I had Juvederm Volite in my neck lines 6 months ago, but I had a delayed reaction. What other treatments are there? (photos)

Question

I have tried hylauronidaise with no change Now on clarithmycin and Ciprofloxacin antibiotics Just started the antibiotics

Jacqueline Calkin, MD · Answer

I recommend continued hyaluronidase injections and oral prednisone taper starting at 1mg per kg/ day over 10- 12 days.

Alain Michon, MD · Answer

Thank you for your question. You likely need multiple sessions of high dose hyaluronidase. I recently have treated effectively a patient from another clinic who had a similar reaction.  Prednisone may be added to the antibiotics. I recommend seeing an expert in your area. All the best, Dr.Michon

Robert T. Buchanan, MD (retired) · Answer

What you have described is quite rare as far as I can tell from searching the literature and talking to the companies. The only thing that you can do to reduce the lines is make sure that you are on tretinoin (Retin-A) and Obagi ELASTIderm to stimulate collagen and elastin to, over time, eliminate or reduce the lines. I have been trying to document similar incidents in order to determine if there is a common thread like autoimmune disease, etc., but need more cases to look at. I would, therefore, appreciate any information you could supply if you would contact me through this forum.

I had Juvederm Volite in my neck lines 6 months ago, but I had a delayed reaction. What other treatments are there? (photos)

Answers (3)

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