Anti-inflammatory medications for treating filler injection lumps

Silicone injections can contribute to long term inflammatory reactions that can cause disfiguring nodules and lumps subcutaneously. The lumps and nodules should be treated accordingly with anti-inflammatory medications that reduce the inflammation and edema surrounding the foreign bodies. These can be applied subcutaneously, or topically depending upon the zone of inflammation.

Atrophy can be induced if the subcutaneous injection of corticosteroids are not performed by an experienced physician. A silicone protocol should be employed to minimize the risks associated with this procedure.

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I am so sorry that you have to go through this! It is a odd that the hyaluronic acid has lasted this long and has been refractory to hyalase injection. Perhaps as a result of the injection you have formed little cysts that respond to the coritsone injection but then return. I like the idea of acne surgery (incision and drainage) if possible. Are these bumps blue as would be with hyaluronic acids or skin colored as cysts?

Hi Say,

If it truly was hyaluronic acid that was injected, then it should be superficial in the skin.  A small puncture with a #18 gauge needle and pressure should be able to squeeze the material out (I have seen this in a few patients after a year).  Do not attempt this yourself, have a trained physician evaluate the situation.  In Chicago, I might visit Steven Dayan, MD.  Good luck and be well.

Dr. P

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