Related Experiment Video
Updated: Aug 5, 2025

Treatment with Vancomycin Loaded Calcium Sulphate and Autogenous Bone in an Improved Rabbit Model of Bone Infection
Published on: March 14, 2019
Recalcitrant Sterile Abscesses by Volux®: A New Therapeutic Approach
Laila Klotz de Almeida Balassiano1, José Marcos T Cunha1, Gabriela Munhoz1,2
1Sector of Dermatology and Post-Graduate Course in Medical Clinics, University Hospital and School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
This study addresses a growing problem of persistent abscesses after hyaluronic acid filler injections, specifically with Juvederm Volux®. Traditional treatments failed in five patients, but a new lavage protocol developed by the authors resolved all cases. The protocol involves multiple sterile lavage sessions and may offer a more effective solution. The findings suggest that this method could become a standard treatment for these challenging abscesses.
Area of Science:
- Dermatological treatment outcomes
- Cosmetic filler safety research
- Inflammatory skin disease management
Background:
Sterile abscesses following hyaluronic acid filler injections have become more common, though the cause remains unclear. Prior research has shown that these abscesses often resist standard treatment protocols. This gap motivated a closer look at specific products like Juvederm Volux®. No prior work had resolved why some patients develop persistent lesions after this filler. Established knowledge includes the typical management of such abscesses with antibiotics and drainage. However, some cases fail to improve with conventional methods. This paper's contribution is documenting a new approach for these resistant cases. The authors propose that their findings may help refine treatment strategies for this emerging issue.
Purpose Of The Study:
The aim of this study was to investigate a novel treatment protocol for patients with persistent sterile abscesses after Juvederm Volux® injections. These abscesses did not respond to traditional methods. The authors sought to document a new lavage protocol that resolved lesions in five patients. This approach was developed and tested by the researchers themselves. The motivation came from observing treatment failures with standard care. The study focused on a specific product in the Vycross range. The goal was to provide a solution for a growing clinical problem. The findings may suggest a more effective management strategy for this condition.
Main Methods:
The study involved five patients who developed persistent sterile abscesses after Juvederm Volux® injections. Traditional therapies failed in all cases. The authors developed a lavage protocol named after themselves. The protocol included specific steps for lesion cleansing and drainage. The procedure was applied under sterile conditions. No prior work had described this exact method. The researchers documented patient responses to the new protocol. The approach was tested in a clinical setting with direct patient follow-up.
Main Results:
All five patients showed resolution of their abscesses after the Munhoz-Cavallieri lavage protocol. Traditional treatments had failed in each case. The new protocol involved multiple lavage sessions. Lesions were completely cleared in all patients. The authors reported no adverse effects from the procedure. The results suggest this method may be more effective than standard care. The protocol was applied consistently across all cases. The findings may indicate a new standard for managing these abscesses.
Conclusions:
The authors concluded that the Munhoz-Cavallieri lavage protocol resolved persistent abscesses after Juvederm Volux® injections. Traditional therapies had failed in all five cases. The new method provided a solution for a previously unresolved issue. The findings may suggest a more effective treatment approach. The protocol was developed and tested by the researchers themselves. The results may indicate a shift in clinical practice. The authors propose that this protocol could become a standard treatment. The study highlights the need for alternative therapies in this context.
Frequently Asked Questions
The protocol resolved persistent sterile abscesses after Juvederm Volux® injections in five patients.
The protocol involves multiple lavage sessions under sterile conditions, unlike standard antibiotic and drainage methods.
The authors observed that this product in the Vycross range caused persistent abscesses that resisted traditional care.
The lavage protocol was the only method that cleared lesions in patients who failed standard therapies.
The protocol may offer a new standard for managing recalcitrant abscesses after hyaluronic acid fillers.
The authors propose that this protocol could become a preferred treatment for these persistent lesions.
More Related Videos
04:01Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
Published on: September 8, 2022
03:47A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Related Concept Videos
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Urinary Tract Calculi VI: Surgical Management
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy
Urinary Tract Calculi III: Medical Management
Urinary Tract Infection IV: Nursing Management
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD: