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Posted under ArteFill q&a

What Can I Do About Lumps from a PMMA Product Like Artefill or Artecoll?

wwills
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.

Answers (7)

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Ryan Mitchell, DO, FAOCO profile photo
Dr. Ryan Mitchell, DO, FAOCO
Answered on Oct 6, 2018
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Dr. Ryan Mitchell, DO, FAOCO
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Peter J. Malouf, DO profile photo
Dr. Peter J. Malouf, DO
Answered on Apr 20, 2016
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Nissan Pilest, MD profile photo
Dr. Nissan Pilest, MD
Answered on May 4, 2016
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Steven Wallach, MD profile photo
Dr. Steven Wallach, MD
Answered on May 16, 2009
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Brian Windle, MD (retired) profile photo
Dr. Brian Windle, MD (retired)
Answered on Mar 4, 2017
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