If biofilm develops from Restylane Silk injection on tear troughs once, what are the chances it will happen again?
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Doctor Answers 3
Late filler infection occurs because bacteria get introduced at the time of injection or, more rare, due to infection elsewhere on the body that reaches the filler through the blood vessels. Sterile technique is essential and perhaps considering a dose on antibiotics before the procedure might be reasonable.
Best, Dr. ALDO :)
Biofilm is related to injection technique
Biofilm, a latent infection, is introduced during the injection. Sterile technique is crucial. It is also possible to get an infection from bacteria spread there from the blood or from a nearby infection. Unless the filler was dissolved, there can still be bacteria in and around the filler. You didn't mention hyaluronidase. This needs to be done to be assure the "infected" filler is removed.
Biofilm Facts and Fillers
The chance of biofilm formation is rare and unrelated (in my opinion) to the number of times someone has or gets filler treatments. If the physician does proper "clean" technique, with both alcohol and hibiclens (or another similar surgical skin cleanser), the chance for biofilms is much reduced. This should be typical practice for anyone you are willing to get treated by. Best, Dr. Emer.
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