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Peripheral facial nerve palsy after lip augmentation: an unusual case presentation

From Volume 49, Issue 6, June 2022 | Pages 506-508

Authors

Sana Ilyas

BDS, MJDF, DCT 2

New Cross Hospital, Wolverhampton

Articles by Sana Ilyas

Email Sana Ilyas

Kishalaya Mukherjee

BDS, MFDS

FFDSRCS Specialty Doctor, Oral and Maxillofacial Surgery Department, New Cross Hospital, Wolverhampton

Articles by Kishalaya Mukherjee

Suresh Shetty

MBBCh, MDS, FFD, FDSRCS, FRCS

OMFS Oral and Maxillofacial Surgery Department, New Cross Hospital, Wolverhampton

Articles by Suresh Shetty

Abstract

The demand for lip augmentation has increased over the recent years. Facial palsy is not a frequently encountered presentation post cosmetic fillers, there is little literature on this. Therefore, it is important to highlight the findings of this case and to discuss the possible pathophysiology and management, should a similar case arise.

CPD/Clinical Relevance: This case report discusses an incidental finding of left-sided facial nerve palsy post lip augmentation.

Article

The demand for lip augmentation has increased over the recent years, especially for cosmetic reasons.1 Before treatment is undertaken, it is therefore important to be aware of the possible risks and complications, so if they were to arise, they can be managed appropriately. While giving history, patients may attribute their symptoms to a preceding event. It is important to differentiate whether there is causation or an association between the two, when trying to diagnose. This case report discusses an incidental finding of left-sided facial nerve palsy after lip augmentation, and its management.

A 20–year–old woman presented to the Emergency Department (ED) with left-sided facial weakness after lip augmentation. She had both her upper and lower lips augmented with Revolax (Across, Korea) filler by a beautician, Revolax being a dermal filler that contains lidocaine and hyaluronic acid.2 The patient's past medical history was unremarkable, and she had no known allergies. She had received lip augmentation with Revolax several times previously by the same beautician, with no known complications.

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