Can a steroid shot be used to break up an old bump from fillers years ago?

Thanks for this
question.
A bump ( nodule ) that’s been
there for 5 years is likely a scar now. It will be tough to remove. Steroid
injection at a very low dose are commonly used for filler nodules. They can be
effective five and certainly worth a try, despite how long it’s been since the
previous injection.

A long-standing bump due to a filler injection  is either a granuloma or a scar.  Your surgeon’s suggestion to try a steroid injection is a very legitimate. It may or may not work and may require more than one treatment.  The important thing is that it is a small amount injected only into the scar in order to avoid side effects to the surrounding tissues.

We have had good success treating these with Ulthera.  The heat of the ultrasound can help to break up the fibrosis in the nodule so that it is softer and may shrink in size.  This can be combined with low dose steroid (to prevent a depression) and some 5-FU.  

A steroid injection by an experienced board certified plastic surgeon may help improve the area that concerns you.  After five years this area is likely scar tissue which can be treated with steroids.  Be sure to discuss what you can expect in terms of results with your physician.

Thanks for your question.  I have successfully used intralesional kenalog to improve long lasting post-filler nodules in a few patients whom I've seen who had a lump that lasted longer than was expected. Best of luck to you!

Hello!
Thank you for your question. What you have is most likely scar tissue, possibly from the injection site. Steroids are routinely injected into scar tissue to flatten them and make them less noticeable. If only a small amount is used it should work very well. 
Best of Luck 
Glow Med Spa Encino