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Why Did I Wake Up With Red Bumps On The Area Of Discoloration That Are Slightly Painful After Getting Injections At The Nasolabial Folds?

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Posted on Mon, 18 Jul 2022
Question: My juvederm nightmare continues. Had injections in nasiolabial folds. It I thought i was bruising but it wasn’t going away. Went to plastic surgeon who administered dissolvent. It made zero difference. That was a month ago and I still have discoloration that I was hoping would go away on own although after 3 months since injection not getting any better.

Today I wake up with red bumps on area of discoloration that are slightly painful and red? It this a delayed infections? Should I be concerned and why is this happening 3 months after injections.
doctor
Answered by Dr. Asmeet Kaur Sawhney (3 hours later)
Brief Answer:
Could be delayed reaction, topical steroid & anti inflammatory medicines

Detailed Answer:

Hi,

The red bumps could be a delayed reaction to the filler.
I would recommend you to apply topical steroid like cortisone cream on the affected areas twice daily and take anti inflammatory medicines like tablet ibuprofen for few days.
If it doesn’t improve in 5-7 days consult a doctor.

Regards
Dr. Asmeet
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (3 hours later)
I have been struggling with discoloration, inflamed skin around my mouth where filler were administered for 3 months. I’ve been to a plastic surgeon and derm. Both thought Tyndall effect but dissolvent didn’t work. Is there anyway I can have inflammatory Granuloma? Im desperate for answers and ways to resolve this.
doctor
Answered by Dr. Asmeet Kaur Sawhney (5 hours later)
Brief Answer:
Details below

Detailed Answer:

Hi,

Erythematosus papules can occur at the site of fillers sometimes as a hypersensitivity reaction and they usually resolve spontaneously in 6-9 months.
The other possibility is granuloma formation which responds to intralesional steroids.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (15 hours later)
Thank you so much for getting back to me, I really really appreciate it.

I did go see a costetic dermatologist today and she recommended another dissolvent treatment Hylenex to get rid of remaining filler. She was fearful of biofilm because of the emerging bumps. She also said we could do a treatment of antibiotics or anti inflammatory meds can’t remember in conjunction.

In your experience does Hylenex degrade native tissue? And do you think my skin will heal and return to normal eventually with these two treatments?

Thank you again for input, it’s so helpful.
doctor
Answered by Dr. Asmeet Kaur Sawhney (4 hours later)
Brief Answer:
Hylenex treatment won’t degrade native tissue

Detailed Answer:

Hi,

You can go for hylenex treatment.
It won’t degrade the native tissue.
With these two treatments eventually your skin will come back to normal but sometimes it takes few months to come back to normal.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (36 hours later)
Oh so I told I would have more questions. I chose to get them disolved and it has been 24 hours and there is no change. I continue to have inflammation and burning. The doctor told me this should not be happening and if it was truly juvederm it should have dissolved as I have had 3 treatments. I agree. I’m taking Benadryl and monitoring.

I initially went to a medspa with and board certified internist who administered the treatment. I know now she is an inexoeroenced injector but it never occurred to my she might have injected me with something else. Now I’m terrified I am having an allergic reaction to something I can’t dissolve. A foreign substance. Hypothetically if this did happened are there treatment options? How do you get it out?

Thank you as always!
doctor
Answered by Dr. Asmeet Kaur Sawhney (10 hours later)
Brief Answer:
A hypersensitivity reaction takes 6-9 months to resolve

Detailed Answer:

Hi,

As I already mentioned that it could be a hypersensitivity reaction which resolves spontaneously in 6-9 months and doesn't respond to hyaluronidase treatment. It could be a reaction to a foreign substance but it should resolve spontaneously on its own in few months.
If it doesn't improve in another 3-4 days you should try going for intralesional steroid injection.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

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Why Did I Wake Up With Red Bumps On The Area Of Discoloration That Are Slightly Painful After Getting Injections At The Nasolabial Folds?

Brief Answer: Could be delayed reaction, topical steroid & anti inflammatory medicines Detailed Answer: Hi, The red bumps could be a delayed reaction to the filler. I would recommend you to apply topical steroid like cortisone cream on the affected areas twice daily and take anti inflammatory medicines like tablet ibuprofen for few days. If it doesn’t improve in 5-7 days consult a doctor. Regards Dr. Asmeet