Hydrelle Complications / Risks of Hydrelle
Hydrelle Complications / Risks of Hydrelle
Ever since Hydrelle was introduced to the U.S. by Coapt (made by Anika and distributed by Coapt), there have been a significant series of complications that have resulted from the use of Hydrelle:
1) Allergic Reaction
2) Infections
3) Abscess formation
4) Necrotizing Granulomas
5) Scar tissue
6) Delayed onset problems
Most of these problems have been a delayed onset reaction with Hydrelle patients. Patients who had injections return about 4 weeks later presenting with infections from Hydrelle, Allergy to Hydrelle, Large scar tissue Granulomas from Hydrelle to name a few.
These issues were nearly non existent with other US FDA approved fillers until Hydrelle came along. Although the complications listed above can occur with any filler the reported numbers in literature are 1 in 3000 to 1 in 10000.
Personally, I have injected thousands of fillers from Restylane to Juvederm to Captique, to Hylaform, to Radiesse to Artefill, to Perlane, to Evolence, to Prevelle and never had even one single complication. With Hydrelle, I have only injected 5 patients and 3 developed some of the Hydrelle complications listed above!
More significantly, two doctors from Florida and one from Ohio have emailed me, called me, and written feedback on my website about their own identical problems with Hydrelle. These highly experienced doctors also have never had complications with any of the other fillers.
To make matters worse, Coapt and Anika have refused to remove Hydrelle from the market until further studies are done on Hydrelle. They have also recently refused to reply to our emails and phone calls. As such, these complications have been reported to the FDA for review. The online form that must be filled out by doctors can be found here:
https://www.accessdata.fda.gov/scripts/medwatch/medwatch-online.htm
The treatment of Hydrelle complications may include:
1) Oral abtibiotics for Hydrelle complication
2) Oral steroids for Hydrelle complication
3) Hyaluronidase (wydase or Hydase) injections to melt the Hydrelle molecules
4) steroid injections to dissolve the hydrelle granulomas
5) drainage of pus and abscess from Hydrelle complication
6) re injection with Restylane or Juvederm to re inflate the deflated areas after the Hydrelle complication is resolved.
This problem with Hydrelle complications is not over yet.


UPDATE on Hydrelle:
As of this morning, I have had 2 doctors from Florida, 1 doctor from Ohio, and one Nurse Practitioner from San Diego as well as 1 from Baltimore tell me about their Hydrelle complications. They have all had patients with unexpected to severe complications from Hydrelle. I have even had a patient from Los Angeles tell me that Hydrelle injection resulted in a week long admission to a hospital to deal with the Hydrelle complications.
Hydrelle complications are affecting patients all over the United States and Hydrelle has been out on the market for only a few short months. Doctors and patients alike are suffering as result of this filler. One doctor injected herself and developed large lumps (granulomas).
Coapt and Anika continue to ignore the Hydrelle problems and refuse to “do the right thing.”
Please feel free to share your stories of Hydrelle allergies so that other doctors and patients, who may think their issues are isolated and may be afraid to come forth, can do so and ask for help and guidance in resolving the issues.
Comment by Dr. Naderi — December 31, 2009 @ 8:35 am
I, too, had 3 patients that had complications from Hydrelle with hard nodules. 2 out of the 3 was treated with infection. I’ve never encountered anything like this. I’ve been injecting fillers X10 yrs ( Zyderm, Zyplast , Cosmoderm, Cosmoplast, Restylane, Perlane, Juvederm, Radiesse, etc.)
Just curious if the Lot# V080099BR / Exp 04/10 is what you used as well. This whole thing is very disturbing to me. Thanks for putting up the blog.
Cynthia
Comment by Cynthia Moore RN — February 26, 2010 @ 3:20 pm
Hi Cynthia,
Thank you for your input. That Hydrelle lot # looks different from ours but if you call my office my staff can check that for you.
Comment by Dr. Naderi — March 1, 2010 @ 7:19 pm