Sculptra Granulomas Biofilm?

Sculptra was injected improperly by a board certified PS in 2008. I still have painful nodules under my right eye and they swell and hurt. I was told that there may be a biofilm infection. I am again on antibiotics. What I really want to know is when will this poly l lactic acid degrade out of my body so I can get better. How do you cure biofilm infections? I do not want to cut again and hope if i wait longer. I hate sculptra so much and have been in varied degrees of pain for 5 years. HELP

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3 Doctor Answers | Asked by Dru11 in The State of New York

Doctor Answers (3)
Community Comments (2)

Sculptra and Biofilms

Dear Dru11, I am very sorry to hear about your situation, which is atypical in the Scupltra experience. Biofilm formation should be rare after any form of aesthetic injectable, but can occur. If palpable nodules are present 4 years after injection, surgical excision may be required. However, since the duration of Sculptra Aesthetic results is 2 years or less, you may want to consider an opinion from a Neurologist or pain specialist in order to rule out other causes. more

Treatment of problems associated with Sculptra injections

Sculptra is a productthat exerts its beneficial effect via stimulation of collagen production. While development of nodules after sculptra injection is not common when the drug is prepared and injected properly, it can occur. Biofilms refer to "bacteria-containing envelopes" that can develop around injected particles that can become infected yet are difficult to treat. Antibiotics are successful in many cases of biofilms but they can be difficult to treat. ... more

Brian Biesman, MD

14 reviews

Nashville Oculoplastic Surgeon

www.drbiesman.com

Sculptra nodules

It would be best to seek advice from the doctor who did the injections in the first place. if its that painful you might be better off having those excised if all other measures have failed.

Misbah Khan, MD

5 reviews

New York Dermatologic Surgeon

Comments (2)

Dru11 4 Jan 2013

Why do these realself Drs say it is gone in 2 years? I have sculptra on biopsy at 3 years. Dr. Mest the Dr. that did the trials for the drug co responded with this " If the sculptra particles are part of a biofilm, the micro cellular environment is not normal and therefore the usual degradation of the particles does not proceed in the usual fashion. As such, there is no set time that I could offer to you." Since it was injected all wrong in places it doesnt belong that only adds to the problems of biofilm and prolonged degradation. But None of these "Answers" has bothered to look beyond the slick sales pitch the drug co rep told them. It is NOT GONE in 2 years. I wish it were.

Dru11 11 Dec 2012

I wouldn't allow the Dr that did this to me to put a band aid on my dog. I certainly will not return to him for more of his opinions. His incompetence has cost me dearly.

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