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Imaging of Malar Silastic Implant Complications
Vincent F Carfagno1, Zahivette Lopez Ramos2, Eleazar Fierro2
1MSIII, Midwestern University Arizona College of Osteopathic Medicine, Glendale, USA.
Cureus
|March 16, 2023
Summary
Facial cosmetic implants can cause rare but serious complications like infection and sinus migration. Diagnostic imaging is crucial for identifying these issues in patients experiencing symptoms.
Area of Science:
- Plastic Surgery
- Radiology
- Medical Imaging
Background:
- Facial cosmetic implants are widely used for aesthetic enhancement of the malar, mandibular, and nasal areas.
- While generally safe, complications such as malpositioning, infection, and abscess formation can occur.
Observation:
- A case of a 69-year-old female with bilateral malar silicone implants presented with left malar erythema and edema.
- Imaging revealed edema and soft tissue infection signs surrounding a maxillary implant.
Findings:
- The diagnostic imaging demonstrated penetration of the malar implant into the left maxillary sinus.
- This case highlights intrasinus migration as a rare but significant complication of malar implants.
Implications:
- Radiologists must be adept at recognizing and interpreting complications associated with facial cosmetic implants on diagnostic imaging.
- Familiarity with these imaging findings aids in timely diagnosis and management of patient conditions.
