1 year post filler a lip granuloma has appeared. Will it go away on its own? (Photo)

Question

I have a granuloma in my lip appearing after 6-24 months of filler injection. I tried hyaluronidase to dissolve it and it won't go away. Does it go away by itself after a certain period of time since I do not want to go to an excision procedure? My doctor tried fluorouracil 2 days ago and the results aren't shown yet, how much time does it need for fluorouracil to take its effect in the granuloma. Thank you .

Kaveh Kashani, DO · Answer

First, I’m sorry to hear about this occurance, granulomas are a person’s own reaction to foreign substance and they occur more frequently than you think. I have seen them more with non-HA lip fillers. Serial steroid injections (kenalog) and fluorouracil injections are the mainstay In shrinking these granulomas down to a minimum, but not 100% proven either..Stay patient and with time , they will likely improve...keep in touch with your cosmetic physician, excision should be your last choice. Cheers , Dr Kash from Las Vegas

Sagar Patel, MD · Answer

this is quite a tricky issue and we are seeing this phenomenon more often with the juvederm vycRoss products. Generally a regimen of antibiotics, steroids and Htaluronidase are employed prior to an excision. My colleague in Lebanon Dr Bawab and I discussed this recently and he stated he has been seeing it often but getting them to go away, especially when isolated like that using his regimen which includes hyaluronidase and 5fu. I wish you luck!

Kristine Brecht, MD (license suspended) · Answer

Thank you for the question!The biggest question would be the types of fillers, amounts and frequencies of your fillers.An exam is also important.If the dissolving and massaging doesn’t work at all, and the granuloma persists, excision is the obvious treatment.Best. Dr Brecht

1 year post filler a lip granuloma has appeared. Will it go away on its own? (Photo)

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Everything you need to know about Lip Fillers

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1 year post filler a lip granuloma has appeared. Will it go away on its own? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Lip Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.