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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(03): 310-314
DOI: 10.1055/s-0042-1748643
Cosmetic
Case Report

Midface Infection after COVID-19 Vaccination in a Patient with Calcium Hydroxylapatite Dermal Filler: A Case Report and Literature Review

Authors

  • Hong Bae Jeon

    1   Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Chungnam, Republic of Korea

  • Jae Hee Yoon

    1   Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Chungnam, Republic of Korea

  • Nam Kyu Lim

    1   Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Chungnam, Republic of Korea
    2   Department of Plastic and Reconstructive Surgery, Dankook University College of Medicine, Cheonan, Chungnam, Republic of Korea
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Abstract

The emergence of vaccines for coronavirus disease 2019 (COVID-19) raises risk of possible adverse events from interaction between the vaccines and facial aesthetic care. A 47-year-old female with no medical comorbidities visited our emergency room due to midface painful swelling after 3 hours following receiving the second dose of the messenger RNA BNT162b2 COVID-19 vaccine. About 14 years ago, she underwent nonsurgical augmentation on the nasojugal groove with a calcium hydroxylapatite dermal filler. We performed incision and drainage under general anesthesia on the next day. During operation, yellowish pus-like materials bulged out. After an operation, we performed a combination therapy with antibiotics and methylprednisolone. Her symptoms improved day by day after surgery, and then a complete recovery was achieved at 3 weeks after the treatment. In conclusion, providers of aesthetic procedures are to be aware of the potential risks of such vaccines for patients who already had or seek to receive dermal filler injections.

Keywords

COVID-19 vaccine - dermal filler - inflammation

Author Contributions

Conceptualization: N.K.L. Data curation: H.B.J., J.H.Y., and N.K.L. Formal analysis: N.K.L. Methodology: N.K.L. Project administration: N.K.L. Visualization: J.H.Y. and N.K.L. Writing-original draft: H.B.J., J.H.Y., and N.K.L. Writing-review and editing: H.B.J. and N.K.L.


Ethical Approval

This study was approved by the Institutional Review Board (IRB No. 2021–10–017).


Patient Consent

The patient provided written informed consent for the publication and the use of her images.




Publication History

Article published online:
27 May 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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