Should I massage a granuloma?

Question

Is it a good idea to massage a foreign body granuloma? I have one under my eye, diagnosed by a surgeon. My thinking is that by massaging, I may help to break it up. My worry is that I may somehow enlarge or worsen the issue.

Harold J. Kaplan, MD · Answer

Hi Matt.  If it is a granuloma, then steroid injections (such as Kenalog) my be required to dissolve the bump.  If a surgeon diagnosed it as a granuloma, did he/she offer this as an option?Also, granulomas normally do not occur with Hyaluronic acid based products like Restylane, Juvederm and Belotero which are commonly injected under the eye.  Is it possible it's just a small area of product that was not placed well?  If so, it would likely go away with time.  If you want to dissolve this kind of bump, it would be with Hyaluronidase injections.

Raffy Karamanoukian, MD, FACS · Answer

Granulomas can stick around for quite a while. In our office, we use a combination approach that includes injections, surgery, laser, and RF to break up the granulomas on the face. Massage with a silicone gel such as Plato's Scar Serum can also be of use. Best, Dr. Karamanoukian

Jason Emer, MD · Answer

I suggest seeing an expert for a granuloma/scar.  Massaging doesnt help and can potential make it worse.  Best, Dr. Emer.

Mehryar (Ray) Taban, MD, FACS · Answer

Cannot answer without knowing exactly what it is.  It is best to see an ophthalmologist or oculoplastic specialist if there is a lesion around your eyes.

F. Victor Rueckl, MD (in memoriam) · Answer

I do not recommend massaging granulomas because actually what you can do is irritate it more and create scar tissue there, making it much worse. "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."

Should I massage a granuloma?

Answers (5)