No Proof that Biofilm Bacteria are Causing Dermal Filler Granulomas| Biomed Grid

An estimated 1000 patients worldwide, who develop foreign body granulomas after the injection of all kinds of dermal fillers, are treated falsely with systemic antibiotics over several months – just because one pathologist claimed to have found the reason for granulomas in a local bacterial infection. The problem is the easiness today how authors can find, copy, and refer to articles, whose results they never questioned but cited, only. One copies the results from the other – and by the way of repeating a hypothesis several times, it becomes the truth for the majority of a whole community of dermatologists and aesthetic surgeons. Since its first publication in 2005 [1] a multitude of at least 30 publications [1] offer broad-spectrum antibiotics as the treatment of choice for dermal filler granulomas. One reason is the widespread fear of injecting corticosteroids locally because the possibility of causing skin atrophy if injected outside the granuloma. If corticosteroid crystals (triamcinolone, prednisolone, betamethasone), the logical and effective treatment of choice [3,4], are injected strictly intralesional by moving the needle back and forth within the nodule, skin atrophy will never occur. The second reason for bacteria is causing granulomas is appealing because it blames the patient and excludes the product and its injector