Complications from Cosmetic Procedures Performed by Non-Professionals: A Case Analysis and Review of Treatments.
- Author:
Hong Sun JANG
1
;
Kee Yang CHUNG
;
Byung Ho OH
Author Information
1. Department of Dermatology, Severance Hospital, Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea. obh505@yuhs.ac
- Publication Type:Original Article
- Keywords:
Complication;
Cosmetic procedure;
Foreign body granuloma;
Skin necrosis
- MeSH:
Adolescent;
Biopsy;
Debridement;
Diagnosis;
Diagnostic Errors;
Foreign Bodies;
Foreign-Body Reaction;
General Practitioners;
Granuloma, Foreign-Body;
Humans;
Intention;
Malpractice;
Necrosis;
Skin
- From:Korean Journal of Dermatology
2014;52(4):222-229
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: As the desire to maintain a youthful appearance escalates nationwide, the numbers of patients presenting with 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 non-professionals, 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 Severance Hospital 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, past history, diagnosis, biopsy results, and treatment information were collected. RESULTS: The most common complication was a granulomatous foreign body reaction (n=15, 62.5%), followed by skin necrosis (n=8, 33.3%), and misdiagnosis and malpractice by non-professionals (n=5, 20.8%). Three patients had more than 2 complications combined. Patients with granulomatous foreign body reactions were usually managed with conservative treatments or excisions, while those with skin necrosis were managed with debridement and secondary intention healing. CONCLUSION: As the number of cosmetic therapeutic attempts made by non-professionals increases, dermatologists need to understand the potential complications that can arise following these procedures, and should take an active role in managing the patients.
