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Is it possible to remove lumps under the eyes after having Evolence injections over two years ago?

Q:

I had Evolence injected in March, 2009.  I have lumps under my eyes which have still remained the same for two years, but now have a yellow tint.  Has anyone had success with removal of this product?   I'm afraid to continue to just "wait it out."

A:

Evolence is a naturally sourced porcine (pig) collagen.  It is usually intended for injection into the mid-to-deep dermis for the correction of moderate to deep facial wrinkles and folds, such as nasolabial folds.  If it is persisting in the peri-occular area you could require treatment such as injection with hyaluronidase to help it dissolve; excision; drainage, etc. Consider a consult with one of the many members of the ASAPS. They are experts in Facial Fillers.

Best,

 

Gary R. Culbertson, MD, FACS

A:

After two years I doubt the lumpiness will change.  Removal of any filler is very difficult and depends on where the filler is.

Consult a BOARD CERTIFIED PLASTIC SURGEON (AMERICAN BOARD OF PLASTIC SURGERY) for examination and consider your options.

A:

Evolence had a history of causing lumps in places other than the nasolabial folds.

There is little information, however, about removal of these lumps.  Since Evolence is a collagen, collagenase may work and would have little risk.  Because of the color change, the product may not respond and need excision.  Talk to someone with significant experience with fillers and facial surgery.

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