Energy‐Based Device Management of Nodular Reaction Following Poly‐D, L‐Lactic Acid Injection for Tear Trough Rejuvenation

ABSTRACT Background Poly‐D,L‐lactic acid (PDLLA) is used for tear trough rejuvenation but can cause complications like nodular reactions. This report describes using a radiofrequency device to manage these nodules. Case Presentation A 42‐year‐old woman developed firm, non‐inflammatory nodules 3 week...

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Published in:Journal of cosmetic dermatology Vol. 24; no. 1; pp. e16575 - n/a
Main Authors: Seo, Suk Bae, Wan, Jovian, Yi, Kyu‐Ho
Format: Journal Article
Language:English
Published: England John Wiley and Sons Inc 01.01.2025
Subjects:
Adult
adverse effect
Clinical
Cosmetic Techniques - adverse effects
dermal filler
Dermal Fillers - administration & dosage
Dermal Fillers - adverse effects
Female
Humans
nodule
Polyesters - administration & dosage
Polyesters - adverse effects
polylactic acid
Radiofrequency Therapy - instrumentation
Rejuvenation
Skin Aging
Treatment Outcome
polylactic acid
nodule
adverse effect
rejuvenation
dermal filler
ISSN:1473-2130, 1473-2165, 1473-2165
Online Access:Get full text
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Summary:ABSTRACT Background Poly‐D,L‐lactic acid (PDLLA) is used for tear trough rejuvenation but can cause complications like nodular reactions. This report describes using a radiofrequency device to manage these nodules. Case Presentation A 42‐year‐old woman developed firm, non‐inflammatory nodules 3 weeks after receiving PDLLA (Juvelook) injections in the tear trough area. The nodules were firm and not associated with erythema or tenderness. Intervention The monopolar radiofrequency device was used directly on the nodules with 150 shots at an energy level 115 J, 28.75 J/cm². The treatment resulted in complete resolution of the nodules within 24 hours. Results The radiofrequency treatment effectively resolved the nodular reaction without recurrence, highlighting the device's compatibility with the unique structure of Juvelook's PDLLA. Conclusion Radiofrequency therapy is effective for managing nodular reactions following PDLLA injections. Further research is needed to optimise protocols and improve the safety of biostimulator treatments in cosmetic procedures.
Bibliography:The authors received no specific funding for this work.
Funding
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Funding: The authors received no specific funding for this work.
ISSN:1473-2130
1473-2165
1473-2165
DOI:10.1111/jocd.16575