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Filler Migration and Granuloma Formation After Gluteal Augmentation with Free-silicone Injections
Alexander Leyva1, Tri Tran2, Andrew T Cibulas3
1Radiology, Florida Hospital, Winter Park, USA.
Cureus
|November 17, 2018
Summary
Free-silicone injections for gluteal augmentation can lead to complications like filler migration. This case highlights painful migration to the knee with granuloma formation after such injections.
Area of Science:
- Plastic Surgery
- Radiology
- Dermatology
Background:
- Gluteal augmentation utilizes diverse methods, including implants, fat grafting, and fillers.
- Permanent filler injections, specifically free-silicone, present significant risks.
- Complications include filler migration and painful soft tissue reactions.
Observation:
- A patient presented with painful symptoms localized to the knee.
- Imaging revealed granuloma formation at the knee.
- The patient had a history of free-silicone gluteal injection.
Findings:
- Free-silicone filler migrated from the gluteal region to the knee.
- Granuloma formation occurred at the site of filler migration.
- This migration caused significant pain and reactive soft tissue changes.
Implications:
- Radiologists play a crucial role in diagnosing complications of illicit cosmetic procedures.
- Early diagnosis aids clinicians in managing silicone filler migration.
- Understanding migration patterns is vital for patient safety and treatment strategies.
Keywords:
adulterated siliconefiller migrationfree siliconegluteal augmentationgranuloma formationgranulomasliquid siliconesilicone injectionssilicone migrationMore Related Videos
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