Abstract：
:Foreign body granulomas can develop even several years after autologous fat or filler injection. In some instances the foreign body granulomas have been found at sites other than the original injection site. We present a case of a 48-year-old male with reported "hyaluronic acid fillers" injected into his upper and lower eyelids several years prior. He subsequently developed periorbital swelling with negative allergic and rheumatologic workup. The patient ultimately underwent a blepharoplasty for improvement of the swelling. Histopathology suggested silicone granulomas of the upper and lower eyelid. This case illustrates the importance of keeping foreign body granulomas on the differential for all patients with a history of facial dermal filler injections. Although hyaluronic acid is the most common dermal filler, providers should suspect the use of other dermal fillers including those not FDA approved particularly when common conservative treatment methods are not sufficient.
journal_name
Am J Otolaryngoljournal_title
American journal of otolaryngologyauthors
Wulu JA,Garcia-Rodriguez L,Prilutskiy A,Spiegel JHdoi
10.1016/j.amjoto.2019.05.010subject
Has Abstractpub_date
2019-01-01 00:00:00pages
776-778issue
5eissn
0196-0709issn
1532-818Xpii
S0196-0709(19)30395-3journal_volume
40pub_type
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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