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

Question

I had filler in my cheek that created a hard lump. I have had two shots to try and dissolve it. I still have a hard lump and now a large divot in my face. doctor does not want to give me another shot for three months. I know just want it cut out. I am afraid this divot will not go away. What can I do?

Nima Shemirani, MD · Answer

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!

Misbah Khan MD, FAAD, FACMS · Answer

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

Eric M. Joseph, MD · Answer

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

Maurice M. Vick, Jr., MD · Answer

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

Alain Michon, MD · Answer

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

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

Answers (5)

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