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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(03): 315-318
DOI: 10.1055/s-0042-1748644
Cosmetic
Case Report

Chronic Infection and Nodule Formation following Deoxycholate Injection

Shahab Shahid
1   St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, United Kingdom
,
Fawaz Al-Hassani
1   St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, United Kingdom
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Abstract

Aqualyx (Marllor International Ltd, Rimini, Italy) was originally developed in Italy by Professor Pasquale Motolese and has been commercially available since 2009. It is a deoxycholate, aqueous gelatinous solution mixed with saline and buffering compounds. It is the only drug approved by the European Union for the reduction in localized fat. Aqualyx is sold exclusively to doctors and nurses trained in intralipotherapy. In the case of our patient, the product administered was advertised as Aqualyx, but was not administered by a trained health professional and was administered too superficially. The patient developed severe pain following the injection and was unable to sit for several weeks. There was localized skin necrosis, and palpable collections where the injection was administered. Our initial suspicion was development of an abscess or hematoma. To characterize further, we arranged an ultrasound scan that showed a “superficial hypoechoic lesion” but no deeper infection or spread. The numerous painful nodules ruptured onto the skin surface, resulting in purulent and bleeding lesions. This case demonstrates the importance of appropriate training and competence in performing cosmetic procedures including injections and fat dissolving treatments.

Keywords

aqualyx - cosmetics - complication - training - safety

Author Contributions

Conceptualization: S.S. and F.A.-H. Funding acquisition: No funding for study. Methodology: S.S. and F.A.-H. Writing-original draft: S.S. and F.A.-H. Writing-review and editing: S.S. and F.A.-H.


Patient Consent

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




Publikationsverlauf

Artikel online veröffentlicht:
27. Mai 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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