Reakcja typu opóźnionego po zastosowaniu kwasu poli-d,l-mlekowego w okolicy doliny łez
Autorzy: Ewa Langwińska, Paulina Ciepły, Łukasz Preibisz

Delayed-Type Reaction After the Application of Poly-D,L-lactic acid in the Tear Trough Area

Wydanie 3/2023
str. 38 – 40

Autorzy: Ewa Langwińska1,2, Paulina Ciepły3, Łukasz Preibisz3

1. Klinika Okulistyki Wydziału Lekarskiego Warszawskiego Uniwersytetu Medycznego
Kierownik: prof. dr hab. n. med. Jacek P. Szaflik
2. Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. n. med. Jacek P. Szaflik
3. Klinika Dermatologiczna Preibisz Skin Doctors w Warszawie


The number of aesthetic medicine procedures performed is increasing year on year. Among the most common procedures are those involving tissue fillers. Despite their high safety profile, it is essential to consider that these procedures may be associated with adverse reactions. This paper describes the cases of two patients, who have experienced delayed adverse reactions in the form of persistent lumps, after the administration of poly-D,L-lactic acid in the tear trough area. Due to the lack of an established etiology for these occurrences, a standardized treatment has not been described to date. Further research on the safety of using poly-D,L-lactic acid in the tear trough area as well as into the effective treatment of any adverse reactions after its application is necessary.