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Is Bio Alcamid Safe for Long Term? Is There Anything Better/Safer?

Hi, I am considering getting Bio Alcamid injected along my jawline and in my chin because I want a more contoured/ defined chin and jaw. I have a bit of a receding chin and would like it more projected but its not bad enough to get a chin implant. I was wondering if it was a good choice to use bio alcamid? Is there a better filler I could use? I just don't want to get those lumps and bumps after a few years from the Bio Alcamid, and is that always the outcome of it? Thanks

Doctor Answers 3

Injections

Liquid Silicone Injections

In 1898 Robert Gersuny, Austrian surgeon developed a method to injected paraffin into the patient’s scrotum who was orquiectomized (testicles removed) because suffer testicular tuberculosis.
Here started the beginning of the history of the injection of substances to give facial and body volumen augmentation.
This practice became very popular and spreaded over europe. 12 years later there were whole chapters in plastic surgery text books which explained how to try to correct and rebuild the serious sequelae secondary to the application of paraffin. In 1947 during the Vietnam War, the use of liquid silicone that was used to waterproof the decks of aircraft carriers and tanks, breast enhancement of oriental women who by their genetic lack of volume in these countries became popular.
Parallel to the war there was another disaster with hundreds of thousands of women who were injected with liquid silicone.
After the war the problem moved to the United States, and public health problem was so big that in the state of Nevada was considered a federal crime to cross state lines with liquid silicone. Liquid silicone is currently marketed under different names:
• Silikon 1000 (Alcon Laboratories, Fort Worth, Texas) has been U.S. Food and Drug Admin- istration approved for retinal reattachment since 1998.
• SilSkin, 1000 cS (Richard-James Development Corp., Peabody, Mass.) is in clinical trials
Later, appeared substances like hydrogel poly acrylamyda PAG (1988 - 2009) that started in Ukraine and spread throughout Europe and Asia, receiving licenses that were subsequently canceled by the large number of patients with complications, some countries still freely allow their application .:
• Aquamid (Ferrosan AS, Copenhagen, Denmark) polyacrylamide gel 2.5% in water.
• Interfall (Interfall Ltd., Kiev, Ukraine).
• Bio-Alcamid (Polymekon, Milan, Italy); 4% polyacrylamide cross-linked with polyalkylimide.
• Outline (ProCytech, Bordeaux, France) is tem- porary and absorbed within 1 to 2 years
• Amazing Gel (FuHua Ltd., ShenZhen, China).
• Formacryl (Bioform, Moscow, Russia)
• Argiform (Bioform) with silver ions as an anti- biotic.,
In 1991 poly methyl methacrylate PMMA treatment became licensed to treat HIV patients but not to use it on patients without HIV and its application in face, breasts, buttocks, calves, etc. Spread broadly. Currently it is a crime in some countries to apply this product and it must be payed with jail. This product also has been reported with a large number of patients with complications and sequelaes in various countries:
• Artecoll (Rofil Medical International, Denmark) consists of microspheres 30 to 42 M in diameter, sus- pended in bovine collagen.
• ArteFill (Artes Medical, San Diego, Calif.) con- sists of microspheres 30 to 50 M in diameter but more highly purified than those in Arte- coll; the microspheres are suspended in bovine collagen manufactured in the United States.
• Aphrodite Gold (European Medical Contract Manufacturer, Nijmegen, The Netherlands) is the former Artecoll in a new package, distributed outside Europe and the United States.
• Metacrill (Nutricel Laboratorios, Rio de Janeiro, Brazil); polymethylmethacrylate microspheres 1 to 80 m in diameter, with impuri- ties similar to those of the former Arteplast, suspended in carboxygluconate gel.
• Bioplasty (Dr. Almir Nacul, Porto Alegre, Brazil) is similar to Metacrill.
• Precise (Clinica Estetica, Tijuana, Mexico) is similar to Metacrill.
In 2007 appeared the Macrolane:
• Macrolane
(Q-Med, Uppsala, Sweden; and Medicis Aesthetics, Scottsdale, Arizona, USA.)
Which found numerous medical articles which demonstrated the use and risk of catastrophic complications have arisen.
Patients developes allogenosis Iatrogenic (allogenic: strange substance, Iatrogenic: corporal lesion caused by another person) minds degeneration of tissues secondary to inyected product and an autoimmune syndrome known as A.S.I.A. (Autoimmune inflamatory Syndrome Induced by Adjuvants), a set of symptoms similar to autoimmune disease which worsens the patients prognosis.
There is no safe permanent fillers to be applied on the face or body, as written above, including those approved by the health authorities of different countries in Europe, Asia or Latin America.
So far the industrialized product with the lowest number of complications is hyaluronic acid (Juvederm, Allergan), to be applied to the face in small quantities by area. Reabsorbed 1 to 2 years after application.
Be aware, do not let any permanenr filler to be injected into your face, breast, buttocks, calfs, genitalia, etc. The safest way to increase buttocks is through your own fat injections or through buttock silicone implants.


Hope I was helpful.

