I received Artefill injections in 2006 to the lips, nasal folds and forehead. These large lumps apprear on my chin almost overnight a few days ago. Could these possibly be granulomas after all these years?? Would you recommend I have a dermatologist or a plastic surgeon look at them??
Answer: Question of delayed reaction to Artefill injections Thank you for your question and posting your photos. Three things initially come to mind - 11 years and development of nodules nearly overnight, in a site remote from the initial injections. I have seen delayed reactions to Artefill 3 years out but not 11 years out. Still, I imagine it is possible. They tend to develop over time rather than suddenly. The remote location relative to your injection sites is also a part of the puzzle. I would recommend following up with either your injector or someone very experienced with Artefill/Bellafill. This should be reported to Suneva to get their advice on how to move forward. Most likely, they will recommend a biopsy to determine if PMMA is present in the nodule. If so, the first line of treatment is Kenalog/5FU injections. On a side note, I don't believe Suneva was the distributor of Artefill at the time of your injections but they should be helpful since they do not want the product to get a poor reputation. I hope this was helpful - Dr. Moore.
Helpful
Answer: Question of delayed reaction to Artefill injections Thank you for your question and posting your photos. Three things initially come to mind - 11 years and development of nodules nearly overnight, in a site remote from the initial injections. I have seen delayed reactions to Artefill 3 years out but not 11 years out. Still, I imagine it is possible. They tend to develop over time rather than suddenly. The remote location relative to your injection sites is also a part of the puzzle. I would recommend following up with either your injector or someone very experienced with Artefill/Bellafill. This should be reported to Suneva to get their advice on how to move forward. Most likely, they will recommend a biopsy to determine if PMMA is present in the nodule. If so, the first line of treatment is Kenalog/5FU injections. On a side note, I don't believe Suneva was the distributor of Artefill at the time of your injections but they should be helpful since they do not want the product to get a poor reputation. I hope this was helpful - Dr. Moore.
Helpful
August 7, 2017
Answer: Can Artefill Migrate? Artefill should not migrate to any appreciable extent. If this is related to your prior injection (and not an underlying tooth/jaw problem), then it is possible to have a late reaction like this. You should seek consultation with the provider that placed the filler, as steroids/5-FU injections can calm it down.
Helpful
August 7, 2017
Answer: Can Artefill Migrate? Artefill should not migrate to any appreciable extent. If this is related to your prior injection (and not an underlying tooth/jaw problem), then it is possible to have a late reaction like this. You should seek consultation with the provider that placed the filler, as steroids/5-FU injections can calm it down.
Helpful