Foreign Body Granulomas after the Use of Dermal Fillers: Pathophysiology, Clinical Appearance, Histologic Features, and Treatment

A foreign body granuloma is a non-allergic chronic inflammatory reaction that is mainly composed of multinucleated giant cells. Foreign body granulomas may occur after the administration of any dermal filler. Factors such as the volume of the injection, impurities present in the fillers, and the phy...

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Main Authors: Jeong Min Lee, Yu Jin Kim
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2015-03-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2015.42.2.232
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author Jeong Min Lee
Yu Jin Kim
author_facet Jeong Min Lee
Yu Jin Kim
author_sort Jeong Min Lee
collection DOAJ
description A foreign body granuloma is a non-allergic chronic inflammatory reaction that is mainly composed of multinucleated giant cells. Foreign body granulomas may occur after the administration of any dermal filler. Factors such as the volume of the injection, impurities present in the fillers, and the physical properties of fillers affect granuloma formation. The formation of granulomas involves five phases: protein adsorption, macrophage adhesion, macrophage fusion, and crosstalk. The clinical and pathologic features of granulomas vary depending on the type of filler that causes them. Foreign body granulomas can be treated effectively with intralesional corticosteroid injections. Surgical excisions of granulomas tend to be incomplete because granulomas have ill-defined borders and moreover, surgical excisions may leave scars and deformities.
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spelling doaj.art-38b29f15cf4c4eda82ccd8f0794e967a2022-12-22T04:02:01ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712015-03-01420223223910.5999/aps.2015.42.2.232486Foreign Body Granulomas after the Use of Dermal Fillers: Pathophysiology, Clinical Appearance, Histologic Features, and TreatmentJeong Min Lee0Yu Jin Kim1Department of Plastic and Reconstructive Surgery, Gachon University Gil Medical Center, Incheon, KoreaDepartment of Plastic and Reconstructive Surgery, Gachon University Gil Medical Center, Incheon, KoreaA foreign body granuloma is a non-allergic chronic inflammatory reaction that is mainly composed of multinucleated giant cells. Foreign body granulomas may occur after the administration of any dermal filler. Factors such as the volume of the injection, impurities present in the fillers, and the physical properties of fillers affect granuloma formation. The formation of granulomas involves five phases: protein adsorption, macrophage adhesion, macrophage fusion, and crosstalk. The clinical and pathologic features of granulomas vary depending on the type of filler that causes them. Foreign body granulomas can be treated effectively with intralesional corticosteroid injections. Surgical excisions of granulomas tend to be incomplete because granulomas have ill-defined borders and moreover, surgical excisions may leave scars and deformities.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2015.42.2.232granuloma, foreign-bodyhyaluronic acidcollagensilicone gels
spellingShingle Jeong Min Lee
Yu Jin Kim
Foreign Body Granulomas after the Use of Dermal Fillers: Pathophysiology, Clinical Appearance, Histologic Features, and Treatment
Archives of Plastic Surgery
granuloma, foreign-body
hyaluronic acid
collagen
silicone gels
title Foreign Body Granulomas after the Use of Dermal Fillers: Pathophysiology, Clinical Appearance, Histologic Features, and Treatment
title_full Foreign Body Granulomas after the Use of Dermal Fillers: Pathophysiology, Clinical Appearance, Histologic Features, and Treatment
title_fullStr Foreign Body Granulomas after the Use of Dermal Fillers: Pathophysiology, Clinical Appearance, Histologic Features, and Treatment
title_full_unstemmed Foreign Body Granulomas after the Use of Dermal Fillers: Pathophysiology, Clinical Appearance, Histologic Features, and Treatment
title_short Foreign Body Granulomas after the Use of Dermal Fillers: Pathophysiology, Clinical Appearance, Histologic Features, and Treatment
title_sort foreign body granulomas after the use of dermal fillers pathophysiology clinical appearance histologic features and treatment
topic granuloma, foreign-body
hyaluronic acid
collagen
silicone gels
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2015.42.2.232
work_keys_str_mv AT jeongminlee foreignbodygranulomasaftertheuseofdermalfillerspathophysiologyclinicalappearancehistologicfeaturesandtreatment
AT yujinkim foreignbodygranulomasaftertheuseofdermalfillerspathophysiologyclinicalappearancehistologicfeaturesandtreatment