How do you manage inflammatory post filler nodules?

My approach to inflammatory nodules from HA filler will depend on several factors. Assuming these are delayed nodules (developed one to three months after HA placement), I’ll question the patient on a few issues. First, has this ever happened before? Often a patient will give a history of having smaller nodules prior to having more advanced nodules. Second, are they painful or just unsightly? And if unsightly, how much does it bother the patient? In my experience, the best way of dealing with in...

I think Dr. @Dr. First Last is correct. I do also try to get records from other physician's offices, and clear patient history including any dental work. I most commonly see nodules referred to my office and it is important to get that detailed history and patients aren't always clear on what they had done (or it doesn't coincide with the chart records). In my office, I typically massage to prevent nodule formation and give detailed instruction sheets that help. I always keep 4 vials of Hylenex ...