Cannot dissolve Voluma. How would I know if I have granuloma? Would 5 FU injections or kenalog conservative injections work?

It's difficult to tell from your picture. I recommend a formal evaluation with an expert to determine next steps, whether kenalog and/or 5 FU. I do 5f/steroids for all my patients with filler complications. Best, Dr. Emer

Thank you for your question and photograph.  If the dermatologists and plastic surgeons you have seen feel that the lumps are granulomas a steroid injection like kenalog may be useful to help soften and dissolve the lumps but this injection must be done carefully to avoid secondary complications.  If the masses are close to the skin surface a small incision may also allow expression of the material. Hope this helps.

There are some patients that get reactions to Voluma that are unrelated to the injector. These include bumps and nodules. If not responding to hyaluronidase, I'd try 5FU +/- kenalog. I heard that these occur with all the Vycross products.