It seems like you have developed a delayed inflammatory response to Juvederm. Most cases of delayed inflammatory response are believed to be infections. It is important to use a dose of hyaluronidase that will dissolve all of the product and to use an antibiotic that can treat community acquired resistant organisms including MRSA. At this point in time, it may be best to seek a second opinion. A board certified dermatologist that is an experienced injector would be a good choice. Best wishes.
Thank you for your question. It may be helpful to consult a dermatologist at this point.
Best of luck,
Maybe. But easiest thing to check is was it really Juverderm injected? Next a punch biopsy of the area to determine a pathologic diagnosis. I might consider PRP + AFSC injection to area to heal it faster...
Typical baceterial cellulitis doesn't present like this, especially MRSA which tends to create pus. It is possible, but there are other organisms and other inflammatory states that need to be ruled out. My advice is to move on from the PS and go with a dermatologist who is familiar with treating inflammatory and infectious problems. After hyaluronidase, a steroid shot and antibiotics, the PS has followed the right steps. Your problem didn't respond, so it's time to move on to someone who can start over and take a fresh look. I am sure the PS just wants you to get better.
It looks to me like cellulitis. A strong antibiotic that fights MRSA is needed. If no help after couple days, see infectious disease specialist. This is an area I'm very hesitant to inject because it is very risky. The vascularity of this area can become compromised and lead to necrosis.