What to do if you get lumps or bumps after having dermal filler

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Hado moaning welcome well medical arts

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here answering commonly asked questions

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we have a good one asking about hard

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lumps from Bella fill searching for a

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second opinion before cutting to remove

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the lumps that’s not necessary

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I need to find a bellyful qualified

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doctor so first of all when we talk

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about lumps we talk about a granuloma it

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has the absolute same incidence it’s

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point zero one percent with all of the

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dermal fillers so it’s the equal amount

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you can have it just as easily from any

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of the by cross technology or hyaluronic

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acid or plla to PMMA they all have the

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same incidence of lumping with the bowel

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fill in particular there are certain

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people who tend to react to it a little

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bit more so we screen people do they

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tend to be like allergies asthma

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autoimmune disease people who tend to be

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more inflammatory and reactive also some

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people who have been exposed to

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something and and have reaction to it

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for example I had one person who had the

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flu and then they started to flare up a

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little bit I have seen the lumping and I

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do know how to treat them well after

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you’ve been doing it a long time you’ve

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treated lots and lots of people it’s

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just a numbers game you will see some of

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the side effects from all of the

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different fillers and then it’s a matter

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of knowing how to treat them which I do

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so with the Bella film what we do is we

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in

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intralesional which means right inside

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the granulomas alone with a steroid

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something called 5fu and sometimes

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collagenase that helps break down the

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collagen because the problem is actually

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called with fibrosis when the body over

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builds a collagen so we’re trying to

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break it down when we do this will help

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people come in every three weeks and

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continue to treat it until we’re tell

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it’s down we’ve had some that have been

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challenging and taking a little longer

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and then we’ve had some that go right

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now when you’re using this choice you

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can actually feel it melt right

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underneath your fingers sometimes so it

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just depends on how reactive that

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patient is we have not needed to refer

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anybody to have Bella Phil cut out or

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removed and the best course of treatment

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is the injectable anti-inflammatories to

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take down the lesion it just takes a

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full time