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superburrito

My acne scars treatment journey: Infini with Dr Weiner and CROSS/Subcision/Microneedling with Dr Rullan [pics!]

@meilinboss thanks for sharing your experience! When I first got the Juvederm fillers in July, I did notice some lumpiness, which I massaged and they went down over time. Perhaps, the initial technique was not as good as it could have been, and maybe I was overfilled initially.

I was surprised that 6 months later, I had a reaction, which everything seemed to be okay for a bit. I found a research article here that describes some other cases of late-onset inflammation to fillers: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889432/

And it most of those cases, the Prednisone helped to resolve the issues.

Edited by superburrito

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6 hours ago, superburrito said:

Hello all, just a quick update that about a week ago I started noticing firm lumps around where my Juvederm fillers were injected back in July 2019. A few days ago, massaging the lumps seemed to help slightly for one side of the face, but not the others. And they were are also red/inflamed. It seemed that I am having a late-onset reaction to the fillers.

redness.jpg.54c3046e86eb47c31a6e5d49595386a3.jpg

Yesterday, I woke up to the lumps looking more red and feeling more firm. I contacted the doctor's office, and I was put on a course of Prednisone. I took my first dose last night and this morning, I can already see that that lumps have subsided greatly, and some of the redness is gone. So far, I'm glad the treatment was straightforward. Phew!

Coincidentally, I also have a very bad cold right now. Perhaps while my immune system is fighting the cold, it triggered a reaction to the fillers.

This overall is making me more hesitant overall with fillers in the future. I had even been considering Bellafill at some point in the future, and now that's a no-go for me, since complications from Bellafill are even harder to treat.

Has anyone else had bad reactions to fillers?

I just had sculptra 8 days ago and I got a bad cough and headache three days later. I am wondering if they are related too. Could be a coincidence. I am still recovering from it but feel much better. 

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@joeysk glad to hear you are recovering! In my case I think my bad cold triggered the inflammation around the juvederm injection areas.

Update:

I took a course of Prednisone for about a week which helped the inflammation greatly. However after I got off it, the lumps and swelling came back This past weekend. Huge bummer and very concerning. Today, I went to a local dermatologist who took a look. She told me that this type of late-onset inflammation can happen as part of infections such as a cold, which I have been battling for two weeks.

I was prescribed a longer course Prednisone for 12 days, in addition to antibiotics for a month. She Also wanted to shoot diluted cortisone directly into the inflammation but I was too concerned about the risk of pitting / indentation. The risk is a extremely low, but I held off on that for now.

I’m hoping that in a couple of weeks this will all be gone for good.

It sucks that I had this reaction to Juvederm, especially six months later, but the derm said there are other fillers that I can try in the future. She did strongly warn me against Belafill as the risk of granulomas is much greater with it 

 

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On 1/5/2020 at 12:24 PM, superburrito said:

Hello all, just a quick update that about a week ago I started noticing firm lumps around where my Juvederm fillers were injected back in July 2019. A few days ago, massaging the lumps seemed to help slightly for one side of the face, but not the others. And they were are also red/inflamed. It seemed that I am having a late-onset reaction to the fillers.

redness.jpg.54c3046e86eb47c31a6e5d49595386a3.jpg

Yesterday, I woke up to the lumps looking more red and feeling more firm. I contacted the doctor's office, and I was put on a course of Prednisone. I took my first dose last night and this morning, I can already see that that lumps have subsided greatly, and some of the redness is gone. So far, I'm glad the treatment was straightforward. Phew!

Coincidentally, I also have a very bad cold right now. Perhaps while my immune system is fighting the cold, it triggered a reaction to the fillers.

This overall is making me more hesitant overall with fillers in the future. I had even been considering Bellafill at some point in the future, and now that's a no-go for me, since complications from Bellafill are even harder to treat.

Has anyone else had bad reactions to fillers?

