Late-onset facial abscess formation after cosmetic soft tissue augmentation with bio-alcamid.

Goldan, Oren; Georgiou, Ioannis; Farber, Nimrod; Winkler, Eyal; Haik, Josef; Orenstein, Arie · Aesthet Surg J · 2007

case_report · Level V

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Abstract

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.