Клинический случай: перифолликулит после проведения мезотерапии

Mesotherapy – This is a procedure for delivering vitamins, trace elements and plant extracts directly into the dermis through injections. Its goal is facial rejuvenation. The procedure is considered one of the easiest in injection cosmetology, however, sometimes complications may occur after it. To avoid them, it is very important to adhere to asepsis rules and use only certified, proven preparations.

This article on estet-portal.com presents a case of rapid development of perifolliculitis after mesotherapy.

Why mesotherapy is not FDA approved

During mesotherapy, multiple intradermal injections of homeopathic substances, vitamins and plant extracts are performed.

Read also: Beauty injections: what is the difference between mesotherapy and biorevitalization

Mesotherapy first appeared in Europe and has not yet been approved by the FDA, but is gaining popularity as an alternative cosmetic procedure for a variety of purposes including:

lipolysis;
  • correction of body contours;
  • eliminate stretch marks;
  • acne scar treatment;
  • skin rejuvenation.
    • Why didn't mesotherapy get FDA approval? It is difficult to name the exact reason, but this is probably due to the lack of sufficient research confirming the effectiveness and safety of the procedure.
Despite the illusory ease of mesotherapy, it can also

complications. Clinical case: perifolliculitis after mesotherapy

A 36-year-old woman presented to the emergency department with a

itchy, painful rash on her face, chest, and neck

lasting 2 weeks. The rash occurred 3 days after the patient received mesotherapy with an unknown cosmetic rejuvenation substance (the rash was localized only at the injection sites).

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Telegram! Physical examination revealed numerous

4 to 5 mm

erythematous papules in a grid pattern all over the face, neck and chest. There were no pustules or nodules. There was no discharge, crusting, secondary lesions, and lymphadenopathy.  

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A 4 mm needle biopsy from a representative papule on the right lateral side of the neck showed a

perifollicular and perivascular lymphohistiocytic infiltrate

with some focal granulomatous changes. No foreign body was found. Bacterial, fungal, mycobacterial cultures were obtained, the results of which were negative.

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Cosmetologist shared his TOP home care products Differential diagnosis of perifolliculitis after mesotherapy was carried out with mycobacterial infection and granulomatous reaction.

Patient Treatment Protocol

:

40 mg oral prednisolone once daily tapered over 3 weeks;
  • triamcinolone cream 0.1% 2-4 times a day as needed.
    • 2 months after the start of treatment, the patient's condition returned to normal.

Mesotherapy – it is a promising technique as it is minimally invasive and promises good aesthetic results.

Due to
lack of regulation in procedure protocols

there are reports of side effects after mesotherapy, such as pain, allergic reactions, urticaria, panniculitis, ulceration, hair loss, necrosis, etc. More serious side effects have also been reported, such as permanent scarring, deformities, delirium, and massive subcutaneous emphysema. In this regard, the mesotherapy procedure should be carried out

carefully

, following all safety rules and choosing only reliable products.

Adapted from MDedge.

 

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