alexa Migrated periocular filler masquerading as arteriovenous malformation: a diagnostic and therapeutic dilemma.


Journal of Clinical & Experimental Dermatology Research

Author(s): Malik S, Mehta P, Adesanya O, Ahluwalia HS

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Abstract Migration of dermal filler is a rare complication in the periocular area. We describe a case that highlights the diagnostic and therapeutic dilemmas posed. A patient presented with a bluish swelling involving the left brow, temple, and glabella. It was ill-defined, mobile, and nontender. An MRI suggested a vascular malformation, while an ultrasound suggested a dermoid. On further questioning, the patient revealed having a permanent polyalkylimide filler injected to the glabella 10 years ago. This raised the possibility of delayed migration. The eyebrow, temple, and glabella were explored through a skin-crease incision. Transparent gel was expressed and cicatrized granulomas were excised. The patient made an excellent recovery through an inconspicuous incision. This case emphasizes the importance of taking a detailed history and revisiting the diagnosis, if necessary. We describe a relatively scar-free approach to remove widely distributed migrated fillers. Clinical and radiologic features of migrated filler can mimic tumor. This article was published in Ophthal Plast Reconstr Surg and referenced in Journal of Clinical & Experimental Dermatology Research

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