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KMID : 0363220140520040222
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Korean Journal of Dermatology
2014 Volume.52 No. 4 p.222 ~ p.229
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Complications from Cosmetic Procedures Performed by Non-Professionals:A Case Analysis and Review of Treatments
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Jang Hong-Sun
Chung Kee-Yang
Oh Byung-Ho
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Abstract
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Background: As the desire to maintain a youthful appearance escalates nationwide, the numbers of patients presentingwith complications subsequent to cosmetic treatments performed by non-professionals are increasing. Objective: The purpose of this study was to overview complications from cosmetic therapeutic attempts by nonprofessionals,and to discuss their management from a dermatologist’s point of view.
Methods: During the period January 1st, 2011 to December 31st, 2013, a total of 24 patients who visited the SeveranceHospital at Yonsei University for complications that developed after cosmetic treatments by oriental doctors,non-medical personnel, and general practitioners were enrolled in this study. Patient clinical characteristics, pasthistory, diagnosis, biopsy results, and treatment information were collected.
Results: The most common complication was a granulomatous foreign body reaction (n=15, 62.5%), followed byskin necrosis (n=8, 33.3%), and misdiagnosis and malpractice by non-professionals (n=5, 20.8%). Three patients hadmore than 2 complications combined. Patients with granulomatous foreign body reactions were usually managed withconservative treatments or excisions, while those with skin necrosis were managed with debridement and secondaryintention healing.
Conclusion: As the number of cosmetic therapeutic attempts made by non-professionals increases, dermatologistsneed to understand the potential complications that can arise following these procedures, and should take an activerole in managing the patients.
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KEYWORD
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Complication, Cosmetic procedure, Foreign body granuloma, Skin necrosis
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