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POSTED UNDER Voluma REVIEWS

Voluma Side Effect Your Injector May Not Be Addressing - Idaho Falls, ID

ORIGINAL POST

There might be a few of you out there that have...

aladams
There might be a few of you out there that have experienced a side effect that has not been reported to you by your injector. As I posted on RealSelf in late 2014/early 2105, I had three nodules on the left side of my face. These nodules occurred in separate incidences over a period of time. At first the nodule was something I could feel but could not see. Then, over the period of a few days the nodule blew up into a large, red and tender soft lump and evolved into a hard like thing that seemed to want to burst through my skin. Does any of this sound familiar to you?

My injector, a well-respected plastic surgeon, rejected out of hand there was any connection between Voluma and my nodules. However, since I have no history of cystic acne and never had a cyst of any kind on my face I knew in my "heart of hearts" that my problem was related to Voluma. Consequently, I lost confidence in my surgeon's ability to treat me properly and so I started to research Google for more information. Very soon I found RealSelf, posted my problem and received quite a few responses. Most of the responses said that Voluma had not been injected improperly. Of these responses, however, only one plastic surgeon really understood my problem because she had a patient who experienced exactly the same thing and it has nothing to do with how the product is injected. This plastic surgeon is Dr. Catherine Durboraw from The Center for Aesthetics in Idaho.

Dr. Durboraw has been on a mission to help patients who have had the same experience (and sometimes much worse) as I did with Voluma. She has done extensive research and her only intention is to make sure that these incidents are diagnosed accurately (which often they are not), treated correctly (which often they are not) and to alert the physician community about this side effect and how she has successfully treated the problem.

Dr. Durboraw even reached out to my plastic surgeon and shared all of her research and treatment plan with him. And, she has done the same with the dermatologist who is currently treating me for this condition. I initially had two treatments of Vitrase given at a lower dosage. The nodule seemed to disappear but within two weeks came back again. I am now receiving more aggressive treatment and have received three additional injections of 120 units of Vitrase in combination with two different broad-spectrum antibiotics, which seem to be working and hopefully will prevent another reoccurrence.
I am very appreciative of Dr. Durboraw's intervention and hope this post is helpful to others who may be suffering from this unusual Voluma side effect.

Replies (47)

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April 17, 2015
happened to me with Sculptra, 8 yrs later and they are barley visiable but it is the product and the injector if u ask me, hope you get good results and the bumps/lumps go a way as mine did eventually ..good luck
April 18, 2015
Thanks for the comment. I guess what was so disappointing to me is that I had been going to this surgeon for over three years and I expected him to help me. Instead he denied it was the product that was causing the problem . Completely misdiagnosed me and his treatment was wrong.
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April 20, 2015
Sounds like it's a combination of the person's individual chemistry/biology and the chemistry of the product. If it was just the product it would probably happen to most people, if it was everyone's biology, also that would cause it to happen to most people. That makes sense to me. Anyway, aladams and others this happened to, glad you are all improving and hope you all continue to improve. I learned to never give up. I had restylane improperly injected in my tear troughs to cover bags and I was afraid of Vitrase because it is more of an allergen than HA fillers and I am allergic to some animal-derived products. I had the vitrase almost a year ago and I'm so glad I did.
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April 20, 2015
Aladams, I'm not surprised your plastic surgeon helped you for 3 years but failed with this voluma. Many doctors do not even know how to properly do all the procedures they perform. This is why doctors should be chosen according to how experienced/knowledgeable they are with that particular procedure on the particular area of the body. In this case, it seems like your surgeon was NOT inept with the voluma but probably needed somewhat more experience since the doctor did not know all the pitfalls. You really need to find the doctor who has done the procedure much more than average to get someone who knows all the pitfalls. This is not always easy to find, but it's so important.
April 21, 2015
Thanks for the helpful comments.
April 18, 2015
Yes these do occur, with ALL types of fillers in one degree or another. I had Juvederm and Belotero and after 7 years of getting injections I developed swelling and edema that came on suddenly only after receiving Belotero...Hmmnnn .. Well anyways these are an implant and ANY implant your body can react to. So with this in mind there is some risk although small that you can have a reaction to the implant, whether it is semi permanent or permanent . I hope you get better, it sounds like you are in good hands.
April 21, 2015
Thank you for your comment. This latest treatment has so far worked.
May 25, 2015
Excellent comment and really important to consider. I actually have an appt. for Voluma injections next week, but am rethinking the wisdom and/or need to do so. Perhaps just saving up for a real face lift would be preferable to injections of fillers. I've had a couple before but not for many years and developing an allergic reaction at any time is possible and unpredictable. Thank you for your comment.
May 26, 2015
I just wanted to make everyone aware of my experience. I am sure that what happened is not the rule and before the problem occurred I really like what Voluma had done. It was even so slight but it made a difference to how I looked at my face. However, don't want that experience again so no more Voluma for me .
June 5, 2015
This is a scary comment (but an important one) if true. I am 43 and new to the site - am considering fillers. I am also prone to adult acne and I wonder if that makes me even more susceptible to getting these bumps/boils/nodules!! That is the LAST thing I want. And I wonder if using fat would be less (or more) likely to cause such a complication? I'm wondering if skipping fillers all together and just moving to a mini lift or something would be a safer bet. My main issue is nasal-labial folds.
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June 7, 2015

