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The middle third of the face
Published in Jani van Loghem, Calcium Hydroxylapatite Soft Tissue Fillers, 2020
Steven Dayan, Thuy-Van Tina Ho, Jani van Loghem
After injection, transient swelling or bruising of the nose may be observed. The patient should be counseled that any swelling or bruising may last up to three days and is temporary. Ice packs may be applied the evening after treatment to help reduce swelling and bruising. The patient should not wear any glasses that might rest on the treated area (e.g., nasofrontal angle) for at least two weeks. The patient should be advised not to touch any of the injection port sites with unclean fingers for two hours after the treatment.
Volumetric Approach to Lower Facial Rejuvenation
Published in Neil S. Sadick, Illustrated Manual of Injectable Fillers, 2020
Robert A. Glasgold, Justin C. Cohen, Mark J. Glasgold, Sachin M. Shridharani, Jason D. Meier
After injection of HA fillers, the skin markings should be removed with alcohol. Application of ointment (Aquaphor), arnica gel, or moisturizing skin care and a gentle but firm massage is recommended to smooth out any palpable or visible lumps. Ice packs are applied to decrease swelling and bruising. Bruising, if it occurs, may take up to 7 days to completely resolve. Makeup can be applied within 2 hours after treatment.
Aesthetic
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
Pain, swelling, bruising and redness at injection sites. Reduce bruising through the following: Use fine-gauge needle (30) that is changed frequently (every three to four injections).Look carefully for visible vessels, no matter how fine, and avoid them.Avoid unnecessary medications including herbal remedies that may affect clotting (see ‘Complications’), e.g. stop aspirin 14 days prior if possible.
Spontaneous periocular ecchymosis: a major review
Published in Orbit, 2023
Matthew J. Hartley, Pav Gounder, Huw Oliphant
Periocular ecchymosis, or periocular bruising, is a common clinical finding where patients present with a variable degree of discoloration to the eyelids and periocular tissues, sometimes bilaterally. The skin of the eyelids is unique and among the thinnest in the human body.1 This, combined with an extensive vascular network with numerous anastomoses, means the periocular region is prone to bruising.2 The most common etiology is trauma including soft tissue injury, facial fractures, and skull base fractures, where mastoid ecchymosis – known as Battle’s sign – can also be observed. Various surgical and laser procedures including those performed by otolaryngologists, maxillofacial, ophthalmic, and plastic surgeons can also lead to periocular ecchymosis. The pathophysiology of bruising in these traumatic settings is crush damage and/or shearing forces to vascular beds that leads to extravasation of blood into soft periocular tissue planes.
Very severe immune aplastic anemia after mRNA vaccination against COVID-19 responds well to immunosuppressive therapy: clinical characteristics and comparison to previous reports
Published in Hematology, 2022
Suhyeon Woo, Bohyun Kim, Sang-Cheol Lee, Min-Sun Kim, Young Ahn Yoon, Young-Jin Choi
In our patient, bruising started two weeks after the first dose of vaccine, and bleeding started just after the second dose of vaccine. According to the literature, spike protein can circulate in the blood from one hour after mRNA vaccination, and the serologic response arises about three weeks after vaccination [16]. Measuring the blood spike protein antigen titer could have helped to elucidate the mechanism of AA in our patient, although false-negative results can be seen since the spike protein is a modified antigen and all testing involves the initial antigen [18]. However, the test was not performed. Based on the current literature, the possible cause of AA in our patient may have been an interaction with spike protein, a serologic response, or both when considering the time that the hematologic symptoms occurred. In this case, we should also consider the possibility that this was a spike protein-derived temporal condition mimicking AA. However, since our patient responded well to immunosuppressive treatment for AA, we thought that the possibility of true and definite AA caused by the above-mentioned possible mechanisms was high.
A systematic review of evaluating the efficacy of acne scar treatment by Fractional Laser with or without using adjunctive treatments
Published in Journal of Cosmetic and Laser Therapy, 2021
A study was conducted to compare the effectiveness of carbon laser, whether it was used alone or in combination with PRP or SC-CM, patients treated by SC-CM +FCL showed significant improvement in Icepick and rolling scars, with no improvement in Boxcar scars, while treating with PRP+FCL showed considerable improvements in all scar types. Eighty-three percent of patients treated with PRP+FCL showed moderate-to-excellent improvements, while the percentage was only 39% of patients after SC-CM +FCL (8). When using laser therapy in combination with Subcision in patients with rolling and icepick acne scars, the rate of improvement increased to 54.7% compared to 43% after treating by laser as a monotherapy. As well as the patient’s satisfaction rate was higher. FCL + subcision is safe and effective modality with better results in rolling scars, hence, subcision is a valuable method, but because of the high risk of recurrence, the effectiveness was considered as low to medium. Bruising was only seen with the combination method and lasted for 1 week in 57.0% and for 2 weeks in 43.0% of the results. Erythema was seen in both methods. Post-inflammatory pigmentation and hyperpigmentation were associated with combination method. No persistent side effects were seen after follow-up period (6 months) (17).