I had a filler injection done six years ago. The doctor said it was hyaluronic acid. After a few months, visible lumps began to appear. I've had kenalog injected once or twice a year into the lumps. They flatten out a little for a couple of weeks and then come back. I'm trying not to get the lumps excised as it would leave a noticeable scar on my face. Are there any other solutions out there? One of the doctors on your site suggested making a small incision and squeezing it out - will that work after all this time? I tried hyalase injection but did not work either. One doctor I saw suggested more aggressive treatment of kenalog but I have concerns about skin atrophy as a result. Please advise. I'm not sure what else I should do.
October 6, 2008
Answer: Hyaluronic acid injectables were not available six years ago Six years ago, the only FDA approved products in the US were collagen based. These products were Zyderm, Zyplast, Cosmoderm, Cosmoplast and a now discontinued product called Dermalogen. While these could have caused lumps, it is extremely unlikely that they would cause such lumps like you are describing.
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October 6, 2008
Answer: Hyaluronic acid injectables were not available six years ago Six years ago, the only FDA approved products in the US were collagen based. These products were Zyderm, Zyplast, Cosmoderm, Cosmoplast and a now discontinued product called Dermalogen. While these could have caused lumps, it is extremely unlikely that they would cause such lumps like you are describing.
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Answer: Lumps after fillers like Juvederm, Restalyne Voluma or Radiesse Fortunately side effects from cosmetic fillers are quite rare. In my practice, I often get referred patients who do have complications, or had a suboptimal outcome.Lumps are generally the result of filler placed improperly, or too superficially in the tissues. These are noticeable right away and resolve either with injection of hyaluronidase to dissolve the filler, massage, or time. As your lumps appeared months after and are persistent years later, I think it is highly unlikely that the problem is hyaluronic acid. It sounds like you have a more rare complication where a granuloma forms. Essentially this is a form of a sensitivity of your body to the product. I would try kenalog mixed with 5 florouracil (5 FU) injections first. 5FU is very effective against scar tissue and does not risk dermal atrophy. If that failed, I would attempt micro excision combined with lasering of the scars to give optimal outcome. I wish you the best of luckDr S
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Answer: Lumps after fillers like Juvederm, Restalyne Voluma or Radiesse Fortunately side effects from cosmetic fillers are quite rare. In my practice, I often get referred patients who do have complications, or had a suboptimal outcome.Lumps are generally the result of filler placed improperly, or too superficially in the tissues. These are noticeable right away and resolve either with injection of hyaluronidase to dissolve the filler, massage, or time. As your lumps appeared months after and are persistent years later, I think it is highly unlikely that the problem is hyaluronic acid. It sounds like you have a more rare complication where a granuloma forms. Essentially this is a form of a sensitivity of your body to the product. I would try kenalog mixed with 5 florouracil (5 FU) injections first. 5FU is very effective against scar tissue and does not risk dermal atrophy. If that failed, I would attempt micro excision combined with lasering of the scars to give optimal outcome. I wish you the best of luckDr S
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