Will Bellafill results improve over time? 4 days after injections it looks like I never had anything done.

Bellafill can cause swelling as with other fillers. Our office specializes in the removal of Artefill and Bellafill if granulomas develop. Best, Dr. KaramanoukianLos Angeles

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Dear Christine503,

Your results will definitely improve.  You should anticipate maximum improvement by six months and should continue to have collagen build-up four years afterwards.  When you were injected, the microspheres are surrounded by bovine (beef) collagen and an inflammatory response ensues.  That bovine collagen is degraded and then replaced by your own human collagen.  It will take six months to see the maximum effect there.  Be patient and I hope your injector took good before pictures to accurate assess your improvement.  Keep in mind three syringes is not a large amount for the cheeks and malar region that you did and you may very well need two more syringes.  I hope this has been helpful. 
Robert D. Wilcox, M.D.

Bellafill is made up of 80% collagen and 20% PMMA particles, which over time improves the texture of your skin by supporting your own natural collagen production.  Only FDA filler to last 5 years. 

Bellafill is a combination of Bovine collagen and PMMA microspheres. The collagen is removed by the body in about 4-6 weeks. The body creates collagen in response to the PMMA over the course of several weeks. The results of Bellafill take a few months. The results will actually get slight better with time, even months or years later. It is way too early to decide upon the outcome at this point. More can always be added. Remember, additional Bellfill to this area is additive for the long term, unlike HA fillers that have a temporary improvement.

I think that you would need to be seen in  person to determine whether or not fillers are beneficial or not. Fillers can make significant improvements in the right patient but sometimes lifts are required as well.

Good Day. Thank you for your question.
In general, about 80% of the initial volume injected persists at two weeks and this persists by 80-100% of this volume long term.
The bovine collagen begins to absorb or be metabolized within the first week and is completed removed by the human body by 2-3 months. Human collagen is substituted beginning at one week and can even still be stimulated to create more collagen up to 6 months post-injection.
Caution in the tear trough area where an excellent result three months post-injection may result in too much volume at 6 months. All other facial sties, this is less of a concern. The tear trough area reveals the thinnest skin and overlying soft tissue so a minor amount of volume may make a less than aesthetically pleasing outcome.
Biopsy studies 7 and ten years after the initial injection have shown persistent collagen and blood vessels. This is the reason volume replacement with Bellafill lasts long-term and is one of the cost effective methods for facial volume replacement along with silastic implants and facial fat transfer.

One of the most common calls we get from patients after an
injection of any kind, including Blellafill, is to say that there is swelling
or it does not look very good for whatever reason. The beauty of Bellafill is that whatever you
saw at the time of the injection (and I mean right then) is almost always the result
that you will see in time. Many patients
forget that the injection is an injury and that the swelling and bruising that can
result from any injury can take 3 or more weeks to resolve.



If, as you say it looked good after the injection, be
patient, the same results will be evident once everything has a chance to
settle.



I hope that helps.



Best regards.