Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.
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Bio alcamid and risk of infection
May 2, 2008
Many of us have had this agent injected in Tijuana. There, the product is no longer used as there are better agents to use, pmma.. The problem with bioalcamid is that is causes encapsulated sacs and about 7% of pts have severe infections if the sacs are disturbed from surgery ,dental work,trauma. etc.. For more info.. pls direct your members to facialwasting.org There you will get all the info you need to make informed decisions..
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Response from Dr. Pierone
Hello, and thanks for posting.
The issue with late infections of Bioalcamid implants is a legitimate concern. Do you have a reference or a source for the 7% rate of severe infections? The magnitude of this problem is not well documented. The overall infection rate (early and late) in Toronto (personal communication - Dr. Frank Beninger) is less than one percent in over 2000 treated patients.
Bioalcamid is encapsulated after injection and represents a permanent implant. If infection develops, the severity will depend on the virulence of the infecting organism and the immune status of the infected individual. Mild infections may be treated with oral antibiotics alone. For moderate or severe infections some the implant will need to be punctured and infected material drained through the puncture site. In severe infections intravenous antibiotics may be necessary. After the infection has cleared up and at least several months have passed a restorative implant can be considered.
I have seen infected surgical facial implants and a similar management approach is used, although the implant almost always has to be removed to clear the infection.
Facialwasting.org is a terrific web site and it must be visited for anyone interested in facial wasting. However, it would be an overstatement to suggest that one will get all the information needed to make informed decisions. Some of the content is out of date and some of it is debatable. That said, it is a very helpful site.
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