TOPIC: Nodules/granulomas

How quickly can they form post op?

I’m about 42 hours post op - I got Bellafill - no shots above the circ scar. But I noticed early this morning a hard lump in my Circumcision area on the underside about a finger tip away from my penis head. It’s red and bruising around it. Tender to the touch. I tried to massage it away but didn’t work. 5 hours later after waking up I noticed it was slightly bigger so I massaged it for like 5 minutes and it seemed to get smaller but it’s definitely still there.

I did have a lot of swelling and inflammation in my circ area immediately after the procedure. So I’m wondering if it’s got something to do with that. I just called the doc and he was out of town so his assistant said he’s going to order a steroid for me.

Does anybody know if it’s possible a granuloma could already be happening 42 hours in? And if so, could it be in my circ area even if I got no injections there?

This is mentally taxing and honestly I’m pretty scared. Anybody have this same experience and did it go away?

How quickly can they form post op?

I’m about 42 hours post op - I got Bellafill - no shots above the circ scar. But I noticed early this morning a hard lump in my Circumcision area on the underside about a finger tip away from my penis head. It’s red and bruising around it. Tender to the touch. I tried to massage it away but didn’t work. 5 hours later after waking up I noticed it was slightly bigger so I massaged it for like 5 minutes and it seemed to get smaller but it’s definitely still there.

I did have a lot of swelling and inflammation in my circ area immediately after the procedure. So I’m wondering if it’s got something to do with that. I just called the doc and he was out of town so his assistant said he’s going to order a steroid for me.

Does anybody know if it’s possible a granuloma could already be happening 42 hours in? And if so, could it be in my circ area even if I got no injections there?

This is mentally taxing and honestly I’m pretty scared. Anybody have this same experience and did it go away?

Yes, this could be granuloma and it is entirely possible for it to have developed 42 hours in, especially if you didn't have a base layer of HA already in there. Granuloma is an immune system response to a foreign body.

It's easy for the Bellafill to migrate down under the circ scar line after its been injected into the skin, especially on the distal portion of the penis.

Your best bet right now is to sit in a tub as hot as you can handle and try to get the filler to disperse a bit through massage.

Honestly I don’t know what to do at this point.

The doctors office told me over the phone with all the inflammation I had - it’s at a point where gravity takes all that inflammation down and it forms a lump so they prescribed me prednisone to help. It’s a 6 day z pack. I’m on day 2. The swelling around the lump and the redness have both gone down. Which to me is a good sign atleast.

They also told me nodules and granulomas typically don’t form until further down the road. I was super happy to hear this and felt like. Weight has been lifted until I read this comment.

I’ve actually been avoiding heat to this particular area because heat worsens inflammation and the body’s natural response of handling inflammation.

But now you’re telling me the best thing to do is sit in a very hot bathtub and hope it disperses.

Two different advices from two reputable doctors on this forum has me very worried.

Should I give the prednisone a chance to work through these 6 days and if it doesn’t then sit in a hot bathtub and try to disperse as much as possible?

Honestly I don’t know what to do at this point.

The doctors office told me over the phone with all the inflammation I had - it’s at a point where gravity takes all that inflammation down and it forms a lump so they prescribed me prednisone to help. It’s a 6 day z pack. I’m on day 2. The swelling around the lump and the redness have both gone down. Which to me is a good sign atleast.

They also told me nodules and granulomas typically don’t form until further down the road. I was super happy to hear this and felt like. Weight has been lifted until I read this comment.

I’ve actually been avoiding heat to this particular area because heat worsens inflammation and the body’s natural response of handling inflammation.

But now you’re telling me the best thing to do is sit in a very hot bathtub and hope it disperses.

Two different advices from two reputable doctors on this forum has me very worried.

Should I give the prednisone a chance to work through these 6 days and if it doesn’t then sit in a hot bathtub and try to disperse as much as possible?

I will present your case to Dr. Carney since he is in the office performing surgery today and see what he says and recommends.

Like I said on your reddit post, this is not cause for alarm and is an aesthetics issue more than anything. If it is granuloma or filler migration, it can be repaired.

We know that granuloma can form this early because not only has Dr. Carney seen and repaired it so many times but he also has a PhD in Pharmacology and understands the intricacies of how the body reacts to these fillers.

But again, this is NOT the end of the world. Hang in there, you're going to be fine. I'll post again as soon as I have an answer from Dr. Carney for you.

Granulomas do not form within 42 hours. They are the result of a complex, delayed immune response in which the body attempts to wall off a perceived foreign substance. This process involves activation of macrophages, lymphocytes, and other inflammatory cells, and typically takes weeks to months to develop—not days. What you’re describing sounds more consistent with early post-procedure inflammation, minor filler migration, or a small hematoma—especially considering the swelling and bruising you had initially.

Even without injections directly at the Circumcision scar, swelling and fluid can track along tissue planes and collect in that area, particularly if there’s preexisting scar tissue. This is not unusual. And while gentle massage can sometimes help, aggressive massage this early can increase inflammation.

The best thing to do right now is exactly what your treating provider recommends.Give your body the time it needs to heal. Take a deep breath and wait—there’s an excellent chance that, looking back in a few days or weeks, this will all turn out to be no big deal. Over 95% of the time, these early post-procedure concerns resolve without intervention. A
Try to stay calm ( I get it its hard to do!)—this is almost certainly a temporary reaction, not a granuloma. Dr. S

Should I give the prednisone a chance to work through these 6 days and if it doesn’t then sit in a hot bathtub and try to disperse as much as possible?

Just got done speaking with Dr. Carney and yes, I was mistaken. As Dr. Sullivan noted, it is in fact too early to be granuloma. Granuloma formation typically does not start until about week 12, according to Dr. Carney. Dr. Carney said he doesn't think it is an infection, granuloma, or filler migration, but that it is most likely a hematoma and will likely resolve on its own and be gone within the next couple of days. So, no need to worry at all. My apologies for the misinformation and I hope you enjoy your new size!