Wound Healing Society

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Foreign Body Removal Through Pretrichial Approach.
Seung Han Song, Su Yeon Bae, Chang Hwan Ahn.
Chungnam National University Hospital, Daejeon, Korea, Republic of.

BACKGROUND After unlicensed filler injection, some patients may have problems with contour irregularity. Since forehead is exposed and the lesions are likely extensive, complete surgical removal may be difficult. In addition, pharmacological treatments such as steroids may have a temporary effect. We report satisfactory results after foreign body removal combined with the subcutaneous forehead lift.
METHODS
From January 2016 to December 2017, Seven patients with the previous history of unauthorized dermal filler injection were included in this study and age range was between 42 - 65 years (mean age was 53). The average follow-up period was 15 months. Operation methods are that first, forehead flap is dissected meticulously under subcutaneous plane through the pretrichial incision. After removal of the exposed foreign body as efficient as possible, the remaining skin was removed from the top to tighten the skin. Simultaneously, if there is the foreign body in the glabella area, because of restrictions on approaching glabella area, it is suctioned after tumescent solution injection through needle puncture located on both medial eyebrows.
RESULTS The procedure was successful in all patients. Any complications such as skin necrosis, infection, hematoma and wound dehiscence were not observed during the follow-up period. The functional and aesthetic outcome was all satisfactory in all patients.
CONCLUSIONS
The procedure was successful in all patients. Any complications such as skin necrosis, infection, hematoma and wound dehiscence were not observed during the follow-up period. The functional and aesthetic outcome was all satisfactory in all patients.
LEGENDFig.1Fig.2


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