Sorry to but in but after Juvederm fillers and some time (~2-3 months) are you planning to get Infini again? Also was subcision done first before fillers? I'm potentially looking at fillers in the future. I just got back from my first subcision and am still on week 2 of 14 before my next Infini treatment.

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7 minutes ago, wombatstaywoke said:

Sorry to but in but after Juvederm fillers and some time (~2-3 months) are you planning to get Infini again? Also was subcision done first before fillers? I'm potentially looking at fillers in the future. I just got back from my first subcision and am still on week 2 of 14 before my next Infini treatment.

Hello! I did juvederm in a separate session after I had done a few subcisions. I will likely avoid juvederm in the future given my allergy to it, but am considering other fillers. 

This year, I am mainly doing Cross. But am considering doing Genius towards the end of the year, or next year.

 

 

 

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23 hours ago, superburrito said:

Hello! I did juvederm in a separate session after I had done a few subcisions. I will likely avoid juvederm in the future given my allergy to it, but am considering other fillers. 

This year, I am mainly doing Cross. But am considering doing Genius towards the end of the year, or next year.

 

 

 

Hi 

what fillers are you considering? HA or more long-lasting? 

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Only HA fillers, like Restylane. I had considered Bellafill, but given my reaction to Juvederm, and I won’t be considering any permanent fillers as the risk is too high for me.

Edited by superburrito

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I think it's wise to go with temporary fillers that you can top off.  It's a hassle, but maintaining once or twice a year is a lot easier to manage then dealing with chronic inflammatory response to a permanent filler that can't be removed.   These swellings may indicate a sensitivity and propensity to get inflammation. 

This type of reaction is pretty common when your body is fighting an infection elsewhere in the body and your immune system goes into overdrive and seeks out anything it deems foreign.   I have flare ups like this every few months if I get sick or if I manipulate the area excessively.  

Actually, its funny I read your post today because I woke up with a lump on my left cheek where I've had fillers injected many times.  Sometimes antihistamines seem to work, other times you just have to wait it out unless you take something like prednisone.  

You can get reactions like this to any filler, but Juvederm does tend to draw a lot of water into it. 

 

Which antibiotic did she put you on?  I'd be curious to know since I have flare ups too. 

Edited by dazzed

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@dazzed I got put on doxycycline for the antibiotics, and for this second course of prednisone it's a 10-day course. It's helped a lot so far, and the terrible cold I've had for the past couple of weeks has reached its tail end. I'm hoping that once I get off the meds, that the swelling doesn't return too much.

I definitely plan to continue with temporary fillers. I've started doing botox recently, so I figure I can just top off at the same time.

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@superburrito   Thanks for the info.   As I write this, the pretty  big lump of inflamed filler on my left cheek has mostly flattened out.  I seem to get these things every couple of months and I may have to do a course of antibiotics to see if it decreases these episodes.  

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Hello everyone! Just wanted to update folks on the latest with my scar treatments

Late-onset inflammation to Juvederm fillers from July 2019
If you've been following some of my recent posts, I've been suffering from late-onset reaction to the Juvederm fillers from fillers that were injected in July 2019. The reaction appeared when I had a bad cold in January, and has been very stubborn even after two courses of Prednison. In my last update, I was put on 10-day course of Prednisone. Unfortunately, after I got off it, the nodules came back. :-(. My local derm in San Francisco ended up injecting steroids directly into the inflammation. She also put me on another course of Prednisone, this time for 20-days. Those 20 days really sucked, as it was a lot of pills, and had to be timed with food. I finished the course a few days ago, and so far, the nodules have virtually disappeared and there has been no reoccurrence except for an area on my right cheek which is starting to form a lump again, it's not visually noticeable, but I can feel it with my fingers.

Treatment with Dr Rullan for acne scarring, Feb 26, 2020
Today, I had another treatment with Dr Rullan: Cross and PRF scalp injections. These were pretty much the same routine as prior treatments as I have been getting. The one thing I did do was to make sure to point out the specific scars I had concerns about to make sure the Phenol acid was applied. I also had him look at the lump that was forming on my right cheek and he injected some saline to help break up nodule. We'll see how it goes over the next few days.

