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Artefill in Nose

Q:

I have developed granulomas on my nose after my last revision rhinoplasty. I believe these are from the Artefill I had injected a few years ago as I am getting these raised bumps. Please help what can I do as I am so depressed. My last rhino revision looked so nice to start off with and now I do not even feel comfortable going out in public also due to the redness.

A:

Artefill is a formulation of medical grade polymethylmethacrylate (PMMA) microspheres and bovine collagen along with lidocaine and buffers. It is a non-resorbable injectable dermal filler for the correction of wrinkles and lines on the face. One of the complications of injection of this product can be nodule or granuloma formation. These can be treated with injections such as 5-FU, diluted steroids, etc. or surgical excision. Consider starting with your rhinoplasty surgeon then, the practitioner that injected the Artefill. If they do not correct your concerns then, consider a consult with one of the many members of the ASAPS. Best,

Gary R Culbertson, MD, FACS

Gary R. Culbertson, MD, FACS - View Other Answers by this Doctor

Sumter, SC

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