Hi wijody,

All excellent questions. In addition to asking the community, you may also like to ask our community of doctors. Go to Ask a Doctor and post your question.

Good luck!

June 7, 2015
I stayed out of the sun, got regular facials and had good genes. I didn't start using anything until I was in my early 60's and I started very slow. The beauty of Voluma is that it lasts for 2 years, however, this side effect, which was not known to me would have made me think twice about this product if I had know beforehand. Until Voluma I had excellent results with other short term (8-12 months) products (Juvaderm, Restalyne, etc.) that were injected in my marionette lines. I did not have anything unusual happen. I had Botox injected in my forehead. I did not want to look younger or artificial just a bit refreshed and that was done. Good luck.
April 22, 2015
I have had this same problem. I have had several nodules but one in particular looks like a boil. It gets dark and red, will get better but comes back. I have been in a doctors care since September 2014. I have been on an aggressive treatment of 60 mg. of steroids, antibiotics and anti-inflammatory medications. In addition to the cost of the injections of Voluma, I have had several visits to a rheumatologist, dermatologist, CAT Scan to rule out necrosis, bone scan (because of taking steroids) and many prescriptions. My injector said she had never heard of this type of reaction but you are describing exactly what has happened to me. This has been a very stressful situation as all of the medications have been hard on my body. No one seems to want to confirm that this is a side effect of Voluma but I also know "in my heart of hearts" that it IS!
April 22, 2015
I have Dr. Durboraw's contact information and she said that I could pass it along if you would want to call her. I live in Chicago and she has not treated me but provided me with such support and contacted my doctors to tell them about her research and how she is treating the problem. With this last nodule my dermatologist modified her recommendation on the Vitrase injections only because thought he should be more conservative but it was way more then he had injected previously. So far I have only had 3 nodules and this last one (cross fingers) has disappeared and to date not reappeared.
April 23, 2015
Thank you for the swift response. I would like Dr. Durboraw's contact information. I also had several nodules. One on my cheek that looked like a half of a ping pong ball but it did eventually go down and is now soft tissue but the one I described in my response is still there and the skin around it is sinking. Vanity gone bad!!!
April 24, 2015
The doctor's first name is Catherine. Here is her contact info: drdurboraw@gmail.com and her cell is 208 521 4176. I will give her a "heads up" that Pat1955 will be contacting her. Good luck and keep me posted.
April 25, 2015
Thank you!
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April 23, 2015
I have them too. One is very noticeable. Thanks for posting.
April 24, 2015
I hope you are getting the appropriate treatment. If you would like Dr. Durboraw's contact information she has given me permission to provide it to folks who are experiencing this side effect and especially if their doctors reacted the same as mine.
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April 24, 2015
Yes that would be great.
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April 24, 2015
Has she published any of her finding.
April 24, 2015
Thanks very much for posting this. I had voluma. Didn't have that exact side effect, although I did have a couple of small red spots that never went away. I don't know if I'll have it again, but it's great to have this plastic surgeon's name in case I need it. Thanks.
April 25, 2015
I am glad that you found my review helpful.
UPDATED FROM aladams

