Ellansé Nodules and Lumps

劉達儒醫師🌐 繁中 Doctor

Hello, this is Dr. Liu. The situation you described is indeed highly suggestive of late-stage nodules, fibrosis, or a delayed inflammatory response following an Ellansé (少女針) injection. Unlike Hyaluronic Acid, Ellansé cannot be dissolved directly with hyaluronidase. The collagen-stimulating components within it can lead to localized collagen proliferation, encapsulation, or nodules. Even years later, these can suddenly become more prominent due to changes in physical health, immune responses, or localized irritation. You mentioned that the lump on the right side has been present for six years but suddenly worsened this year, and now a lump is appearing on the left side as well. Combined with the sensation of a foreign body, pressure, and a visible slight protrusion, I would not recommend continuing to observe without taking action. This situation can be managed, but it requires an in-person consultation and examination; it cannot be assessed based on appearance alone. The under-eye area is particularly delicate, so we must first use palpation and high-resolution ultrasound to confirm: * In which layer is the lump located? * How large is the area involved? * Is it a nodule, fibrosis, a granuloma reaction, or a mixed type? * Is it near any critical blood vessels or periocular structures? * Are there residual materials or inflammatory reactions on both sides? Only after confirmation will we determine the treatment plan. Some cases can be managed with ultrasound-guided localized medication, while others may require staged softening or resolution of the inflammatory response. If there is a distinct, concentrated, and palpable lump, we may also evaluate minimally invasive treatment or extraction. However, the under-eye area must not be rushed, and blind injections should be avoided. Safety and precision are far more important than speed. In the month leading up to your appointment, I suggest you follow these steps: First, do not massage the area forcefully, do not apply heat, do not perform Gua Sha, and avoid high-temperature facial treatments such as saunas, hot yoga, or facial thermal devices. These can sometimes make localized inflammation or swelling more pronounced. Second, do not undergo any further ambiguous injection treatments for the time being. Ellansé is not Hyaluronic Acid and cannot be resolved with hyaluronidase. Without ultrasound guidance, repeated injections of saline, steroids, or other medications may further complicate the tissue. Third, if you feel localized swelling or discomfort, you may apply a light, cold compress for a short time. Use a clean gauze or towel, 5–10 minutes at a time. Do not press on the lumps, and do not ice them for too long. Fourth, please take photos daily or every few days under consistent lighting and from the same angle. You can also gently mark the location of the lumps you feel. This data will be very helpful when you come in for your visit. You have already scheduled an appointment for mid-July. At that time, I will perform a detailed palpation and ultrasound examination to determine the most appropriate treatment plan. Please do not panic, but your condition does require a thorough examination, and I do not recommend simply waiting for it to resolve on its own.