Still trying to find some time to take some pics, but my life has been a bit crazy lately. Thanks for your patience.

 

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5 hours ago, superburrito said:

Hello everyone! Just wanted to update folks on the latest with my scar treatments

Late-onset inflammation to Juvederm fillers from July 2019
If you've been following some of my recent posts, I've been suffering from late-onset reaction to the Juvederm fillers from fillers that were injected in July 2019. The reaction appeared when I had a bad cold in January, and has been very stubborn even after two courses of Prednison. In my last update, I was put on 10-day course of Prednisone. Unfortunately, after I got off it, the nodules came back. :-(. My local derm in San Francisco ended up injecting steroids directly into the inflammation. She also put me on another course of Prednisone, this time for 20-days. Those 20 days really sucked, as it was a lot of pills, and had to be timed with food. I finished the course a few days ago, and so far, the nodules have virtually disappeared and there has been no reoccurrence except for an area on my right cheek which is starting to form a lump again, it's not visually noticeable, but I can feel it with my fingers.

Treatment with Dr Rullan for acne scarring, Feb 26, 2020
Today, I had another treatment with Dr Rullan: Cross and PRF scalp injections. These were pretty much the same routine as prior treatments as I have been getting. The one thing I did do was to make sure to point out the specific scars I had concerns about to make sure the Phenol acid was applied. I also had him look at the lump that was forming on my right cheek and he injected some saline to help break up nodule. We'll see how it goes over the next few days.

Still trying to find some time to take some pics, but my life has been a bit crazy lately. Thanks for your patience.

 

I am really sorry. I hope this issue resolves quickly. So, the fillers got inflammed with no active acne, just after a cold? Does this happen often? Do you suffer from an autoimmune condition if I may ask? I am also interested in fillers with Dr Emil.

Edited by MihaelaP

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@MihaelaP, I do not have any autoimmune diseases, as far as I know. My local dermatologist told me that reactions to fillers can happen with systemic illness such as a cold/flu. From reading medical research papers, I see that other doctors also have observed this.

Overall, HA fillers are considered safe and can be easily dissolved if there are issues. I would highly recommend going with someone that specialize in fillers. Dr Emil, from what I can tell, is an expert at treating scars, so there’s a high chance you won’t have complications. Just don’t do any permanent fillers like Bellafill. 

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Hi, I'm considering my first ever acne scar treatment with Dr. Rullan sometime in the summer. I will be flying in out of state and am wondering how much time I should leave before my return flight (i.e. is there a follow-up appointment after his trio treatment with subcision, phenol cross and microneedling?). 

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@OrangeTree Hey! There is no follow-up appointment, however you will be extremely swollen right after the trio, so I recommend staying in San Diego for at least one day for the swelling to come down. You may also have some redness as well. The scabs from the CROSS will last about a week, I've gotten used to go through the airport with the scabs, and it's not a big deal.

Hope that helps!

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Is there any reason why you stopped doing subcision and microneedling? I hate that redness persist for at least 3-4 weeks whenever I do phenol cross.

 

also have you thought about scuptra?

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@superburrito^Much appreciated, thank you. Are you overall satisfied with Dr. Rullan's work (any regrets?). Having never had any treatments, I'm a little concerned when it comes to picking a physician in case they do not evaluate or treat my scars appropriately (or are limited by the toys they have on hand). 

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Is Dr. Rullan office still open with the virus going around?

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@OrangeTree Yes! I'm pleased that I can see visible results, whereas treatments prior to Dr Weiner and Dr Rullan, I did not really see any noticeable effect.

@MP28 Not sure if they're open. I suggest calling their office, if you'd like to check their availability.

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your skin is  looking wonderful! have you looked at the progress photos dr Rullan takes  under harsh lighting, I am worried about mine in that lighting 

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