743 Dermal Fillers and Fibromyalgia Flares: A Case Report

Abstract

Abstract Background Minimally invasive treatment with dermal fillers is increasing in popularity in facial plastic surgery. These fillers can be used in the midface to address volume loss associated with ageing, such as loss of malar projection, or deep nasolabial folds. The use of medicinal products has the potential to cause complications, and dermal fillers are no exception, however, reports of these in the literature are uncommon. Selection of a suitable product, patient, and accurate placement of product may avoid some of these complications. Case: 56-year-old female underwent cheek augmentation with hyaluronic acid filler. The procedure was uncomplicated, and there were no concerns immediately afterwards. Over the following months however the patient reported flares that occurred when she had a fibromyalgia flare. She had no signs of infection and there was no evidence of a reaction to the filler itself. This is the first case of its type to be described to our knowledge; literature searching does not retrieve any reports to date of adverse events related to fibromyalgia following the use of cosmetic dermal fillers. Careful consideration of patient suitability, and clear and detailed informed consent is vital in providing cosmetic treatments safely.