Granuloma Removal For Under Eye, From Collagen Filers? Other Options?

It is not typical to have granulomas after collagen injection.  Hyaluronic acid (HA) fillers are also low risk for granuloma formation.  Sculptra has an association with granuloma formation. Massage is the first treatment option for a presumed granuloma.  If that doesn't work, steroid injection or use of Hyaluronidase (with HA fillers) can help resolve the process.  Finally, if that doesn't work, excision either directly or via a blepharoplasty can be a final option.  However, time will tell.

Be patient.

Dr. Shah

 

It would be very unusual to have developed a granuloma from a collagen injection.  I wonder if you were injected with something other than collagen.  I have never seen a permanent granuloma from a collagen injection.  Not saying it is not possible.  In Ohio I can recommend Julian T Perry, M.D. at the Cleveland Clinic or Jill Foster, M.D. in Columbus as top notch oculoplastic surgeons who can assess you and make a recommendation to address your concerns.

It would be helpful if you could specify the filler that was injected and the amount of time that has elapsed since injection. Radiesse can cause by pain the lower eyelid region. I would not rush into excisional surgery until the cause/effect has been confirmed by a board certified dermatologist, plastic surgeon or oculoplastic surgeon.