I have an infection in my face after Juvederm Vollure -- Is this a biofilm? (Photos)

Question

About a month ago I had Juvederm Vollure injected in my face. About 5 days after (2nd picture shows how my face returned to normal after procedure) I developed this infection. I saw a reputable Dermotologist (his PA administered it to me, she does a lot of the fillers and Botox). They put me on a round of Bactrin and I took the whole course. 3 days later the infection was back. Now my Dr (saw the dermo) has me on doxycycline and told me I will have to take it for 3-12 months! Is this a biofilm?

John J. Martin, Jr., MD · Answer

This would be early for a biofilm.  You need to have the filler removed first.  This will help if it is either infection or just an inflammatory nodule.  Doxycycline is a good choice in this situation.  Should use for about 2 weeks and then re-evaluate.

Jason Emer, MD · Answer

It's difficult to tell from your pictures. I recommend following up with your Doctor. If necessary, the Juvederm can be dissolved with hyaluronidase. It may take a series of treatments. See an expert. Best, Dr. Emer

Shaun Patel, MD · Answer

It's hard to tell for sure if this infection represents a biofilm but it is certainly a possibility. In addition to the antibiotics you do need to have the filler removed using hyaluronidase. The reversal of the filler will lead to quicker resolution of the infection.

Leonard Grossman, MD · Answer

It is difficult to tell the exactly what's going on and the cause of your infection which I'm sure is quite unsettling for you. I don't believe you will need 3 to 12 months of antibiotics. I think treating your face with hyaluronidase on top of antibiotics will accelerate the healing process and the problem that you have. In the majority of healthy individuals the face will get better rather quickly, with and sometimes without the antibiotics. Good luck from New York City

Val Lambros, MD, FACS (retired) · Answer

the first thing you need to do is dissolve the product. If this is s biofilm around the filler as long as ou have the filler you will have the reaction.

I have an infection in my face after Juvederm Vollure -- Is this a biofilm? (Photos)

Answers (5)

Answer: Filler trouble

Answer: Filler trouble

Answer: Biofilm?

Answer: Biofilm?

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I have an infection in my face after Juvederm Vollure -- Is this a biofilm? (Photos)

Answers (5)

Answer: Filler trouble

Answer: Filler trouble

Answer: Biofilm?

Answer: Biofilm?

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Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.