Dermal fillers hard and swollen 4 months after - could a granuloma form that fast?

Question

I’ve had fillers for 3 yrs. 4 mon. ago had Restylane under my eyes. Got covid the end of Nov. 2wks later had sinus infec. my filler was tender & swelled slightly. was back to normal within 4days…9days ago started to swell again. very large & firm. My whole face will swell for a couple days & then go down a bit. filler stays hard&large antihis prednisone antib’s do nothing. injector said dissolving that big of an area wld ruin tissue. day to night swell pics.could f.b. granuloma form that fast?

Lisa A. Corrente, MD · Answer

Anytime you get sick, whether it be Covid or the Flu, your immune system can react to dermal fillers in the face, as they are foreign to the body. This would cause the area to swell and be tender, the filler will feel hard and palpable. It is described in the literature as a late onset inflammatory immunological response. While late onset filler reactions are rare, they do happen. In this case I typically recommend a dose of oral steroids and follow up in a week. If that does not reduce the inflammation, I would recommend dissolving and residual bumps of the filler. Using hyaluronidase to dissolve filler does not affect your natural tissue, tear troughs and cheeks are common areas to dissolve without any issue.

Dermal fillers hard and swollen 4 months after - could a granuloma form that fast?

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