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Related Experiment Videos

Oil-soluble vitamins: illegal use for lip augmentation.

B Kamouna1, J Kazandjieva1, M Balabanova1

  • 1Department of Dermatology and Venerology, Faculty of Medicine, University of Sofia, Sofia, Bulgaria.

Facial Plastic Surgery : FPS
|December 24, 2014
PubMed
Summary

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Unprofessional lip augmentation using vitamins A and E from capsules caused severe lip swelling and pain in six young women. These cases highlight the risks of using unapproved fillers injected by untrained individuals.

Area of Science:

  • Dermatology
  • Cosmetic Surgery
  • Pathology

Background:

  • Lip augmentation using fillers is increasingly popular in cosmetic procedures.
  • Vitamins A and E, extracted from oral capsules, have been used as injectable lip fillers.
  • The use of unregistered products and non-specialist injectors poses potential health risks.

Observation:

  • Six young female patients presented with significant lip swelling and pain post-injection.
  • Physical examination revealed firm lip indurations, tenderness, erythema, and dermal nodules.
  • Histological analysis confirmed lipogranulomas with a characteristic 'Swiss cheese' appearance.

Findings:

  • Injected vitamins A and/or E, extracted from oral capsules, were identified as the cause of lip granulomas.

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  • The procedures were performed by unprofessional physicians and beauticians in various cosmetic centers.
  • Patients experienced adverse reactions including massive swellings and pain.

    • Implications:

    • This study underscores the dangers associated with using unapproved substances as cosmetic fillers.
    • It highlights the critical need for qualified practitioners and regulated products in aesthetic medicine.
    • Early diagnosis and treatment with corticosteroids and antibiotics can lead to good clinical outcomes for lipogranulomas.