I've developed large solid lumps under my eyes 6 months after Voluma. Everything else has been discounted-I've been trying to get the Voluma dissolved for the past 2 weeks. My injector has tried 3 times to dissolve it - she says the lumps are getting softer. Whilst I think the filler is dissolving (can see my wrinkles back) the lumps are still there and if anything are worse. I'm getting really worried this isn't going away. I look terrible-get constant headaches. What else should I be doing?
December 8, 2015
Answer: Voluma Lumps and Removal While uncommon, delayed granuloma reactions can be seen with any hyaluronic acid or other fillers. If the "lump" is actually clumping of the Voluma, undiluted hyaluronidase is the best treatment. Typically two times the amount of hyaluronidase needs to be injected for each amount of Voluma injected. If the lesion is truly a granuloma or biofilm, your board certified dermatologist or plastic surgeon may need to use a combination of an injectable steroid and 5FU. Best of luck,Suneel Chilukuri, M.D.
Helpful
December 8, 2015
Answer: Voluma Lumps and Removal While uncommon, delayed granuloma reactions can be seen with any hyaluronic acid or other fillers. If the "lump" is actually clumping of the Voluma, undiluted hyaluronidase is the best treatment. Typically two times the amount of hyaluronidase needs to be injected for each amount of Voluma injected. If the lesion is truly a granuloma or biofilm, your board certified dermatologist or plastic surgeon may need to use a combination of an injectable steroid and 5FU. Best of luck,Suneel Chilukuri, M.D.
Helpful
December 8, 2015
Answer: Voluma bumps Thank you for your question. Are you and your physician sure the bumps that you have developed are due to the Voluma filler particles and are not granulomas instead? While extraordinarily rare you can develop granulomas secondary to hyaluronic acid fillers and they can show up months to years after the filler placement. If they are granulomas, hyaluronidase will not work and you can try a very dilute injection of kenalog to try to break up the granuloma. I agree the eyelids are very delicate and you have to be sure as to what you are treating and injecting. Lastly are you sure it was Voluma that was injected under your eyelids because that is a large particle size to place there, typically in the Juvederm family of products, only Juvederm Ultra would be placed in the tear troughs. Regards, Dr. Matt Elias
Helpful 2 people found this helpful
December 8, 2015
Answer: Voluma bumps Thank you for your question. Are you and your physician sure the bumps that you have developed are due to the Voluma filler particles and are not granulomas instead? While extraordinarily rare you can develop granulomas secondary to hyaluronic acid fillers and they can show up months to years after the filler placement. If they are granulomas, hyaluronidase will not work and you can try a very dilute injection of kenalog to try to break up the granuloma. I agree the eyelids are very delicate and you have to be sure as to what you are treating and injecting. Lastly are you sure it was Voluma that was injected under your eyelids because that is a large particle size to place there, typically in the Juvederm family of products, only Juvederm Ultra would be placed in the tear troughs. Regards, Dr. Matt Elias
Helpful 2 people found this helpful
