How to manage post-Volite injection lumps without enzymes?

Question

Hello doctor,

I am 25 years old. I had taken the Volite skin booster dose three days back. Unfortunately, I started getting lumps on my skin at the injection site as it was injected superficially. The size of the lumps started reducing after 24 hours; however, I still have small lumps all over.

I do not want to take the risk of using hyaluronidase because of its side effects. Is there any other way to clear the lumps? Should I be concerned?

Kindly advise.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern and would be happy to help. I have reviewed the pictures you shared (attachment removed to protect the patient's identity). Nodule formation is a common and annoying side effect of using Juvederm (Hyaluronic Acid). It can be due to inflammatory (due to infection) or non-inflammatory (due to superficial injection) causes. In the photograph that you have sent, it looks like a generalized nodule formation, and there are no signs of inflammation around the nodules.

Are they painful or tender? Do you have any inflammatory symptoms like fever or generalized weakness? I suggest you drink plenty of fluids. Also, taking an anti-inflammatory medicine like Paracetamol that is available OTC (over-the-counter) will help. You can massage the areas to help in the even distribution of the product under the skin. However, if they do not settle in a day or two, I recommend speaking with your doctor to consider hyaluronidase.

I hope this helps. Kindly revert in case of further questions.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Simple massaging and adequate hydration can help redistribute the filler if the nodules are not painful or inflamed. Give them some time, probably a few days, and they should settle. If you say they are reducing in size, I recommend you wait. However, if it does not get cured, then to prevent them from becoming permanent nodules, either a subcision (using a needle) can be done, or an injection of Hyaluronidase can be given to dissolve them. Both procedures are to be done only by a doctor.

I hope this helps.

Thank you.