First, I am a RN in an aesthetic practice +we don't/rarely see this (We have lg #pts, MD is the injector). I had Voluma w/Allergan trainer MD 22 mos ago. My 1st filler. Was tender, but was told N for a few days. Days lasted wks, mos... R side cheek/nose-swelling+ tenderness off/on- @approx 10 mos, area dissolved with Hyalase, K3,+po antibx. Periods of tenderness along orbital rims+ this am, lg L cheek. Thoughts? Give time or require po meds+ Hyalase? Should I EVER consider a filler again?
June 30, 2020
Answer: Voluma cheek problem persist after 2 years This can happen with Voluma and Vobella. It needs to be dissolved. I use Hylenex for this. It doesn't look like infection but would add Bactrim. It is related Vycross manufacturing process it has been speculated. Firmness and swelling develop months to years later. Although not suspected, there are cases of atypical mycobacterium infections as well with similar presentations.
Helpful 5 people found this helpful
June 30, 2020
Answer: Voluma cheek problem persist after 2 years This can happen with Voluma and Vobella. It needs to be dissolved. I use Hylenex for this. It doesn't look like infection but would add Bactrim. It is related Vycross manufacturing process it has been speculated. Firmness and swelling develop months to years later. Although not suspected, there are cases of atypical mycobacterium infections as well with similar presentations.
Helpful 5 people found this helpful
September 7, 2017
Answer: Voluma reaction Only had one case in the several thousand that I have performed, but treated quite a few before from referrals. The EXACT cause is unknown, like Dr Weiner said, there are cases related to atypical mycobacterium infection, some related due to cross reaction of antigens, allergies, biofilm etc... I normally perform a full cross antigen screen (almost always negative), I add Prednisone, tapering over a month, an antihistamine, and also Bactrim or Doxycycline antibiotics. If this is does not resolve, you will need more Hylase under Pred cover. As for future fillers, this is contentious. Sure a test patch on the back can see if you react to Juvederm, however reactions are often delayed. IMO once every thing settles, I would use a different HA based product, even if there is a negative allergy test. Dr Davin Lim. Brisbane. Australia.
Helpful 2 people found this helpful
September 7, 2017
Answer: Voluma reaction Only had one case in the several thousand that I have performed, but treated quite a few before from referrals. The EXACT cause is unknown, like Dr Weiner said, there are cases related to atypical mycobacterium infection, some related due to cross reaction of antigens, allergies, biofilm etc... I normally perform a full cross antigen screen (almost always negative), I add Prednisone, tapering over a month, an antihistamine, and also Bactrim or Doxycycline antibiotics. If this is does not resolve, you will need more Hylase under Pred cover. As for future fillers, this is contentious. Sure a test patch on the back can see if you react to Juvederm, however reactions are often delayed. IMO once every thing settles, I would use a different HA based product, even if there is a negative allergy test. Dr Davin Lim. Brisbane. Australia.
Helpful 2 people found this helpful
