What can I do about lumps from a PMMA product like Artefill or Artecoll?

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.

3 answers to “What can I do about lumps from a...”

A: Lumps from permanent fillers

Nissan Pilest, MD

First of all, to everyone reading this, don't have a permanent filler placed under the eyes. They have never been recommended for this area, for good reason!Unfortunately, most people do far less self-education on cosmetic treatments before they get them than after. Second, stay at home for your cosmetic... more

A: If you could roll back the clock, you wouldn't have done this

Richard P. Rand, MD

Permanent fillers are bad.  Period.  They cannot be removed and long term, they can develop granulomas and infections.  They also can emerge as you age like islands coming out of the ocean. I sincerely wish patients would get the message that these are bad products and ones to avoid.  Yes,... more

A: PMMA

Steven Wallach, MD

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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