My cheek filler seems to have lumped up in one location, normal? (Photos)

Longterm filler problems include migration, edema, and nodularity. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello R,

Not normal for filler to lump, too much was placed in the area. It will not spread over time, though it should come down some over time depending on the filler that was used, hopefully not a permanent filler. Non-permanent fillers can be dissolved. If you are bothered by the appearance then I would recommend having the filler dissolved. Would also recommend choosing an expert physician injector with artistic vision. Good luck and be well
Michael Persky, MD
Encino, CA

Based on posted photos best to inject dissolving solutions asap since no spreading will occur. Best to see the medical injector you used or seen expert MD to fix you