Cuckoo Admin v2

Main Text

The manufacturer describes and demonstrate on their information DVD the successful expression of the product after puncture with a large bore needle. My experience has been that this rarely delivers the required result. In cases where removal is required, I now place patients on prophylactic ciprofloxacin 500mg bd prior to aspiration.
The site is cleaned with betadine and a 16 or 14-gauge needle is introduced directly into the implant (preferably either under ultrasound guidance or after ultrasound images have located the implant and more precisely the depth from the external skin. The implant is then aspirated into a syringe. As a routine I then irrigate the area with 20 mls bacteriostatic saline and 250mg ceftriaxone, aspirating each time and measuring the volume in and out. This has proved successful and resolves the issue.
Finally, although there are problems associated with the product it has provided good large volume replacement for my patients. I believe the key fault is to regard this product as just another dermal filler. It isn’t. It needs to be thought of as a surgical implant with all the hazards that may entail. Scrupulous attention to detail is required. The patient group itself is vulnerable to bacterial infection and the large volumes required may make migration more likely.
I am moving away from using Bio-Alcamid™ because I believe there are now better products available with vastly superior and demonstrable safety records, especially the large volume hyaluronic acids such as Restylane® Sub Q; and also importantly and bizarrely, the manufacturer has, after six years of relatively stable pricing, doubled the price of the product. This puts it outside the reach of most of my patients and I think will effectively end use of this product in the UK.

Block Type

Title

Block Type

Background Colour

Edit Bio-Alcamid, My Experience - My Response