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Ultrasound‐guided poly‐l‐lactic acid nodule excision: The importance of the injector ultrasonographic experience
Author(s) -
Bravo Bruna Souza Felix,
Melo Carvalho Raquel,
Souza Eduardo,
Vargas Thiago Jeu De Souza,
Bravo Leonardo Gonçalves
Publication year - 2021
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/jocd.13527
Subject(s) - medicine , ultrasound , nodule (geology) , high frequency ultrasound , radiological weapon , clips , radiology , surgery , complication , surgical excision , paleontology , biology
The possibilities for facial and body treatments are wide, but when it comes to treatment for the cervical region, the options are more restricted and among them, the use of poly‐l‐lactic acid (PLLA) stands out. PLLA is used for collagen biostimulation and improvement of skin turgor with good results; however this procedure is not free of complications, and for the treatment of these, a correct diagnosis is essential. As it is esthetic medicine, the guarantee of results requires that complications are not tolerated, and thus, any resource that enriches the diagnostic and therapeutic arsenal is of great value. The objective of this study is to report the diagnosis of a PLLA nodule with the help of high‐frequency ultrasound, establishing a clinical, radiological, and histopathological correlation, in a patient submitted to PLLA injection for esthetic improvement of the cervical region. We present a case in a female patient presenting a nodule in the cervical region after the application of PLLA, where we performed the excision guided by high‐frequency ultrasound. Mastering the diagnostic technique with high‐frequency ultrasound can play a valuable role in indicating early surgical exeresis, also contributing to complete patient care. It allows the application of the product, monitoring, diagnosis of the complication, and treatment to be carried out dynamically and precisely by the injector.