Hi
I have developed a granuloma under each eye in the tear trough area from a product called "Precise," which is a PMMA product I received in Mexico 2 years ago. This product is essentially the same as Artefill/Artecoll.
I have been to see several doctors and have done extensive research on the internet. It appears I have two real options, the first is to have the product removed doing micro-lipo suction with a fine needle to scrape out the particles, which should not cause scarring, and the other is to have it surgically removed. I tried steroid injections but the change was minimal and short lived.
Here are my questions:
Is it possible to remove PMMA with micro-lipo if the product is encapsulated or embedded?
Would surgically removing from the tear trough area cause serious scarring or can it be handled in a way to leave scars that are manageable?
I welcome and appreciate any answers or insight !!
Thanks.
May 16, 2009
Answer: PMMA PMMA is a permanent product that is extremely difficult to remove. Liposuctioning will probably not be successful. Yes, excision will leave scarring. Tough decision to make.
Helpful
May 16, 2009
Answer: PMMA PMMA is a permanent product that is extremely difficult to remove. Liposuctioning will probably not be successful. Yes, excision will leave scarring. Tough decision to make.
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March 4, 2017
Answer: Lumps from a PMMA filler. I am very sorry to hear that you are having this problem. The product you had is a PMMA based product that is not available in the US for good reason. The PMMA particles are uneven. The earlier versions of Artefill (of which Artecoll was one) had these types of PMMA and they caused problems like lumps and bumps. These complications were recognized by the developers if Artefill and the PMMA particles, which act as bio stimulant were all made smooth, round, uniform in size (slightly bigger than 40 microns) and were negatively charged on the surface to further reduce any problems. Artefill, as opposed to the other fillers, has one of the best safety profiles of all the fillers as a result. This includes the hyaluronic acids like Juvederm and Restylane. Unfortunately PMMA is non resorbable. Therefore, at two years, the results you have will not get any better. There are two potential solutions to your problem. First, I have added more filler around the current filler with great success. If the intent was to fill in an area and you have lumps from that treatment it may be that you just need to get that area "tidied up". Airbrushing a filler like Artefill with a cannula, around the lumps can achieve remarkable results.Second, surgical excision of lumps that are too big to fill around can result in a nice result but is usually the second alternative I would consider.I hope that helps.Best regards.
Helpful 2 people found this helpful
March 4, 2017
Answer: Lumps from a PMMA filler. I am very sorry to hear that you are having this problem. The product you had is a PMMA based product that is not available in the US for good reason. The PMMA particles are uneven. The earlier versions of Artefill (of which Artecoll was one) had these types of PMMA and they caused problems like lumps and bumps. These complications were recognized by the developers if Artefill and the PMMA particles, which act as bio stimulant were all made smooth, round, uniform in size (slightly bigger than 40 microns) and were negatively charged on the surface to further reduce any problems. Artefill, as opposed to the other fillers, has one of the best safety profiles of all the fillers as a result. This includes the hyaluronic acids like Juvederm and Restylane. Unfortunately PMMA is non resorbable. Therefore, at two years, the results you have will not get any better. There are two potential solutions to your problem. First, I have added more filler around the current filler with great success. If the intent was to fill in an area and you have lumps from that treatment it may be that you just need to get that area "tidied up". Airbrushing a filler like Artefill with a cannula, around the lumps can achieve remarkable results.Second, surgical excision of lumps that are too big to fill around can result in a nice result but is usually the second alternative I would consider.I hope that helps.Best regards.
Helpful 2 people found this helpful