Scar tissue/granulomas after lip filler - are kenalog injections my only option?

It has been years since I have had any juvaderm injections into my lips. Unfortunately I have some underlying autoimmune issues and I now have a lump on my lip after all the filler has dissipated. I’ve consulted with a plastic and a derm who said kenalog injections are my only option now but could leave me with even less desireable results. I am devasted I’ve ever injected my lips and totally jealous of people who do with no issues. Don’t know what I should do.