Case Number : Case 2279 - 8 March 2019 Posted By: Dr. Richard Carr

Perforated infundibular cyst and ?cosmetic filler

Foreign body granuloma caused by dermal filler and ruptured trichillemal cyst. 

Filler induced granuloma (perforating?)

Yes. Granulomatous reaction to dermal filler.

I know that its probably not important but let me guess: Dermalive (Acrylic hydrogel particles + Hyaluronic acid)?

Here is a nice paper about dermal fillers by Dr. Requena https://www.ncbi.nlm.nih.gov/pubmed/21167403

Agree with all!!!

agree.

Foreign body granuloma caused by dermal filler and ruptured epidermal cyst. 

Agree, Dermalive

Yes I reported it as a reaction to dermal filler in keeping with Dermalive.  There is transfollicular elimination of the filler. Agree the Requena paper is an excellent review. BTW I've asked the team to replace the polarising one to my original image that deliberately has a dark background to show the lack of polarisation in the foreign material which is somewhat refractile!