Destructive granulomatous reaction to polyacrylamide lip injection: solution for a complex case.

The inappropriate and careless use of permanent fillers causes severe and undesirable side effects, as shown by a number of reported clinical cases. The dramatic case described in this report strongly demonstrates that inadequate knowledge of implanted materials has a heavy impact on the patient's health and his or her desired results. Both are aspects that sometimes prove very difficult to ameliorate. Moreover, the solution for the reported case clearly demonstrates that only the careful application of fine surgery can solve these problems. This is true also for cases initially believed to be hopeless.