I have had 4 lots of surgery on my hands to excise these lumps in 3 years. Total of 23 incisions. Hands are ruined. Nothing I can do. So wrong. No recourse. I cannot express the regret I have of the day I parted with a lot of money to have my hands ruined and hours and hours and days of problems because of it. If anyone ever knows of a right of recourse against Scupltra, I'm IN!.