The pinhole method as a novel approach to remove residual hyaluronidase powder: a case report
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With the increasing use of hyaluronic acid (HA) fillers in aesthetic medicine, hyaluronidase has been widely used for the correction of HA fillers and the treatment of related complications. A 24-year-old female presented with a whitish papule beneath her right eye. She had previously undergone triamcinolone and HA filler injections with subsequent hyaluronidase treatment. Despite an initial suspicion of triamcinolone residue, observation revealed the persistence of the lesion. A single session of treatment with the pinhole method using a carbon dioxide laser successfully removed the residual hyaluronidase powder, without complications, and the lesion completely resolved after 7 months. By creating microscopic holes and inducing dermal remodeling, the pinhole method is effective in treating various skin lesions. This case highlights the importance of thorough mixing of hyaluronidase solutions and demonstrates the utility of the pinhole method in treating such cases, suggesting its broader applicability in dermatological interventions.
Abstract
With the increasing use of hyaluronic acid (HA) fillers in aesthetic medicine, hyaluronidase has been widely used for the correction of HA fillers and the treatment of related complications. A 24-year-old female presented with a whitish papule beneath her right eye. She had previously undergone triamcinolone and HA filler injections with subsequent hyaluronidase treatment. Despite an initial suspicion of triamcinolone residue, observation revealed the persistence of the lesion. A single session of treatment with the pinhole method using a carbon dioxide laser successfully removed the residual hyaluronidase powder, without complications, and the lesion completely resolved after 7 months. By creating microscopic holes and inducing dermal remodeling, the pinhole method is effective in treating various skin lesions. This case highlights the importance of thorough mixing of hyaluronidase solutions and demonstrates the utility of the pinhole method in treating such cases, suggesting its broader applicability in dermatological interventions.
참고문헌 (13)
- Wang Y, "Complications of periocular dermal fillers", Facial Plast Surg Clin North Am, 29, pp.349~357 (2021)
- Kroumpouzos G, "Hyaluronidase for dermal filler complications : review of applications and dosage recommendations", JMIR Dermatol, 7, pp.e50403~ (2024)
- Rzany B, "Hyaluronidase in the correction of hyaluronic acid-based fillers : a review and a recommendation for use", J Cosmet Dermatol, 8, pp.317~323 (2009)
- Jung H, "Hyaluronidase : an overview of its properties, applications, and side effects", Arch Plast Surg, 47, pp.297~300 (2020)
- Cavallini M, "The role of hyaluronidase in the treatment of complications from hyaluronic acid dermal fillers", Aesthet Surg J, 33, pp.1167~1174 (2013)
- Lee SJ, "Treatment of burn scars with the pinhole 4. 0 method using a 10, 600-nm carbon dioxide laser", Med Lasers, 4, pp.70~73 (2015)
- Lee SJ, "Scar revision by the pinhole method using a 10, 600-nm carbon dioxide laser", J Cosmet Laser Ther, 15, pp.37~38 (2013)
- Lee SJ, "Treatment of periorbital syringoma by the pinhole method using a carbon dioxide laser in 29 Asian patients", J Cosmet Laser Ther, 17, pp.273~276 (2015)
- Whang SW, "Burn scars treated by pinhole method using a carbon dioxide laser", J Dermatol, 33, pp.869~872 (2006)
- Lee SJ, "Treatment of hesitation marks on the forearm by the pinhole method", Lasers Med Sci, 31, pp.1339~1342 (2016)
- Lee SJ, "Treatment of hypertrophic burn scars by combination lasercision and pinhole method using a carbon dioxide laser", Lasers Surg Med, 46, pp.380~384 (2014)
- Hong JK, "Delayed skin discoloration spreading in the direction of gravity after injection of hyaluronic acid dermal fillers in both nasolabial folds", Med Lasers, 11, pp.182~184 (2022)
- Sharma RK, "Delineating injectable triamcinolone-induced cutaneous atrophy and therapeutic options in 24 patients-a retrospective study", Indian Dermatol Online J, 13, pp.199~206 (2022)
