Lumps after injection

Steven Wallach, MD answers: How can I get rid of cosmetic injection lumps from six years ago?

I had a filler injection done six years ago. The doctor said it was hyaluronic acid. After a few months, visible lumps began to appear. I've had kenalog injected once or twice a year into the lumps. They flatten out a little for a couple of weeks and then come back. I'm trying not to get the lumps excised as it would leave a noticeable scar on my face. Are there any other solutions out there?

One of the doctors on your site suggested making a small incision and squeezing it out - will that work after all this time?

I tried hyalase injection but did not work either. One doctor I saw suggested more aggressive treatment of kenalog but I have concerns about skin atrophy as a result.

Please advise. I'm not sure what else I should do.


Steven Wallach, MD
7 months ago

Although you think it was a hyaluronic acid product it may have not been.  If it was, then it should have dissolved unless it was extremely superficial and in that case a small incision with a needle can express the product. If it was a granulomatous reaction to product, then the only way to get rid of it would be excision. All other permanent type products like Artefill or silicone can only be removed by excision.

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