Nodules and Hard Lumps from Juvelook
Anonymous Patient · · Last reply 🌐 繁中
Doctor, I'd like to ask: about 2 years ago I had Juvelook injected, two sessions in total. Now there is a small raised bump and a round, lump-like shadow on my right cheek, which I suspect is a nodule/hard-lump after-effect of the Juvelook. Dr. Liu, I've heard that because Juvelook is not hyaluronic acid, it can't be dissolved or removed, or that after treatment the raised area might turn into a dent, so there is no solution. Doctor, can a case like this recover, so that the nodule goes away and the area becomes flat again? Thank you!
1 Replies
Dr. Ta-Ju Liu · Board-certified dermatologist🌐 繁中 Doctor
Hello, I am Dr. Ta-Ju Liu.
Direct answer: Juvelook (喬雅露) is not a simple hyaluronic acid; it contains collagen-stimulating components. Therefore, if nodules or fibrotic lumps have already formed, hyaluronidase alone is usually insufficient to completely resolve them. However, this does not mean it is completely untreatable, nor does it mean that treatment will definitely leave depressions.
Possibilities to Differentiate
Since you received the injection two years ago and still have fixed, small bumps and circular shadows, it is necessary to first perform a palpation and use an ultrasound to confirm which of the following it is:
1. Filler accumulation
2. Collagen-stimulating nodules
3. Fibrosis
4. Shadows caused by uneven surrounding tissue levels
Different causes require different management approaches.
General Treatment Direction
- If it is confirmed to be a localized lump, ultrasound guidance is typically used first for localization, followed by minimally invasive pinhole extraction (approx. 2 mm) to remove part of the lump.
- The goal is not to clear everything out in a single procedure, but rather to gradually reduce the protrusion while avoiding depressions, allowing the surface to return to a smoother and more natural appearance.
- Whether it can completely disappear and how many sessions are needed depends on the depth and extent of the lump, as well as the degree of adhesion to surrounding tissues.
- During your in-person consultation (regardless of which medical clinic you visit), please prepare: pre-procedure photos, the time of injection, the treated area, the number of vials used, and any treatments you have previously received.
When to Seek Medical Attention Promptly
If the lump noticeably enlarges in a short period, or if you experience redness, swelling, warmth, pain, suppuration, or fever, please seek medical care promptly.
This online response is for general health education purposes and does not constitute a diagnosis, nor can it replace an in-person consultation and ultrasound examination.