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Infraorbital Subcutaneous Intravascular Lobular Capillary Hemangioma After Rhinoplasty
Benedict Kaiser1, Obinna Chijioke2, Elisabeth Bruder2
1From the Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery.
Insights
A rare case of subcutaneous intravascular lobular capillary hemangioma (LCH) was diagnosed after rhinoplasty. This benign vascular tumor, also known as pyogenic granuloma, highlights a potential late complication of cosmetic surgery.
Area of Science:
- Vascular Surgery
- Dermatopathology
- Plastic Surgery
Background:
- Lobular capillary hemangioma (LCH), or pyogenic granuloma, is a common benign vascular tumor.
- LCH typically affects superficial cutaneous, mucosal, or subcutaneous tissues.
- Subcutaneous and intravascular LCH are exceptionally rare presentations.
Background:
Lobular capillary hemangioma (LCH; also referred to as pyogenic granuloma) is a common benign vascular tumor that is characterized by proliferation of capillaries with a lobular architecture. Lobular capillary hemangioma can involve superficial cutaneous, mucosal, or subcutaneous structures; the subcutaneous and intravascular variant is very rare.
Methods:
A 26-year-old female patient presented with a small infraorbital mass that was slowly growing within the last 6 months. She reported no pain but an uncomfortable feeling of pressure in this area. Six months before symptom onset, the patient had undergone a closed rhinoplasty with osteotomies without any reported complication.
Results:
An excisional biopsy was performed via a transconjunctival approach, and the histopathological findings were characteristic for a subcutaneous intravascular LCH. At the 3-month follow-up, the patient was asymptomatic with no evidence of a recurrent lesion.
Conclusion:
To our knowledge, this is the first report of a subcutaneous intravascular LCH after rhinoplasty. We would like to draw the attention of stakeholders to this rare condition and raise awareness among clinicians to what seems to be a late finding after rhinosurgery.
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