White Bumps After Hyaluronic Acid Injection: Causes and Solutions - Plastic Surgery

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After injecting hyaluronic acid, a white hard lump was left in the tear trough?


About three years ago, I received a tear trough injection at a medical aesthetics clinic, but now I have noticeable white hard lumps under both eyes.
They are very apparent in photos and make me look tired.
Could this be a residual effect? How can I improve this condition?

Xiao Guo, 20~29 year old female. Ask Date: 2023/10/23

Dr. Lü Mingchuan reply Plastic Surgery


You can go to the outpatient clinic for evaluation.

Reply Date: 2023/10/23

More Info


After receiving hyaluronic acid injections, it is not uncommon for patients to experience various side effects, including the formation of white bumps or lumps. These bumps can be attributed to several factors, including the technique used during the injection, the type of hyaluronic acid used, and individual patient responses to the treatment.


Causes of White Bumps After Hyaluronic Acid Injection
1. Product Migration: Sometimes, the hyaluronic acid can migrate from the injection site, leading to uneven distribution and the formation of lumps. This can happen if the product is injected too superficially or if there is excessive movement of the facial muscles shortly after the procedure.

2. Overcorrection: If too much product is injected, it can lead to a bulging appearance, which may manifest as white bumps under the skin. This is particularly common in areas like the tear troughs, where the skin is thinner and more delicate.

3. Inflammatory Response: The body may react to the injected substance, leading to localized inflammation. This can result in swelling, redness, and the formation of bumps. In some cases, this inflammatory response can be prolonged, leading to persistent bumps.

4. Granuloma Formation: In rare cases, the body may form granulomas, which are small areas of inflammation that can develop in response to the foreign substance. These can feel firm and may appear as white or skin-colored bumps.

5. Infection: Although rare, an infection at the injection site can lead to the formation of bumps. This is usually accompanied by other symptoms such as redness, warmth, and pain.


Solutions and Recommendations
1. Consultation with a Specialist: The first step is to consult with a qualified dermatologist or plastic surgeon who specializes in aesthetic treatments. They can assess the bumps and determine the underlying cause.

2. Massage: If the bumps are due to product migration or overcorrection, gentle massage of the area may help to redistribute the hyaluronic acid. However, this should only be done under the guidance of a medical professional.

3. Hyaluronidase Injection: If the bumps are significant and bothersome, a doctor may recommend injecting hyaluronidase, an enzyme that breaks down hyaluronic acid. This can help to dissolve the excess product and improve the appearance of the area.

4. Topical Treatments: In cases where inflammation is present, topical treatments such as corticosteroids may be prescribed to reduce swelling and irritation.

5. Time: In some instances, the body may gradually absorb the hyaluronic acid over time, leading to a reduction in the appearance of the bumps. Patience is sometimes necessary, as it can take several weeks to months for the product to fully integrate or dissipate.

6. Avoiding Future Complications: If you decide to undergo further treatments, ensure that you choose a reputable clinic and a skilled injector. Discuss your previous experiences and any concerns you have about potential side effects.


Conclusion
While the presence of white bumps after hyaluronic acid injections can be concerning, understanding the potential causes and solutions can help alleviate anxiety. It is essential to seek professional advice to determine the best course of action tailored to your specific situation. Remember, aesthetic treatments should always be approached with caution, and maintaining open communication with your healthcare provider is key to achieving the desired results while minimizing risks.

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