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Juvederm Volbella Biofilm Infection - London, UK

I live in London and last year I had Juvederm...

I live in London and last year I had Juvederm Volbella injected into my tear troughs on two separate occasions in June and October by a respected plastic surgeon well-known for treating this area. I had had both Restylene & Juvederm injected into my mason-labial lines & also around my lips a few times over the past dozen years or so with excellent results. However, I was disappointed with the result of the tear trough treatment as I felt It made practically no difference so I went back for more in October. Once again I failed to see much difference. If anything I thought my under-eye "hollows" looked slightly worse. 5 weeks ago I felt discomfort just under my left test duct and noticed a little watery pouch staring to form in the bottom of the tear trough itself. Thinking it was the beginning if my usual winter sinusitis I went to see my ENT specialist who took nasal swabs & put me on to strong antibiotics. The swab results were negative as were the results of a CAT scan. By this time my face was swelling alarmingly on both sides. & thinking it might be a tear trough infection I was referred to an opthamologist and surgeon specialising in tear duct disorders. Upon examining me she asked if I had had any dermal fillers at any time. I told her everything and she explained that she would have to inject me with Hyaluronidaise to dissolve it. Hopefully this would also get rid of the biofilm which is caused by bacteria which cling on to the filler and proceed to counter an immune system or antibiotic attack by forming a sticky protective coating. This can start an inflammatory response causing painful swelling. I have since found out that Juvederm Volbella was made to be used around the lip area as it is softer and also lasts longer than the original. I was not informed of any of this before the procedure. So far I have had 3 sessions of Hyaluronidaise which seems to be working although I have been warned that the biofilm may not have entirely been eradicated and I may need more treatment. The filler had migrated and because it is soft it is difficult to detect. I have also developed three smallish nodules - one in my cheek & two on my upper lip. I am just praying that this nightmare will come to an end soon although there are no guarantees. The skin under my eyes is very discoloured now and the hollows are very noticeable. NOT a good look!! I have also had to take steroid tablets for the swelling together with antihistamine and painkillers. In all a pretty nasty experience!! Please be warned, this is a very real situation that can happen to anyone who has these so -called "safe" procedures . Another myth is that they disappear after several months or so. NOT TRUE! I have been told that traces can remain for YEARS. Please please everyone make sure you are aware of any potential problems before considering having any of these treatments.
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