10 Years Under the Eyes: Ultrasound-Guided Removal of a Sculptra Lump

What was extracted was a lump — and the reason she had lost sleep for ten years.

This is a Sculptra (poly-L-lactic acid) nodule removed from beneath a patient's eyes — injected over 10 years ago. The pale, chalky particles floating in the syringe might surprise you, but for her, each one represented years of regret every time she looked in the mirror, and the constant anxiety of being noticed.

Many people believe that once a filler goes wrong — lumps, nodules, or a "pillow face" from fat grafting — the only options are major surgery or living with it forever.

Those are not always the only two options.

At Liusmed Clinic, we understand that managing complications requires even more precision and empathy than the original injection. Our approach:

Thorough pre-treatment evaluation: We listen first — understanding your concerns and medical history before taking any action.

Advanced ultrasound guidance: Like having X-ray vision, we precisely locate the filler layers while avoiding blood vessels and nerves.

Minimally invasive removal: Sculptra, Ellansé, autologous fat, collagen buildup or hyaluronic acid — the approach depends on the material and where it sits. When it is suitable, the material can be removed through a needle-sized entry.

I hope that tonight she can sleep a little easier. Results vary from person to person, and some cases need more than one session.

The full procedure is in the short video above. For whether under-eye filler should be dissolved or removed, see our guide: Under-eye filler: dissolve or remove?

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Do you have a similar concern? Don't let anxiety keep you up at night.

To schedule a consultation, please visit: fillerrevision.com/en/contact

Real case shared with patient consent. Every case is different. Treatment decisions should always be based on an in-person consultation and ultrasound evaluation.

Liusmed Clinic · Taipei / Kaohsiung · By appointment only

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