TOPIC: Nodules in the circ scar area

I had a second Bellafill procedure 8 days ago (11-18)In which I received 10 syringes for a total of 18 syringes between both procedures . Everything was looking great annd I was thrilled with the size and symmetry until about day 5 when 2 nodules appeared and became a bit larger the next day. They are in the area below the glans. An area the doctor said they would place one syringe. They used a cannula except while I wasn’t watching they placed 2 direct little injections In that area for some reason. Something we hadn’t discussed. I now have what I believe to be two nodules in that exact spot that I’m concerned will be permanent .

I was able to get in and show the Dr but they aggressively denied that they are nodules and were generally defensive. I asked about Kenalog and my options and they told me to be patient and wait 10-12 months before considering that and that they would try to bust it up with saline before considering even considering Kenalog .

She claimed it isn’t infected nor do I think so but she later called in a prescription for an antibiotic and methyl prednisone. I react poorly to prednisone so am on the fence about taking and unsure of why it was prescribed.

I’d like to get some thoughts, opinions, and experiences. Do I need to relax? I knew the deal . I knew there were risks, but I’m worried it will be permanent and that it will look to a woman like I have some kind of STD.

They are pretty hard and slightly painful. For now I’m massaging and trying not to freak out. Any wisdom, advice, or comments about it’s appearance are appreciated.

You're only 8 days out, keep massaging the area (but not too much 1-3/day and keep it clean), and you'll be surprised by how much it changes over the next few months (harder parts generally gets softer smoother). Bellafill is supposed to have a longer "set" time compared to PMMA used by AD. That said that does look more raised than mine got. You said they were painful; describe what the pain is like?
Did they suggest you take anything for it? Ibuprofen should reduce swelling, but you're also wanting some of that swelling around to build the collagen.

Who was your provider?

The pain is just like sometimes it’s uncomfortable if there’s any pressure on it. Massaging it isn’t pleasant. I’m very uncomfortable in jeans or anything tight and am going without underwear lately. Not that I would right now, but any squeezing like with masturbation would hurt. It feels like it will be a while before I can comfortably handle any friction on that area. And if the bumps remain it would seem my hand would irritate them. They are perhaps less painful than yesterday.

I’m taking ibuprofen, the antibiotic prescribed, collagen peptides, massaging it with collagen peptide lotion. I’m setting a lot of time aside to get erections to get good blood flow going and I’m in testosterone replacement and seems to be Erect most of the time I’m asleep. I’m considering using a heating pad at a low/medium setting. I’ll do my best to be patient . Does your gut tell you I may need some sort of intervention like Kenalog down the road?

My doctor was doctor Lax who I suspect is a relative unknown. I’ve been otherwise very happy with her. I’ve gone from initially 7x5 to 6.25” Girth with just 18 syringes. If these nodules subside or perhaps get to be significantly less raised I’ll be pretty damn happy. I fortunately have a loyal woman who is pretty cool and understanding but If that doesn’t work out I’d be pretty nervous about dating. I had to drag it out of her, but she did admit that if she saw that on a guy for the first time she would be worried it was an std.

Just an update, the nodules are larger and more purple today. I can do nothing with it and can’t imagine soon being able to jerk off or have sex. I am extremely anxious and don’t believe I will be able to relax, be patient , or think about much of anything else. I’d like to hear some experiences with Kenalog or surgical Removal and recommendations for doctors. My believe is they are permanently here to stay sadly. If dr Rupeka can cover this with more filler they would be a dream scenario, but if not I’d love a Kenalog/surgery doctor recommendation.

I now have a third painful Nodule to the left of these two. I am feeling pretty desperate. I’m interested in surgical recommendations, Kenalog experiences, and thoughts about going over the nodules with silicon filler. I may not be thinking very straight but I’m scared and desperate.

Next week my doctor will be injecting saline into the nodules to sort of try and break things up. I am interested in hearing about shockwave therapy for nodules and figure I’ll try that too. Failing these thing i plan to push for Kenalog and if that’s unsuccessful for surgery.

Regardless of how everything looks , the pain an discomfort has me feeling like I will not be able to masturbate or have sex for a long time, and I’m struggling with that lol.

Hey how long did you wait in between procedures? I got 25 syringes of Bellafill on the first round but my starting stats were 7x5.4 and now I'm 7x6.

You only had 18 and achieved the same thing?

Anyway I did have a spot that seems bigger than the rest but massaging and warm water seemed to fix it. It's day 6 for me.

Isn't it still somewhat malleable for 10 days? I know the first 3-5 days are important but I've just been following the aftercare thread- seems to be working. The doctor said to be a little harder with the rubbing for her massage to get rid of lumps.

Thanks. I only waited about 8 weeks between rounds. I see my doctor on Wednesday, she wants to try busting up the nodules (she says they’re not nodules) with saline. I don’t know about that idea, but hey, why not.

I’ve given them a couple days to rest because they were irritated. Now I’ll start using heat and a softer massage this time.

LouSkunt wrote: Thanks. I only waited about 8 weeks between rounds. I see my doctor on Wednesday, she wants to try busting up the nodules (she says they’re not nodules) with saline. I don’t know about that idea, but hey, why not.

I’ve given them a couple days to rest because they were irritated. Now I’ll start using heat and a softer massage this time.

I mean the general consensus here seems to be to wait. Did you also try using a deodorant spray can and your palm to roll out the area. They said to do all sides, underside, left, right and top, back and forth like you're rolling dough I guess.

2 weeks post Bellafill nodules. I think they look a bit worse.

If anyone has experienced or seen a similar situation that got resolved I’d love to hear about it or see a link.

Unfortunately, this is probably granuloma, not nodules. 18 syringes is a LOT of PMMA in such a short time, especially for a first-timer (I'm assuming). This is why we insist our patients start out with H/A first and go slow; it greatly reduces the risk of developing granuloma. Granuloma often happens when too much PMMA is injected at once, especially without that base layer of H/A, because the "beads" in PMMA are a foreign body so the body tries to eject the foreign bodies, seeing them as a threat to the system. PMMA and granuloma are difficult to get rid of, unfortunately, but feel free to reach out to us about it as Dr. Carney is one of the absolute best when it comes to repairs. I have never heard of anyone injecting saline to try and break it up, so maybe get a second opinion from a Urologist who is familiar with this before letting her do that. I'm so sorry and wish you the best of luck in getting where you want to be.

I have a similar issue how do you tell if a nodules or Granuloma?

I have a similar issue how do you tell if a nodules or Granuloma?

You would really need to see a doctor (preferably a Urologist who is familiar with PMMA Girth injections) to know for sure. It's not really something that is self-diagnosable. All granulomas are nodules, but not all nodules are granulomas.

I had saline injected a few days ago. I couldn’t find anything on it and was/am skeptical myself but at least my injector is doing it for free. One of the nodules however does seem like it may be a bit smaller. Whether this is in my head, affected by the saline, or just something that was going to happen I can’t say. Either way I don’t expect it to fix the situation.

I have shockwave therapy scheduled next week with a different doctor. I plan on starting with 2 sessions for $1200. Do you have an opinion on shockwave therapy for Bellafill nodules?

If shockwave therapy fails, what sould you suggest? Kenalog, then surgical Removal failing that?