Granuloma following filler
I would strongly urge you to try the steroid injections longer. Steroids can take a couple of weeks to work so be patient. Antibiotics along with steroids have also been found to be helpful.
Surgically remove granuloma.
Thank you for your question. Continue with your doctors recommendations. Steroid injections require time and possibly another treatment.
I'm sorry you are experiencing this. I strongly believe that fat is the only material that should be used to fill under eye hollows or tear troughs. Then, look for a plastic surgeon with considerable training and expertise in this area. Look at many, many photos as well.
It isn't clear whether you were injected with Restylane or Voluma. Check with both companies (you can do this online) and find the top providers of these products in your area. They will likely have the most experience in treating patients and handling complications.
Treatment of complications after injection of hyaluronic acid filler
Has the Restylane been dissolved with a hyaluronidase? If not, then that should be the first step to eliminate any product that may be creating a reaction. Steroid injections may be safely performed if they are at the appropriate depth and concentration.
Should I remove a granuloma from fillers
You should not necessarily opt to surgically remove a granuloma, unless you want another issue like a scar. I always opt for removing things as a final option. The last thing you want there is a scar in this case.
"This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."