Telangiectatic matting is commonly described as a transient complication following sclerotherapy and other vascular interventions. Its occurrence after permanent body fillers has not been clearly established. We report the case of a 27-year-old woman who developed persistent telangiectatic matting in the gluteal region several months after polymethylmethacrylate (PMMA) injection for cosmetic augmentation, without prior sclerotherapy in the affected area. A multimodal therapeutic approach was employed, including transdermal Nd:YAG laser and sclerotherapy, resulting in partial clinical improvement. This case suggests a possible association between permanent fillers and delayed microvascular alterations, highlighting the importance of long-term surveillance after aesthetic procedures.
Cabral et al. (Wed,) studied this question.