Cortisone injection and Restylane-caused granuloma

Hi Dandoons, Sorry to hear about  your adverse event with your Restylane injections.   Make sure that what you are feeling is a granuloma and not just too much residual Restylane.  If it were Restylane then hyaluronidase should be useful.  If it is a true granuloma, then Kenalog... more

Dear Dandoons Granulomas from Restylane are rare indeed!  So rare in fact that is is much more probable that your issue is either overfill or some type of cellulitis unless the reaction has been biopsied.  An actual consultation is needed to clarify this issue. Just because you may have been told... more

The standard cortisone injectable solution is Kenalog (triamcinolone acetonide) solution.  I typically use 2.5 mg/mL concentration.  Care should be taken to direct the injections into the granulomas themselves and not the surrounding tissue to minimize the potential atrophy effect of cortisone. ... more

Most physicians who do these injections prefer Kennalog. I  like kennalog 2.5 mg./5cc. The injection is given directly into the granuloma. There is usually no complication but there can be fat atrophy or color change on rare occasion. The fat eventually returns to normal and the pigment comes back too.... more