What is a granuloma and what causes it?

What is a granuloma and can they be a side effect caused by dermal filler injections?

Sort: Date | Helpful
7 answers to “What is a granuloma and what causes it?”

A: Granuloma Formation With Injectables

Steven H. Williams, MD

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... more

A: Granuloma

Raffy Karamanoukian, MD

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... more

A: Granulomas can occur after injections

David Shafer, MD

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... more

A: Yes, a granuloma may result from an injection

David J. Levens, MD

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,... more

A: A granuloma is a nodular form of tissue inflammation.

Bryan K. Chen, MD

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... more

A: Granuloma and dermal fillers

Steven Wallach, MD

A granuloma is the bodies development of inflammed scar tissue around a foreign body. Yes, you can get them from injectable products.  They are less ikely to happen with absorbable products.

A: Tissue reaction to a foreign substance

Hisham Seify, MD, PhD

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... more

Comments

Susan Tannahill
unregistered guest

12 Feb 2009

How can my daughter heal the severe granulomas that she has in her face that are painful and have absessed on her cheeks causing inflammation and an infection? One plastic surgeon is giving her storoid injections, but she fears indentations that will be the result. The antibiotics that she has been taking for 5 months are not working and there is pus and a pain in the area. Susan

mimbesi
8 posts
7 Jan 2009

A granuloma is a small bump that can be seen or felt beneath the skin that may result from particle based dermal fillers.  There are several factors that may contribute to a granuloma which include, the size and nature of the substance being injected, as well as technique.  A granuloma may arise if a filler is being injected too superficially.   Distinction needs to made between a true granuloma versus a nodule.  Sometimes it may even be too much product in to a space that may cause a small bump to form and this would not be considered a granuloma.     

Mei Woon
unregistered guest

27 Jun 2009

About 2 months ago, I went to an aesthetic GP to have A filler applied to the areas underneath my eyes. he results weren't as good ad I had expected but I did not fret over it. But to my horror, found a hard lump underneath my left eye - it is really obvious. Can you please advise what I should do to remove it? Thanks

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.