title: Eyelid mass secondary to injection of calcium hydroxylapatite facial filler.
abstract: A 37-year-old woman presented with a 2-month history of fullness and ptosis of the left upper eyelid. Examination revealed a 6-cm x 2-cm mass in the left brow and upper eyelid, and a diffuse mass in the lower eyelid. Marked ptosis of the left upper eyelid and elevation of the left lower eyelid were noted. CT showed masses with a bone-like density in the left eyelid and periorbital soft tissue. A through history revealed that the patient had received calcium hydroxylapatite filler injection for nose augmentation 3 days prior to the development of the eyelid masses. The eyelid masses were excised and pathologically confirmed as calcium hydroxylapatite microspherules surrounded by collagen and histiocytes. Two months after surgery, the eyelid masses and ptosis of the left upper eyelid were completely resolved. To our knowledge, this is the first reported case of eyelid mass after injection of calcium hydroxylapatite facial filler for nose augmentation.
authors.affiliation: Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea.
authors.forename: Min Joung
authors.initials: MJ
authors.lastname: Lee
authors.forename: Mi Sun
authors.initials: MS
authors.lastname: Sung
authors.forename: Nam Ju
authors.initials: NJ
authors.lastname: Kim
authors.forename: Ho-Kyung
authors.initials: HK
authors.lastname: Choung
authors.forename: Sang In
authors.initials: SI
authors.lastname: Khwarg
mesh_terms: D000328:Adult; D001672:Biocompatible Materials / Q000009:adverse effects*; D001763:Blepharoptosis / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D003357:Cosmetic Techniques; D017886:Durapatite / Q000009:adverse effects*; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007267:Injections; D009666:Nose; D015595:Skin Aging / Q000187:drug effects*; D014057:Tomography, X-Ray Computed
chemical_list: D001672:Biocompatible Materials; D017886:Durapatite