Can dermal fillers in the parotid gland cause an autoimmune reaction?

Question

I had dermal filler injected into my jaw about a year ago. A recent MRI scan showed that it had gone into my parotid gland. I’ve recently been experiencing burning and tingling on the same side of my face (hence the MRI) but the neurologist ruled out neuropathy. No swelling on the site. Could the burning/ tingling be due to an immune reaction to the filler? if left untreated could it cause an immune/ autoimmune reaction to my salivary glands? Would you suggest dissolving the filler in the gland?

Anna Chacon, MD, FAAD · Answer

Possibility of Autoimmune Reactions from Dermal Fillers in the Parotid Gland

It's understandable to be concerned about the effects of dermal fillers, especially when they migrate to areas like the parotid gland. Here are some considerations regarding your situation:

1. Immune Reactions:
Dermal fillers are generally biocompatible, but in rare cases, they can trigger an immune response. This is more common shortly after injection rather than a year later.
Symptoms such as burning and tingling could potentially be related to an immune response, but other causes should also be considered.

2. Autoimmune Reactions:
While fillers are not typically associated with triggering autoimmune diseases, the presence of foreign material in the body can sometimes lead to localized immune responses.
There is limited evidence suggesting a direct link between fillers and autoimmune reactions in salivary glands.

3. Considerations for Dissolving the Filler:
If the filler is hyaluronic acid-based, it can be dissolved with an enzyme called hyaluronidase. This might alleviate symptoms if they are indeed caused by the filler.
Consulting with a specialist, such as a dermatologist or plastic surgeon experienced with fillers, is crucial before proceeding with dissolution. They can evaluate the risks and benefits based on your specific case.

4. Next Steps:
Discuss your symptoms and MRI findings with a specialist who can provide a comprehensive evaluation. They might recommend further diagnostic tests to rule out other causes for your symptoms.
If the decision is made to dissolve the filler, ensure it is performed by a qualified professional to minimize potential complications.

In summary, while an immune reaction is possible, it's important to thoroughly assess all potential causes of your symptoms with a healthcare professional. Dissolving the filler may be a viable option, but should be carefully considered and discussed with your healthcare provider.

Can dermal fillers in the parotid gland cause an autoimmune reaction?

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Can dermal fillers in the parotid gland cause an autoimmune reaction?

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.