Can Bio Alcamid Migrate?

All permanent fillers are placed within fatty tissue layers that shift and sag with aging...so technically all permenent fillers do shift with time. I have seen numerous patients where the Bio Alcamid appears to have moved and migrated to a much higher extend that say Artefil and in some case, like the lips, does not appear IMO to have been incorporated into the host tissue much at all. I have had experience removing this migrated Bio Alcamid which is easier than removing... more

Migration of permanent fillers has been documented in the literature, particularly identification of silicone particles in blood samples.  I have had a lot of experience with bioalcamid complications in patients from Europe and have seen outstanding improvement after treatment.  Permanent fillers such as silicone and bioalcamid can be improved. 

I would put Bio Alcamid in the same category. It is a synthetic gel polymer. I don't think you can guarantee a capsule will form around anything except a solid object such as a cheek implant. Certainly other injectable plastic/silicone fillers have behaved much differentlyThe bad press for Bio Alcamid has centered on a report of autoimmune problems in a small number of patients. However as a clinician whose patients are dealing with the effects of many other permanent fillers, I would be... more