Lip nodule removal after a botched lip injection: what type of doctor does these types of corrective surgeries?

You can see a cosmetic dermatologist or plastic surgeon. The filler can be reversed with hyaluronidase. Hope this helps.

Dear patient, It is important to know what material was used to augment your lips. The treatment really varies depending on what was used and how long ago the treatment was performed. Occasional Hyaluronic acid compounds (Restylane, Juvederm etc) can ball up and cause small bumps. These usually resolve in a couple of weeks with massage or dilute injection of a steroid anti-inflammatory solution called kenelog.  Another option is to dissolve the Hyaluronic acid completely with a protein called Hyaluronidase. This is injected directly into the affected area. Results are quite impressive and visible within 2-3 days. Another condition that is much more difficult to treat is called 'Bio-film". We don't exactly understand why some patients basically develop a hard film around the implants in their lips/face! These nodules are also injected with Kenelog steroid, treated with Oral antibiotics, and anti-metabolites such as 5FU. If several injections over a few weeks does not dissolve the nodules they can be excised. Finally; non FDA products such as Silicone and Bioalcamid (seen more frequently in Mexico and South America) don't respond well to steroid injections and can cause severe deformities. These "granulomas" need to be excised. There is always scarring and downtime with excision of these inflammatory nodules in the lip and I perform it as a last resort. Look for a surgical Dermatologist in your area. There is also a sub-specialty within Dermatology called Mohs Surgery. These Dermatologist specialize in skin cancer surgery and are usually very skilled when it comes to removing lesions on or within lips. I hope this was helpful. Yours, Dr David R.

honeypot0416.  Sorry you’re having these issues. I recommend that you seek advice from a board-certified plastic surgeon in your area to help deal with the bumps. Most likely they can be dissolved with Hyaluronidase  and if you desire more filler can be placed to achieve lip augmentation. Best of luck.

Hi and thanks for your question. Chances are that you do not need to surgically remove the nodule. Simple enzyme injection will dissolve the nodule and your lip will go back to how it looked before the filler injection. Make sure to consult with an injector who is experienced in the use of Hyaluronidase injection. Hope that helps.

HA filler can be dissolved with hyaluronidase. It may take a series of treatments. I recommend getting a formal evaluation with a cosmetic dermatologist or plastic surgeon. Best, Dr. Emer

If you filled your lips with Hyaluronic acid, these nodules could be dissolved with an enzyme called Hyaluronidase, so you won’t need surgery to remove them, which is a good thing. Any plastic surgeon or dermatologist familiar with dermal filler treatments should have this enzyme in their office. Go for a consultation with a specialist, explain your concern to them, and after the full evaluation, they will choose the right treatment for you; in this case, it could be only dissolving the filler without needing the surgery, but a personal consultation is necessary to decide it.

Hi,

I would recommend a dissolving agent and/or kenalog injection prior to considering surgery.

All the best!
Babar Sultan MD

These can be taken care of by most physicians who inject fillers. It requires hyaluronidase injections. I prefer to use Hylenex for this because there is low risk of allergies for this. It might require a couple treatments. Surgery shouldn't be needed.