Evidence map›Paper›PMID 41924414›Full record

ArticleCureus2026

Early Clinical Experience in the Management of Nodular Complications Following Cross-Linked Porcine Collagen Injection for Tear Trough Augmentation: A Two-Case Report.

Edmond Lau, Stephanie Y Ming, Kyuho Yi

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Operational Standard for Tissue-Extracted Collagen Facial Injection Techniques.Clinical, cosmetic and investigational dermatology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Edmond LauAesthetics, EC Skin Laser Aesthetic Clinic, Penang, MYS.
Stephanie Y MingOculoplastic Surgery, Eagle Eye Centre, Singapore, SGP.
Kyuho YiAnatomy, Yonsei University, Seoul, KOR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cross-linked porcine collagen fillers have been utilized for tear trough augmentation, primarily for the correction of dark under-eye circles. However, when nodular complications occur, their management remains challenging due to the absence of predictable enzymatic degradation and the lack of standardized treatment protocols. Two patients developed non-inflammatory infraorbital nodules following tear trough augmentation with cross-linked porcine collagen filler. Ultrasound examination demonstrated well-defined hypoechoic lesions within the superficial subcutaneous plane. Both cases were treated with ultrasound-guided intralesional injection using sterile water for injection (SWFI) combined with lidocaine, with hyaluronidase added in one case, followed by local massage. Complete clinical and ultrasonographic resolution was observed within one day and one week, respectively. Based on these two cases, ultrasound-guided intralesional management using SWFI facilitates the mechanical dispersion of aggregated collagen filler and represents a safe, minimally invasive approach for treating nodular complications in the tear trough. Early ultrasound assessment enables accurate diagnosis and targeted intervention in this anatomically delicate region.

Indexed as

filler complicationfiller complication managementnodular complicationporcine collagen fillertear trough fillertear trough rejuvenationultrasound-guided

Identifiers

PMID41924414
PMCPMC13035482

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.