1. Delayed hypersensitivity reaction from microneedling twenty years after silicone fillers.
- Author
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Ahn, Grace S., Ting, Michelle, Liu, Catherine Y., Korn, Bobby S., and Kikkawa, Don O.
- Subjects
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DELAYED hypersensitivity , *RADIODERMATITIS , *SILICONES , *NEEDLES & pins , *CONTACT dermatitis , *ACNE , *MICRONEEDLING - Abstract
Skin rejuvenation procedures have increasingly flooded the aesthetic market, one of which includes microneedling. In microneedling, multiple fine punctures of the skin are performed with a needle to induce neocollagenesis. Microneedling has increasingly been used to treat inflammatory acne, acne scarring, photodamaged skin, and even radiation dermatitis. We present a patient with a stable history of liquid injectable silicone (LIS) given 20 years prior who developed chronic periocular and facial hypersensitivity after undergoing microneedling at a medi-spa. Long-term steroids and immunosuppressants were needed for control. The patient's severe reaction and resistance to treatment highlights the potential complications of microneedling administered by a non-medical professional in the setting of prior injectable silicone. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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