Management of migrated hyaluronic acid dermal filler with a delayed presentation

Abstract

Hyaluronic acid (HA)-based dermal fillers are extremely popular among many seeking aesthetic treatment due to the short downtime and immediate results. Although HA is biodegradable, the body can still mount immune responses to this foreign body and molecules can persist in the system for longer than anticipated, resulting in complications months or years after the initial injection. We report a rare case of a 47-year-old Caucasian female who presented to us with bilateral lid swelling secondary to migration of her dermal filler and how she was successfully managed three years post administration with the injection of hyaluronidase along with histopathological results.