Dangerous to remove granuloma from Newfill and Restylane?

hi i have a question my aunt has a medium sized granuloma on her lips caused by newfill,and another 2 medium sized ones on both cheeks caused by restalyne.its been over 3 years and she wants to have them surgically removed but doctors told her its dangerous because they are not small and could damage nerves and muscles while being removed,she wants to know dont doctors have something called: nerve stimulator,and if it cant be removed surgically? what are her options? thank you

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8 answers to “Dangerous to remove granuloma from...”

A: Consider consultation with an ENT surgeon

By Ronald Shelton, MD - Manhattan Dermatologic surgeon

Some head and neck surgeons (also known as ENT surgeons or otolaryngologists) do use nerve stimulators during excisional procedures. Your aunt may wish to consult with this specialty for further information.

A: Is that backwards?

By Kenneth R. Francis, MD - Manhattan Plastic Surgeon

Dan, I'm sorry to hear that your Aunt had adverse reactions to her treatments. Are you sure that the Restylane is not in the lip and the Newfill is not in the cheek. These would be more likely sites of injection for the materials. Removal of the lip material should be no problem with regard... more

A: The granuloma can be removed

By David Shafer, MD - Manhattan Plastic Surgeon

Granulomas can be removed. The risk depends where they are and at what level the filler was injected. You then have to weigh the risks and benefits of having the granuloma removed versus living with the granuloma. It is hard to commend specifically on your case with you examining you and/or seeing... more

A: Removing granulomas

By Brent Moelleken, MD - Beverly Hills Plastic Surgeon

Granulomas are areas of walled off inflammation after injections of fillers. Restylane granulomas are rare unless large amounts have been injected. You are best off consulting a board certified plastic surgeon who is familiar with the anatomy of the face. The chance of nerve injury would then be... more

A: Granulomas can be removed safely in these locations

By Bryan K. Chen, MD - San Diego Dermatologist

While the procedure is not complicated, your aunt should be aware that she is in essence trading a scar for the surgical removal of a granuloma. You did not mention whether your aunt has had cortisone injections. If not, it would probably be worth trying that first.

A: Granuloma removal is safe with careful dissection

By Hisham Seify, MD, PhD - Orange County Plastic Surgeon

Granulomas could be removed safely with careful dissection and avoidance of the critical anatomical structures. I would try to talk to a board certified plastic surgeon, and I'm sure he will be able to do it. Good Luck!

A: The removal can be done safely, usually no nerve stimulator is necessary

By Stella Desyatnikova, MD - Seattle Facial Plastic Surgeon

We had to remove granulomas from Newfill/ Artefill that were done elsewhere in the past. It is usually a relatively simple procedure. Depends on the extent of granulomas - and we've seen some really extensive cases, and location. In any case, no nerve monitor is usually necessary, unless it was some extremely... more

A: Any trained plastic surgeon can do it without damaging nerves

By E. Anthony Musarra II, MD - Atlanta Plastic Surgeon

A granuloma is rare, but also very superficial. Removing it should not jeopardize any nerves or muscles. Office procedure under local anesthetic. Side effect would be a small scar which would probably fade after a few months.

Comments

Michelle P
91 posts
29 Jan 2009

There is on problem, a big one, inflammation under the skin. Where did you get the information from about granulomas being rare? The scares will 'probably'fade. Or probably not.

flip
1 post
21 Feb 2009

i have large granulomas from dermalive injections. my plastiv surgeon said removing them would cause nreve and muscle damage around my lips.

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