Premium
Complications of injected vitamin E as a filler for lip augmentation: case series and therapeutic approach
Author(s) -
Kamouna Ban,
Darlenski Razvigor,
Kazandjieva Jana,
Balabanova Maria,
Dourmishev Lubomir,
Negentsova Zorka,
Etugov Doncho,
Mirchevska Biljana,
Tsankov Nikolai
Publication year - 2015
Publication title -
dermatologic therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.595
H-Index - 68
eISSN - 1529-8019
pISSN - 1396-0296
DOI - 10.1111/dth.12203
Subject(s) - medicine , erythema , dermatology , cosmetic techniques , filler (materials) , edema , complication , abscess , surgery , materials science , composite material
The strive for proficient cosmetic facial appearance is growing in the past decades. Fillers for tissue augmentation are gaining wide popularity. Uncertified products based on oleic solutions are applied by untrained staff, thus growing the risk for certain complications such as infections, allergic and irritant contact dermatitis, and lipogranuloma formation. We present a series of three cases lipogranuloma after liquid vitamin E injection for lip augmentation. In all cases, painful edema at the injected area followed the procedure. The patients were presented with erythema, firm indurations of the lips and the perioral skin, and tenderness. Histological examination of skin biopsies showed round‐ovoid cavities of varying sizes, resulting in a S wiss cheese‐like appearance, consistent with a lipogranuloma. In this paper, we propose a protocol for treatment of this specific complication with systemic corticosteroids and a broad spectrum antibiotics.