Voluma - "Not So Rare" Infection, Biofilm, Nodules, & Abscess

I haven't updated in awhile. Just a quick update that I continue to have swelling and soreness near my eye. Today I saw my dr. for the first time since early July to have a small dose of the enzyme (10 units). It's been 7 months and I feel like this should be over by now. Ugh.

Just a quick update for you who may be following my review of Voluma. It's been 6 months since I received 1cc Voluma to the cheeks on 1/26/18. I had an immediate onset infection and began antibiotics and hyaluronidase to dissolve filler within 2.5 weeks following injection (2/16/18). I have been to the doctor 40+ times (averaging 1-3 visits per week) for more Hylenex and early on in this process, I had bilateral facial abscesses that produced negative cultures. I had 50cc's of gooey substance aspirated from two abscesses. Numerous nodules have popped up on both cheeks. One cheek appears to have had resolution of nodules and inflammation and all signs of infection for the past month. Right side is still terrible. Swelling and nodules have been popping up on the orbital rim near the eye and temple where filler was not placed. They respond well to Hylenex but soon a new area pops up. I've received over 1300-1500 units or more of Hylenex to date but I stopped counting a long time ago. Most visits are between 30units to 75units per cheek and we haven't had to treat the left cheek in about a month. I remain on antibiotics (minocycline 100 mg twice daily). Feedback from doctors is that biofilms can take many months to resolve and as long as there is product in the face, I'll continue having reactions. It's worth mentioning I had 2cc's Voluma 2 years ago in the same area and I probably have some residual filler leftover. This is taking forever to resolve but it appears my case is not unusual amongst those who have been diagnosed with a biofilm. They are very resistant to antibiotics and the only solution is dissolving the filler. But it's not a quick process. Ugh...