Diffuse inflammatory facial swelling secondary to local anesthetic injections in patient with polyalkylimide gel used for cheek augmentation

Nowadays the uses of cosmetic fillers have increased dramatically including those placed in the facial region. Although commercial advertisements claim that injectable fillers are biologically inert and pose no significant health risks, we report a case of a patient with bilateral cheek augmentation using Polyalkylimide gel fillers presented with recurrent episodes of facial swelling following routine dental treatment. The clinical scenario presented here highlighted the significance of the interference of the facial gel fillers with the routine dental treatment