Resolution of Cosmetic Buttock Injection-induced Inflammatory Reaction and Heart Failure after Excision of Filler Material.
We present a case of a 66-year-old woman who developed heart failure and severe inflammatory reaction after the illicit cosmetic injections of polymethyl-methacrylate or polyacrylamide hydrogel from a primary care provider. After medical optimization, an en bloc excision of all injectable materials and gluteus muscle was performed, which resulted in exposure of bilateral sciatic nerves. Within 10 days, the patient's heart failure resolved and inflammatory state improved. This is the first known report of heart failure due to buttock injections and subsequent improvement after surgery.
Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.; and Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Chad A
CA
Purnell
Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.; and Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Julian L
JL
Klosowiak
Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.; and Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Jennifer E
JE
Cheesborough
Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.; and Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Eugene
E
Park
Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.; and Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Andrew
A
Bandy
Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.; and Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Gregory A
GA
Dumanian