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What is a Granuloma and What Causes It?
What is a granuloma and can they be a side effect caused by dermal filler injections?
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Granulomas from fillers
Granulomas are your body's reaction to foreign substance. They can occur when there is a foreign substance such as filler but can also occur when there is an incision or break in the skin and there is healing by the body...a pyogenic granuloma. Sometimes patients can have immune system diseases such as sarcoidosis which cause the body to create granulomas when there is not a foreign substance. Treatment includes massage, steroid injection, topical steroids and excision. For autoimmune cau
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Granuloma Formation With Injectables
Thanks for your question -
A granuloma is your body's immune response to a foreign body. There are substances that are more likely to cause granuloma formation and substances that are less likely to form granulomas.
Most modern injectables (especially the HA injectables) typically do not form granulomas as they are minimally stimulating to your immune system. It is not impossible though.
Discuss the lumps with your injector. They will likely recommend observation and time.
The lumps will...
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Granulomas can occur after injections
Tara,
Granulomas can occur after injections. However, just because you have a "lump" it does not mean it is a granuloma. Lumps after injections can be caused by localized palpable product, hematomas, swelling and granulomas.
The first three occur early since they are due to the product or the procedure. The granulomas occur later - days to weeks - since they are due to an inflammatory reaction around the the product or nidus of infection.
Clinic exam may help...
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Granuloma
Granulomas are a specific inflammatory reaction that is seen in soft tissue as a response to foreign bodies. The popularity of Juvederm and Restylane came about as a result of their high safety profiles and hence, their low rates of granuloma formation. Granulomas can occur, nonetheless, from any foreign body and require either surgical excision or TAC injection.
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Yes, a granuloma may result from an injection
A granuloma is a mass or nodule (a lump or bump) usually associated with an infectious (bacterial or fungal for example) process that produces inflamation (swelling, redness and pain). A granuloma may resmble a foreign body reaction as with a splinter or, more to the point, from an injection of a substance, such as with dermal fillers used for cosmetic purposes to improve facial lines and enhance contour.
True granulomas with any filler are quite rare. More commonly, too much...
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A granuloma is a nodular form of tissue inflammation.
Granulomas can often form in response to biological, chemical or physical irritants including trauma. Granulomas do have characteristic pathologic findings when the tissue is examined under the microscope. As Ms. Imbesi indicated, granulomas should be distinguished from nodules that simply represent a collection of injected material. Certainly granulomas can form as an unwanted effect of dermal fillers. Generally speaking, the more "foreign" the injected material, the less...
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Tissue reaction to a foreign substance
A granuloma is an inflammation of the tissues due to several causes. Injection of dermal fillers could cause a tissue reaction ,however this is extremely rare.
It is important to see these lesions to make sure that this is not a nodule induced by superficial injection of the dermal filler or injecting a large volume in one spot.