case_images: PMC11743236_01
case_images: Prior photograph of a 42-year-old immunocompetent woman showing tear trough hollows secondary to aging. The patient received bilateral poly-D, L-lactic acid injections in the tear trough region.
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case_images: PDLLA injections bilaterally in the tear trough region (Figure 1). Prior to this treatment, she had received three PDLLA injections to her forehead and temples over a year ago but had no previous aesthetic treatments to the tear trough region.
case_images: Photograph 3 weeks posttreatment, showing small, noninflammatory nodules in both tear trough regions. Nodules are firm and hardened, without erythema, tenderness, fluctuance, or ulceration, surrounded by minor soft tissue swelling.
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case_images: Three weeks after the treatment, the patient presented with visible, small, noninflammatory nodules in both tear trough regions (Figure 2).
case_images: Photograph taken 24 h post-monopolar radiofrequency treatment, demonstrating complete resolution of nodules after a single session.
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case_images: After two sessions, the nodules completely resolved within 24 h (Figure 3). [Correction added on 27 September 2024, after first online publication: