Late-onset facial abscess formation after cosmetic soft tissue augmentation with bio-alcamid.
Bio-Alcamid (BA) (polyalkylimide) was introduced in Europe in 2001. It is a nonresorbable injectable filler for soft tissue augmentation, indicated for a wide variety of clinical applications in reconstructive and cosmetic surgery in conditions where subcutaneous volumetric compensation is required. Although BA biocompatibility was approved by a European Union Certificate (CE), the substance is not a natural component of biologic tissues, and thus inflammation and infection are still potential risks. The authors present a case of BA infection after minor trauma 3 years after bilateral injections to the malar regions in a 43-year-old woman, causing an abscess that required surgical drainage and parenteral antibiotics.
Goldan
Oren
O
Department of Plastic and Reconstructive Surgery, The Chaim Sheba Medical Center, Israel.
Georgiou
Ioannis
I
Farber
Nimrod
N
Winkler
Eyal
E
Haik
Josef
J
Orenstein
Arie
A