98%
921
2 minutes
20
Noninflammatory nodules arising from the injection of biostimulatory fillers persist as an unwanted complication. Pathologically, noninflammatory nodules may arise from superficial injection, accidental boluses, or incorrect concentration of microparticles contained within the filler. This case report introduces a method for reversing calcium hydroxylapatite (CaHA) using focused mechanical vibration. An in situ hyperdilution was created by injecting saline into the nodule core to prepare it for resuspension. Topical microneedling was subsequently applied to generate vibrations, aiming to disperse the accumulated CaHA particles. The outcome demonstrated a significant reduction in the size and visibility of the nodule. This combined saline-microneedling approach offers a potential noninvasive, nonpharmacologic solution for managing superficial CaHA nodules.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11033680 | PMC |
http://dx.doi.org/10.1093/asjof/ojae018 | DOI Listing |
J Cosmet Dermatol
August 2025
Department of Dermatology, Mayo Clinic, Scottsdale, Arizona, USA.
Background: Calcium hydroxylapatite (CaHA) is a biostimulatory filler frequently used in a hyperdilute form to improve skin quality. While generally safe, nodule formation is the most common adverse event, particularly in dynamic areas.
Aims: To describe a case of delayed-onset CaHA nodules in the neck and review anatomical and procedural factors contributing to this complication, as well as prevention and management strategies.
Aesthet Surg J
July 2025
Medical doctor in private practice in Cheshire, UK.
Biostimulants, including calcium hydroxyapatite (CaHA), poly-L-lactic acid (PLLA), and polycaprolactone (PCL), have become popular in aesthetic medicine as they lead to long-term tissue rejuvenation. However, their efficacy (e.g.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
April 2025
From the Plastic Surgery Department, Hotel Dieu de France University Hospital, Saint Joseph University, Beirut, Lebanon.
Calcium hydroxyapatite (CaHA) is a widely used biostimulatory filler for facial rejuvenation. Although it has a favorable safety profile, complications such as nodules, granulomas, and fibrosis can occur. The use of CaHA in the periorbital region remains limited due to safety concerns, and few reports have detailed its complications in this delicate area.
View Article and Find Full Text PDFAesthetic Plast Surg
May 2025
Research and Innovation Hub, Innovation Aesthetics, London, WC2H 9JQ, UK.
Introduction: Aesthetic medicine has evolved towards minimally invasive procedures, with biostimulators like Poly-L-Lactic Acid (PLLA), Calcium Hydroxylapatite (CaHA), and Polycaprolactone (PCL) gaining attention for their role in collagen induction, improving skin texture, elasticity, and volume. Combining these agents with other treatments-such as botulinum toxin, dermal fillers, and energy-based devices (e.g.
View Article and Find Full Text PDFAesthetic Plast Surg
February 2025
Department of Facial Plastic & Cranio-Maxillo-Facial Surgery, Fakih Hospital, Khaizaran, 00000, Lebanon.