Important. Everyone needs to know about this potential filler problem: Biofilm
There is something to consider when you have a red lump/bump develop that lasts longer than a month after an hyaluronic acid filler! There is a type of infection called a biofilm. This is a low-grade infection (kind of like an inflammation in your gums or an ingrown toe) where the bacteria are sitting in the filler (really just a temporary implant right?) and not spreading, but also not going away. A woman wrote in recently who had a bad reaction like this after she had a filler injection in the mouth area, which should never be done! You can read my response to her here.
The treatment for a biofilm is to remove the filler with the hyaluronidase and usually to treat with 2-4 weeks with an antibiotic. If the filler stays in place, the infection won’t resolve. There’s really no way to tell at this point, if that’s what was causing your problem.
I hear what you are saying about the asymmetry. Only your hopefully board certified dermatologist or plastic surgeon can really help you with this. You may need a second opinion.
Hope this helps, Dr. I