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How long does PMMA last? Worth excising small granulomas?

NeonSunset
I had PMMA / Artefill placed in my upper Lip 12 years ago, I always thought it was a ‘permanent’ filler but I feel it only lasted 5 years on me before the volume of the filler dissipated and left me with two small granulomas where the filler was, its noticeable but I’m planning to have Juvederm / HA applied into the lip to disguise the asymmetry I have, I am wondering is it worth surgically removing the granulomas? Or best to leave them be? I have no pain or symptoms in the area.

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