Facial Fillers

Fig. 45.1
Bio-Alcamid. Axial T1-weighted (a) and T2-weighted (b) MR images show T1 hypointense and T2 hyperintense lobulated material within the subcutaneous tissues of the bilateral cheeks (arrows)
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Fig. 45.2
Calcium hydroxyapatite (Radiesse). Axial CT image (a) shows patchy hyperattenuation fillers within the bilateral malar subcutaneous tissues (arrows). Axial 18FDG-PET image (b) shows corresponding hypermetabolism at the site of the fillers (arrows)
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Fig. 45.3
Hyaluronic acid (Restylane). Axial fat-suppressed T2-weighted (a), T1-weighted (b), and fat-suppressed post-contrast T1-weighted (c) MR images show the filler within the bilateral nasolabial folds (arrows). The fillers demonstrate signal characteristics similar to fluid and minimal peripheral enhancement
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Fig. 45.4
Hyaluronic acid (Juvederm). Axial CT with a region of interest marker shows that the perioral filler is of fluid attenuation
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Fig. 45.5
Silicone oil. Axial CT image shows a rim calcified nodule in the subcutaneous tissues in a patient who received silicone injections many years before (arrow)

45.4 Differential Diagnosis

A variety of conditions can potentially resemble facial fillers on imaging:
Nov 3, 2016 | Posted by in NEUROLOGY | Comments Off on Facial Fillers

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