Status Report - Voluma Side Effect Your Injector May Not Be Addressing

aladams
Good news! It has been three weeks since my last visit with my dermatologist and the nodule is now gone and so far I have not had a reoccurrence. I am still cautious and returning to my doctor for a follow up next week because these nodules are very tricky and sometimes they return. If anything further develops I will post again. If any of you want Dr. Durboraw's contact information, she has given me permission to provide it. Final comment - RealSelf is a wonderful site for all sorts of information. Without the wonderful information and doctor's who did reach out to me to help I would still be desperately trying to find someone who could help me from a possible disfigurement to my face.

Replies (11)

April 25, 2015
By the way this whole thing with the three nodules started in the fall. So, those of you who have this problem don't give up.
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April 26, 2015

Whoo hoo!!! That is great news! I'm so happy, and relieved, for you!!! Thank you again for sharing and keep us posted on how you're doing!

April 26, 2015
Thank you for this wonderful site.
May 29, 2015
Thank you for your support. Love this site.
May 27, 2015
Thanks very much for posting this.
May 29, 2015
Happy to help.
June 5, 2015
I had the same issue. It resolved over time. I would not use voluma again and I tell others to think it over as well.
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June 24, 2015
I don't yet know of anyone who had a serious problem with a 5 star doctor on healthgrades.com but even that is just one piece of the practitioner-screening pie. If any procedure goes wrong with a doctor who is at least adequate, it's probably rare and the cause not on the side of the doctor but something from the patient's side. I've read about multiple people lying to their doctors about smoking, patients bending forward within a few days of eyelid surgery, removing bandaging long before the doctor gives the okay..., it's disgusting. Also sometimes your own body reacts badly to something related to the surgery. This is often blamed because many patients do not want to consider blaming either the doctor or themselves. It seems many more people blame poor healing and other "bio quirks" than should really be the case. Many people are still having things done by less than 5 star doctors or doctors who are not experienced enough with the particular procedure on the specific area of the body. Less than adequate results should not count as experience. And I don't know of a 5 star doctor who will do a procedure without enough experience. Those doctors normally refer to another doctor who has the experience. Many people are simply still not properly screening doctors. I still research many of the doctors people have had bad results with and find they have many serious complaints online. Another problem is patients not being willing to travel farther or pay more for an adequate doctor. aladams is right for saying to not give up. If nothing is able to be found currently, perhaps in the future there will be. Hopelessness is the worst thing.
June 25, 2015
Thank you for your comment. It is really important to do a lot of research on the doctor before you select one . It is equally important to make sure that the doctor has all the information he/she needs on your health. Sometimes even if you have the best of doctors, have good health and spend the dollars needed for a good outcome "stuff happens" and that is why they have consent forms. However, having said that I have an expectation that my doctor will work with me to find a solution. Unfortunately, I had to look elsewhere to get a good result because my doctor did not want to take responsibility to help find a solution to my problem. Thanks goodness I had Real Self as a resource. The doctors who responded as well as many of the subscribers were really supportive and extremely helpful.
UPDATED FROM aladams

Final Status Report - Voluna Side Effect Your Injector May Not Be Addressing

aladams
Hello everyone and thanks for all the comments. I want to report that I continue to be free of any reoccurrence with the nodules to the left side of my face that resulted from the Voluma injections. It does seem that more injectors are starting to understand that these nodules can occur and hopefully they are including this as a side effect in the literature provided to prospective patients. This is also the goal of Dr. Catherine Durboraw (including a way to treat this problem) who reached out to me from this website to help. I will continue to reply to any questions asked but do not need to report any further status reports. Enjoy your summer.

