I had tear trough and lip filler with volbella in July. In October I developed multiple hard lumps/masses at all injection sites in October. No redness. Just hardened filler. They have tried dissolving with hyaluronidase three times with no success. My sinuses have since been a non stop issue. The tear trough hardened masses feel like they are growing and there is pressure in the eye area, inner canthus area mostly. Suggestions? I need help.
October 22, 2018
Answer: Filler issues If all the spots are hard, one may be concerned about a biofilm or low grade infection issue. If the material has become infected by bacterial or fungal elements, hard areas may form. Seek out opinions from experts experienced in this issue
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October 22, 2018
Answer: Filler issues If all the spots are hard, one may be concerned about a biofilm or low grade infection issue. If the material has become infected by bacterial or fungal elements, hard areas may form. Seek out opinions from experts experienced in this issue
Helpful
October 27, 2018
Answer: Real time examination needed. This is difficult to manage if it is true granulomas and not pseudo granulomas. Dilute steroids, or 5 FU can be used, there are some studies on the use of saline flushes, and other studies on diode wire guided lasers. An in person examination by your dermatologist or plastics of your choice will be needed. In some situations a neat excision is the definitive choice- depending on the anatomical site, and closure defect. All the best, Dr Davin S. Lim. Brisbane. Australia.
Helpful
October 27, 2018
Answer: Real time examination needed. This is difficult to manage if it is true granulomas and not pseudo granulomas. Dilute steroids, or 5 FU can be used, there are some studies on the use of saline flushes, and other studies on diode wire guided lasers. An in person examination by your dermatologist or plastics of your choice will be needed. In some situations a neat excision is the definitive choice- depending on the anatomical site, and closure defect. All the best, Dr Davin S. Lim. Brisbane. Australia.
Helpful
