case_images: PMC11033680_01
case_images: (A) Pre-treatment photos show no nodules in the jawline. (B) Post-treatment nodule visible at rest which is easily visualized with (C) manual palpation.
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case_images: PMC11033680_01_ojae018f2.jpg
case_images: ojae018-F2
case_images: A patient was treated with subdermal hypderdilute (1:3) CaHA-CMC in the jawline and midface with a cannula and presented 6 weeks posttreatment with bilateral noninflammatory nodules in the jowls that were not present prior to treatment and appeared around 48 h after the initial treatment, as visualized in her pre- and posttreatment photographs (Figure 2A, B). The patient could easily palpate the nodules, which were visible at rest, and they were approximated to be 0.4 to 0.5 mL in volume (Figure 2C).
case_images: Treatment timeline starting at 0 (treatment day) and ending 10 weeks after the initial treatment.
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case_images: PMC11033680_01_ojae018f3.jpg
case_images: ojae018-F3
case_images: Thus, 6 weeks after CaHA-CMC treatment, the patient was treated with FMV, was treated a second time with FMV 9 weeks after CaHA-CMC treatment, and reported resolution at 10 weeks post-CaHA-CMC treatment (Figure 3).
case_images: PMC11033680_02
case_images: Results after treatment. (A) Results 1 week after the first round of FMV treatment. (B) Result 2 weeks after the second round of FMV.
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case_images: PMC11033680_02_ojae018f4.jpg
case_images: ojae018-F4
case_images: Two and 7 days after the initial treatment, the nodules were reduced by approximately 50% and 70%, respectively (Figure 4A). A second session following the same protocol was carried out 3 weeks later with 80% resolution immediately after the second round of FMV and near full resolution 1 week later (Figure 4B).