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Emergency Radiology

E2262. The Good, the Bad, and the Ugly: Imaging Review of Cosmetic Body Procedures and Complications

Kurzbard-Roach N1,  Deshmukh M2,  Jude C2,  Mohammad S2,  Patel M.1,2 1. David Geffen School of Medicine at University of California, Los Angeles, , Los Angeles, CA; 2. Olive View-UCLA Medical Center, Sylmar, CA

Address correspondence to N. Kurzbard-Roach (nicolekurzbard@gmail.com)

Background Information: Cosmetic procedures are commonly performed throughout the world, on patients of all ages by licensed professionals and unlicensed personnel. Sequelae of both common and uncommon cosmetic procedures are encountered on routine cross-sectional imaging. The imaging appearance of cosmetic procedures, whether expected or unexpected, may be challenging when first encountered by the radiologist.

Educational Goals/Teaching Points: After reviewing this presentation, participants will be able to identify imaging features of common and uncommon cosmetic procedures, be aware of complications which may arise from cosmetic procedures, assess imaging findings of cosmetic procedure complications, and determine the clinical relevance when interpreting such findings.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques: Multimodality (CT, US, and MRI) review of common and uncommon cosmetic procedures, including liposuction, abdominoplasty, free silicone injection, implant augmentation, gluteal fat transfer, breast fat transfer, full body lift, and gender reassignment will be discussed. We will also discuss surgical procedure techniques, as appropriate, and review images of complications, ranging from implant malfunction and displacement to silicone embolization and life-threatening hemorrhage.

Conclusion: Knowledge of cosmetic procedures and understanding of the complications that may arise enables the radiologist to provide an accurate diagnosis and appropriate recommendations to the referring clinician.