Translation Provided by Doctor:

En 1898 el Dr. Robert Gersuny, Cirujano Austriaco, inyectó parafina en el escroto de un paciente que fue orquiectomizado (retirados los testículos), por presentar tuberculosis testicular. Aquí comenzó el inicio de la historia de la inyección de sustancias para dar volumen al rostro y el cuerpo. Esta práctica se popularizó y 12 años después ya existían capítulos enteros en libros texto de cirugía plástica donde explicaban como intentar corregir y reconstruir las gravísimas secuelas secundarias a la aplicación de parafina. En 1947 durante la guerra de Vietnam se popularizó el uso de la silicona liquida que era utilizada para impermeabilizar las cubiertas de los porta aviones y los tanques de guerra, para aumentar los senos de las mujeres orientales que por su genética carecen de volumen en esta zona de su cuerpo.
Paralelo a la guerra hubo otra catástrofe con cientos de miles de mujeres que fueron inyectadas.
Al terminar la guerra el problema se traslado a los estados unidos, y el problema de salud publica fue tan grande que en el estado de Nevada fue considerado crimen federal cruzar l alinea del estado con silicona liquida. Actualmente es mercadeada con diferentes nombres:

• Silikon 1000 (Alcon Laboratories, Fort Worth, Texas) has been U.S. Food and Drug Admin- istration approved for retinal reattachment since 1998.
• SilSkin, 1000 cS (Richard-James Development Corp., Peabody, Mass.) is in clinical trials

Posteriormente aparecieron sustancias como el Hidrogel de poly acrylamyda PAG (1988 – 2009) que inicio en Ukrania y se extendió por toda Europa y Asia, recibiendo licencias que posteriormente fueron canceladas, algunos países aún permiten libremente su aplicación por el gran número de pacientes con complicaciones.:

• Aquamid (Ferrosan AS, Copenhagen, Denmark) polyacrylamide gel 2.5% in water.
• Interfall (Interfall Ltd., Kiev, Ukraine).
• Bio-Alcamid (Polymekon, Milan, Italy); 4% polyacrylamide cross-linked with polyalkylimide.
• Outline (ProCytech, Bordeaux, France) is tem- porary and absorbed within 1 to 2 years
• Amazing Gel (FuHua Ltd., ShenZhen, China).
• Formacryl (Bioform, Moscow, Russia)
• Argiform (Bioform) with silver ions as an anti- biotic.,


En 1991 dieron licencia para el Poli metil metacrilato PMMA para tratamiento de pacientes con VIH pero su uso se extendió a paciente sin VIH y su aplicación en rostro, senos, glúteos, pantorrillas, etc. Actualmente es delito que se paga con cárcel si sorprenden a una persona aplicándolo, también con un gran número de pacientes afectados por complicaciones y con secuelas en varios países:

• Artecoll (Rofil Medical International, Denmark) consists of microspheres 30 to 42 M in diameter, sus- pended in bovine collagen.
• ArteFill (Artes Medical, San Diego, Calif.) con- sists of microspheres 30 to 50 M in diameter but more highly purified than those in Arte- coll; the microspheres are suspended in bovine collagen manufactured in the United States.
• Aphrodite Gold (European Medical Contract Manufacturer, Nijmegen, The Netherlands) is the former Artecoll in a new package, distributed outside Europe and the United States.
• Metacrill (Nutricel Laboratorios, Rio de Janeiro, Brazil); polymethylmethacrylate microspheres 1 to 80 m in diameter, with impuri- ties similar to those of the former Arteplast, suspended in carboxygluconate gel.
• Bioplasty (Dr. Almir Nacul, Porto Alegre, Brazil) is similar to Metacrill.
• Precise (Clinica Estetica, Tijuana, Mexico) is similar to Metacrill.

En el 2007 apareció el Macrolane:

• Macrolane
(Q-Med, Uppsala, Sweden; and Medicis Aesthetics, Scottsdale, Arizona, USA.)

Del cual encontramos numerosos artículos médicos donde demuestran el peligro de su uso y las complicaciones catastróficas que se han presentado.

Las pacientes desarrollan Alogenosis Iatrogénica (alógeno: extraño al organismo, Iatrogénico: daño causado por otra persona) que habla de los daños y degeneración de tejidos secundaria al producto inyectado y un síndrome auto inmune conocido como Síndrome de A.S.I.A. (Autoimmune inflamatory Syndrome Induced by Adjuvants), un conjunto de síntomas similares a enfermedades auto inmunes lo cual empeora el pronóstico de los pacientes.

No existe ningún producto definitivo seguro para ser aplicado en el cuerpo, como esta escrito arriba, inclusive aquellos con licencias y uso aprobado por las autoridades sanitarias de diferentes países de Europa, Asia o América.

Hasta el momento el producto industrializado que presenta menor numero de complicaciones es el ácido hialuronico (Juvederm, Allergan), aplicado en el rostro en cantidades mínimas por área. Se reabsorbe 1 a 2 años después de su aplicación.

Esté alerta, no permita que le inyecten absolutamente nada en sus glúteos. La manera mas segura de aumentar los glúteos es a través de inyecciones de su propia grasa o a través de implantes glúteos de silicona.


Espero les haya sido útil.

Have a question? Ask a doctor

No - Please avoid

This is an old question, but I wanted to update some info.

Currently Bio-Alchamid is not available here in Canada due to the complications. This includes complications that can occur after many years.

Here in Ottawa, I've been treating some complications of this and removing Bio-Alchamid due to these problems.

All temporary fillers are much safer, basically anything containing hyaluronic acid (Juvederm, etc).

James Bonaparte, MD, MSc, FRCSC
Ontario Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Removing bioalcamid and biopolimero fillers after complications from these permanent injections

Bioalcamid and Biopolimero are frequently used for facial augmentation. In my practice, I exclusively remove these fillers, even after many years, when they begin causing complications such as swelling, pain, discomfort, and redness. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 58 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.