Skeletal Radiology

, Volume 41, Issue 4, pp 477–481

Progressive craniofacial bone loss after cosmetic surgery at the forehead

  • Annie P. Prasad
  • Vijay George
  • Anne Porzig
  • Andrew E. Horvai
  • Andrew Gross
  • Dolores Shoback
  • Thomas M. Link
Case Report
  • 174 Downloads

Abstract

We present the case of a 59-year-old woman with a history of plastic surgery at the forehead who complained of progressive indentations at the frontal skull. CT and MR scans revealed significant bone thinning, presenting as lytic skull lesions, which progressed over a period of 3 years. Biopsies were obtained from the lytic lesions and histology showed fibrotic tissue, synthetic residue of previous cosmetic procedure, and no evidence of infection or neoplasm. Progressive cranial bone resorption places the patient at increased risk for cerebral injury. This case highlights a potential complication after cosmetic facial surgery, with bony resorption resulting in both skull deformation and increased risk for cerebral injury.

Keywords

Bone resorption Craniofacial anomalies Cosmetic surgery complications CT MRI 

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Copyright information

© ISS 2011

Authors and Affiliations

  • Annie P. Prasad
    • 1
  • Vijay George
    • 2
  • Anne Porzig
    • 4
  • Andrew E. Horvai
    • 2
  • Andrew Gross
    • 3
  • Dolores Shoback
    • 4
  • Thomas M. Link
    • 1
  1. 1.Department of Radiology and Biomedical ImagingUniversity of California San FranciscoSan FranciscoUSA
  2. 2.Department of PathologyUniversity of California San FranciscoSan FranciscoUSA
  3. 3.Division of Rheumatology, Department of MedicineUniversity of California San FranciscoSan FranciscoUSA
  4. 4.Division of Endocrinology and Metabolism, Department of MedicineUniversity of California San FranciscoSan FranciscoUSA

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