Replies (22)

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June 12, 2015

That's great news, thank you so much for sharing! What sort of advice did she offer on how to treat the nodules?

June 12, 2015
Are you able to read my replies to comments I received as I believe I have mentioned what she recommended.
June 12, 2015
I would love to get Dr Catherine Durboraw contact information. How can I get this?
June 12, 2015
She has given me permission to provide her cell phone number, which is 208-521-4176.
June 24, 2015
Thanks for sharing your harrowing experience with Voluma. Luckily, my cheeks did not react this way. Instead of getting more temporary & expensive fillers, I've decided to go to Korea for full facial fat grafting.
June 25, 2015
Good luck and thanks for sharing.
June 27, 2015
How did you decide on Korea instead of somewhere in Latin America where I've read it is done often and well, such as Argentina?
June 27, 2015
I am not seeking care outside the U.S. Your comment must be in relation to what mamanx2 posted on June 24 as a comment to me.
June 27, 2015
Because my features are between Asian & Caucasian ones & I've found that western-trained cosmetic surgeons don't understand , know how to enhance or truly appreciate non-white aesthetics. I'm NOT accusing them of deliberate racism; it's more s matter of minimal experience & divergent beauty standards.

A doctor I just consulted, wanted to add jaw angle implants & make my chin more prominent (like Angelina Jolie did). No woman of my background would EVER want this!
June 29, 2015
You are right, I was. Thanks for noting the correction for me as I'm still curious about that.
July 12, 2015
I don't like it that much on Angelina Jolie either! Yuck. Very manly.
July 12, 2015
I am so glad to hear that your issues resolved successfully. Can you share with us all what you and your doctors have determined was the cause, and which treatments were effective in the end? It would be good to know if this was an inflammatory response, rejection of the filler by your body, infection, poor placement, underlying auto-immune disease, or some oer issue entirely. It would help us all to know what your thoughts are given the long time you spent dealing with it. Thank you and congrats.
August 13, 2015
Sorry for the late response. I have had other fillers for over a few years and have never had an adverse reactions. When I had this incident the plastic surgeon who did the injection rejected that it was any kind of reaction to Voluma. The physician who ultimately treated me had heard of such an occurrence but it appeared to be rare and he had never treated anyone for the condition. However, a surgeon who read my post reached out to me and provided me with information as to how she was treating this issue, which I passed along to the treating doctor. High doses of Valtrese in a series of weekly visits building the dosage over a period of time plus a round of antibiotics did remedy the condition. So far I have not had any further nodules but I won't be using Voluma again. The treating physician was not sure exactly sure of the proximate cause. He ruled out poor placement and allergy. He did think it was an usual occurrence although he had heard something about this problem and I was the first patient he had treated for the condition. The physician who was the most helpful, as I mentioned previously, had read my post and reached out to me. She has given me permission to provide her name and a telephone number to anyone who has reached out to me through this platform. Her name is Dr. Catherine Durboraw at 208-521-4176. By the way I had several conversations with her and she ultimately talked to the plastic surgeon who was the injector and the doctor who treated me (all at no cost to me)about the protocol she had been using to treat the nodules. I have never had a doctor who was as gracious to me in my entire life. Anyway, good luck to you.
August 13, 2015
I'm so glad you are better now. Luckily I did not have this happen with Voluma- but had other issues & regret the Voluma. Sticking with Radiessse in the future.
August 13, 2015
Thank you for your comment.