers) en hombres. Estudio retrospectivo de las características epidemiológicas y clínicas. Utilidad de la ecografía en el diagnóstico