What can be done for filler that has hardened into a lump?

Hi @paulaa! Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections. Best of luck, Dr. Nima!

if the filler is HA based then it ca be completely dissolved. the effects of the enzyme last for at least 24 hrs. after that you can inject more if need be. if you're having a depression then it might be due to steroid injection? but you're saying there is a lump as well. which means that more enzyme is needed to dissolve the lump. perhaps consider a 2nd opinion 

It's possible your surgeon used hyaluronidase and / or steroid injections to minimize the lump. If you are experiencing a divot from a steroid injection, this may resolve spontaneously. Consider re-asking your question with photos and more information, and consider getting a second opinion from another cosmetic dermatologist or facial plastic surgeon. Hope this helps! Dr Joseph

 Sorry for your problem. You did not relate what type of filler and how long ago it was injected. Also how soon after the filler was injected did you notice the lump? Hyaluronic acid fillers can be dissolved with Hyaluronidase. It may involve several injections if a small amount is injected. Non HA fillers cannot be dissolved. Hematomas (a large deep bruise) will usually gradually go away as the body metabolizes them. Granulomas  (an inflammatory reaction) can be treated with steroid injections and massage. The divot may improve but might need filler to correct. Go get another expert opinion. Best Wishes, Maurice Vick MD

Thank you for your question. I am sorry to hear you are having this issue after dermal filler in your cheeks. It is hard to give advice without a proper in-person consultation/examination. However, hyaluronic acid dermal fillers can be injected more than once with hyaluronidase until appropriate response. Please see an expert. All the best, Dr. Michon