Injectable fillers have long been used for cosmetic purposes and in HIV induced lipodystrophy patients. A foreign body granuloma may be a side effect of the application of absorbable products/temporary and most often the nonabsorbable/permanent fillers. It is not possible to predict the formation of these granulomas, and it may occur regardless of the application technique. In this article we describe the surgical treatment of a patient with multiple granulomas caused by intradermal injection of PMMA in the face, with poor response to conservative treatments, and severe psychosocial impairment due to this unsightly and disfiguring complication.

Keywords: POLYMETHYL METHACRYLATE; GRANULOMA; AMBULATORY SURGICAL PROCEDURES

Factitious panniculitis can be triggered by subcutaneous injections of substances linked to esthetic procedures. A case diagnosed and treated as chronic erythema nodosum manifested nodule five years later, with the anatomopathological study suggesting atypical lipomatous tumor. After resection of the lesion, histology showed steatonecrosis, compatible with lobular panniculitis. Magnetic resonance imaging examination revealed the presence of a liquid substance in the gluteal region, favoring the diagnostic suspicion of factitious panniculitis. The patient admitted to having undergone silicone injection in this region in the past, with additional findings arising from the histological review confirming this hypothesis. The late complication linked to injections of cutaneous filling material motivated the present study.

Keywords: Erythema chronicum migrans; Panniculitis; Silicones

Scalp folliculitis is a common condition in dermatological practice and a diagnostic and therapeutic challenge. The authors describe a case of chronic suppurative folliculitis in a 53-year-old man who had bore the condition for 18 years. The control of chronic staphylococcal infection with sulfamethoxazole-trimethoprim for 7 months, with progressive shaving of keloid lesions (5 sessions) and application of 90% trichloroacetic acid on wounds up until re-epithelialization (7 months), were successful in treating the disease.

Keywords: Folliculitis; Staphylococcus aureus; Trichloroacetic acid