Long-term outcomes of surgically removed migrated polyalkylimide (bio-alcamid) filler to the periorbital area
Purpose: To report the long-term follow-up results after surgical excision of migrated Bio-Alcamid fillers to the Periorbita area. Methods: A retrospective case series of all patients who underwent surgical removal of migrated Bio-Alcamid fillers to the Periorbita area with minimal follow-up of 1 ye...
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Wolters Kluwer Medknow Publications
2019-07-01
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doaj-2953a8edbcad49509fab5cb50efb1a782021-04-02T21:04:39ZengWolters Kluwer Medknow PublicationsSaudi Journal of Ophthalmology1319-45342019-07-01333251254Long-term outcomes of surgically removed migrated polyalkylimide (bio-alcamid) filler to the periorbital areaZiyad A. AlHarbi0Hind M. Alkatan1Adel H. Alsuhaibani2Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Department of Pathology, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Corresponding author at: Department of Ophthalmology, College of Medicine, King Saud University, PO Box 245, Riyadh 11411, Saudi Arabia.Purpose: To report the long-term follow-up results after surgical excision of migrated Bio-Alcamid fillers to the Periorbita area. Methods: A retrospective case series of all patients who underwent surgical removal of migrated Bio-Alcamid fillers to the Periorbita area with minimal follow-up of 1 year from January 2009 to January 2018 was done. Results: 16 female patients (24–52 y) presented with an upper or lower eyelid swelling 3–7 years following a filler injection in the nasal bridge, temporal or malar area. All patients had surgical excision of a granulomatous mass ranging in size from 1–3.5 cm. The histopathology report revealed a giant cell reaction in all patients. Follow–up periods ranged from 1 to 8 years. One patient developed lid retraction and another had recurrence 3 years later; the remaining had an unremarkable course. Conclusions: Filler migration is one of the potential complications associated with Bio-Alcamid soft tissue injection. It is important for all physicians to assess nodules/masses/swelling in the facial area to be aware that soft tissue fillers may migrate to a location away from their intended site of injection years after the injection. Patients undergoing surgical excision tend to have favorable overall long-term outcomes in terms of aesthetics and incidence of recurrence. Keywords: Polyalkylimide, Filler, Periorbita, Permanenthttp://www.sciencedirect.com/science/article/pii/S1319453419300414 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ziyad A. AlHarbi Hind M. Alkatan Adel H. Alsuhaibani |
spellingShingle |
Ziyad A. AlHarbi Hind M. Alkatan Adel H. Alsuhaibani Long-term outcomes of surgically removed migrated polyalkylimide (bio-alcamid) filler to the periorbital area Saudi Journal of Ophthalmology |
author_facet |
Ziyad A. AlHarbi Hind M. Alkatan Adel H. Alsuhaibani |
author_sort |
Ziyad A. AlHarbi |
title |
Long-term outcomes of surgically removed migrated polyalkylimide (bio-alcamid) filler to the periorbital area |
title_short |
Long-term outcomes of surgically removed migrated polyalkylimide (bio-alcamid) filler to the periorbital area |
title_full |
Long-term outcomes of surgically removed migrated polyalkylimide (bio-alcamid) filler to the periorbital area |
title_fullStr |
Long-term outcomes of surgically removed migrated polyalkylimide (bio-alcamid) filler to the periorbital area |
title_full_unstemmed |
Long-term outcomes of surgically removed migrated polyalkylimide (bio-alcamid) filler to the periorbital area |
title_sort |
long-term outcomes of surgically removed migrated polyalkylimide (bio-alcamid) filler to the periorbital area |
publisher |
Wolters Kluwer Medknow Publications |
series |
Saudi Journal of Ophthalmology |
issn |
1319-4534 |
publishDate |
2019-07-01 |
description |
Purpose: To report the long-term follow-up results after surgical excision of migrated Bio-Alcamid fillers to the Periorbita area. Methods: A retrospective case series of all patients who underwent surgical removal of migrated Bio-Alcamid fillers to the Periorbita area with minimal follow-up of 1 year from January 2009 to January 2018 was done. Results: 16 female patients (24–52 y) presented with an upper or lower eyelid swelling 3–7 years following a filler injection in the nasal bridge, temporal or malar area. All patients had surgical excision of a granulomatous mass ranging in size from 1–3.5 cm. The histopathology report revealed a giant cell reaction in all patients. Follow–up periods ranged from 1 to 8 years. One patient developed lid retraction and another had recurrence 3 years later; the remaining had an unremarkable course. Conclusions: Filler migration is one of the potential complications associated with Bio-Alcamid soft tissue injection. It is important for all physicians to assess nodules/masses/swelling in the facial area to be aware that soft tissue fillers may migrate to a location away from their intended site of injection years after the injection. Patients undergoing surgical excision tend to have favorable overall long-term outcomes in terms of aesthetics and incidence of recurrence. Keywords: Polyalkylimide, Filler, Periorbita, Permanent |
url |
http://www.sciencedirect.com/science/article/pii/S1319453419300414 |
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