Hard lumps and painful swelling after receiving temple filler over a year ago, is surgery the only option to remove them?
Actual RealSelf Patient Comment: I had temple filler over a year ago- it’s something I’ve had before and had no problems! For the last 6-7 months I have had continued swelling in both temples which is persistent- I get maybe a week without swelling then it flares up again! It’s incredibly painful & I’m also unable to open my mouth properly when the swelling is particularly bad! I have very hard lumps on one temple but not the other! I’ve had hylase twice which hasn’t had any effect! Is the only option surgery to remove?
Dr. Persky’s Reply: It sounds like you have a biofilm which responds to Biaxin 500 mg twice a day, but patients must take it for 6 straight weeks, if it does not completely disappear, then another 6 week course is given. Discuss this with your treating physician. We sometimes use hyaluronidase as well to help dissolve the product that the biofilm is attracted to. Good luck and be well.
