How to get rid of thick nodule-like things under my skin after Ellanse filler?

Question

I got Ellanse filler in my mid cheeks and nasolabial folds, 3 months ago, however one side got extremely puffy and swollen, even though less of the substance was injected in it, and it is still more raised than the other side of my face. when pressing on the areas I fell a dense nodule-like thing underneath the skin of these areas. it feels like a lump, but can be felt only, not seen. I had this filler done before and nothing like this happened. help!

Jason Emer, MD · Answer

I suggest seeing a cosmetic dermatologist or plastic surgeon that treats a lot of filler complications.  Please see an expert.  Dr. Emer.

Payman Danielpour, MD, FACS · Answer

What you are experiencing is a reaction to the filler in which your body walls off particles and they turn into nodules. This happens although uncommonly with fillers like ellanse and sculptra. The nodules need to be broken up or removed. I recommend that you come in and are evaluated properly in order to find the perfect solution for you.

Bernard Tan, MBBS, MRCSB · Answer

Hi! sorry to hear about your experience. You can consult your provider, some possible solutions are massage to even out the product, or steroid injections

Ellanse at Bay Aesthetics Clinic

Ellanse is one of the top treatments at Bay Aesthetics Clinic and a high volume of treatments are performed. Our treatment philosophy is for natural and subtle results, avoiding “overfilling” clients for a “puffy” look. For full face rejuvenation, we typically divide the treatment into 2 sessions, doing 2-4 syringes per session. This careful approach reduces the swelling and discomfort after the treatment, and our clients are able to return to normal activity right away without any downtime.

Israr Wong, MBBS · Answer

One of the main instructions about Ellanse is : DO NOT EVER DILUTE IT WITH MORE THAN 0.2CC OF LIDOCAINE OR NORMAL SALINE. 
One of the possible causes of excessive puffiness could be that your doctor over-diluted the Ellanse.
One of the possible causes of palpable nodules is possibly over-injection of a certain area. 
I see Ellanse complications a lot from other practices, being the first Ellanse trainer in Singapore. A good solution is to dilute kenacort with hyaluronidase and inject into the palpable lump. 
Do find a suitable Ellanse trainer in your country, hope that helps!

How to get rid of thick nodule-like things under my skin after Ellanse filler?

Answers (4)