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How do I remove lip granuloma from fillers 8 years ago? (Photo)

J.ka
I had fillers 8 year ago and had a ultrasound examination and they said that there are no filler left but granuloma scarring, i can also feel lumps inside the lips and above. As you can se on the picture it looks like migrated filler, but they said its not. How do i remove this granuloma?

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