Removal of granuloma/ nodule under eye from Dermalive filler (photo)

Question

I am looking for a plastic surgeon to remove the granuloma under my eye caused by Dermalive filler, injected 15 years ago. Kenalog injections no longer help. I need a surgical procedure.

Anna Chacon, MD, FAAD · Answer

Hello, and thank you for your question regarding the removal of a granuloma under your eye due to Dermalive filler. It’s understandable that you are seeking a solution after such a long period. Here’s some guidance on your next steps:

Consultation with a Specialist:

Plastic Surgeon or Oculoplastic Surgeon: It is crucial to consult with a surgeon who has experience in dealing with complications from dermal fillers, particularly granulomas.
Comprehensive Evaluation: The surgeon will assess the size, location, and nature of the granuloma to determine the best surgical approach.
Surgical Options:

Excision: This is a common surgical method for removing granulomas. The surgeon will carefully excise the nodule, aiming to minimize scarring and preserve the surrounding tissue.
Advanced Techniques: Depending on the granuloma's complexity, the surgeon might use advanced techniques such as laser-assisted removal or other minimally invasive procedures.
Pre-Surgical Considerations:

Medical History Review: Ensure you provide a detailed medical history, including any previous treatments and reactions, to help the surgeon plan effectively.
Imaging: In some cases, imaging studies like ultrasound or MRI may be recommended to get a better understanding of the granuloma's characteristics.
Post-Surgical Care:

Follow-Up Appointments: Regular follow-ups will be necessary to monitor healing and address any complications promptly.
Care Instructions: Adhere to all postoperative care instructions provided by your surgeon to optimize healing and outcomes.
Finding the Right Surgeon:

Research and Referrals: Look for board-certified surgeons with specific experience in treating filler complications. Reading reviews and seeking referrals from trusted healthcare professionals can be helpful.
I hope this information helps you in your journey to address the issue effectively. A consultation with a qualified surgeon will be essential to determine the most appropriate approach for your situation. Wishing you success in resolving this concern.

Mehryar (Ray) Taban, MD, FACS · Answer

This is a complex problem but I have treated similar problems in the past. Best to have proper evaluation to determine.

Camille Cash, MD · Answer

You can search for board certified plastic surgeons near you using the ASPS website.  You'll have access to their websites and can review qualifications to find the surgeons that meet your criteria.  You can then schedule consultations to learn more about the procedure.

Removal of granuloma/ nodule under eye from Dermalive filler (photo)

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