What can be done to correct damage caused by kopolymer polyacrylamide lip filler? 20 years post op (photo)

I am sorry that this has happened to you. I have been cautioning my regular followers for many years now about the problems that may arise with the use of permanent fillers of any kind, which includes, as likely is the case here, the delayed development of bumps and nodules five, ten or even twenty years after treatment.
While treating such complications can admittedly be quite difficult, I am loath to recommend surgical removals owing to the risks for the development of disfiguring scars. I have fortunately had gratifying results over the years treating patients who have come to me with this problem using an algorithm of varying combinations, concentrations and amounts of intralesional anti-inflammatory agents. You would be wise to consult with a board certified cosmetic dermatologist filler expert and best of luck.

Addressing complications from polyacrylamide lip fillers, particularly after such a long period, can be challenging but not insurmountable. Here are some potential treatment options that might help improve the appearance and texture of your lips:

Consultation with a Specialist: The first step is to consult with a board-certified dermatologist or plastic surgeon who has experience in dealing with filler complications. They can provide a thorough assessment and recommend the best course of action.

Imaging and Examination: Advanced imaging techniques, such as ultrasound, may be used to assess the extent of the filler and any associated tissue changes. This can help in planning the most effective treatment strategy.

Steroid Injections: If there is inflammation or granuloma formation, corticosteroid injections might be used to reduce these symptoms.

Surgical Removal: In some cases, surgical excision of the filler material may be necessary. This is usually considered when non-surgical options are ineffective or if there is significant distortion.

Laser Therapy: Laser treatments can sometimes be used to improve skin texture and color. Specific lasers can target pigmentation changes and help even out lip color.

Filler Correction: In some situations, additional fillers can be used to even out irregularities, though this must be done cautiously and by a skilled professional.

Lip Tattooing: Also known as permanent makeup, this can help in redefining the lip borders and improving color consistency.

It’s important to have realistic expectations and understand that full correction may not always be possible. However, significant improvements can often be achieved with the right treatment plan. Make sure to discuss all potential risks and benefits with your healthcare provider before proceeding with any treatment.

If you have further questions or need assistance in finding a specialist, feel free to reach out to my office.

Best regards,

Managing complications from PAAM filler can be difficult to.
The filler creates channels in the tissues and is known to migrate.
At this point, it’s hard to know if there are residual pockets of filler that may need to be drained.
Any attempt at managing this is going to have a certain degree of uncertainty and risk involved.
Consult with local plastic surgeons to see what each one has to say.
There’s no single definitive best treatment.
Best,
Mats Hagstrom MD