ABSTRACT Background A rise in dermal filler procedures coupled with a lack of stringent regulation in non‐surgical cosmetic procedures has amplified the incidence of clinical complications and the subsequent burden on the NHS. Aims This paper discusses the current legislative situation and the various risks associated with dermal filler injections and their management, with a specific focus on nodule formation. We also present a case demonstrating atypical filler‐associated nodule formation. Materials and Methods A 57‐year‐old female presented with a 1‐year history of an asymptomatic upper labial fraenum lump which fluctuated in size. She reported dermal filler injection to the top lip 1.5 years ago with her GP “popping a cyst” after this time. Results On excisional biopsy of the lesion, histopathology confirmed a foreign body giant cell reaction to exogenous material presumed to be dermal filler. Discussion and Conclusion Clinicians should be mindful of this increasingly emerging clinical problem in the NHS setting and routinely explore a possible history of non‐surgical aesthetic procedures to reach appropriate differential diagnoses.
Khalaf et al. (Wed,) studied this question.