I see the overfill in the eye area but the cheek hasn't been addressed properly. It is hard without seeing you in person to give advice. I don't think that threads are going to help his area. I would get an opinion from an Oculoplastic Surgeon. I think this needs surgical correction to remove excess Bellafill and to improve the lower lid.
Thank you for adding your photos as this is helpful. I regularly use Bellafill for under the eyes
and it appears that you did get an improvement but obviously not as much as you
would have liked. Your photos suggest
that you have more than the volume loss that Bellafill appears to have
corrected. It looks like you also have festoons
and excess skin. A procedure like a
simple lower eyelid pinch blepharoplasty should help this problem.
Of course it is difficult to tell exactly without seeing
you. Make sure you see a surgeon who is
American Board Certified and preferably a member of the American Society of
I hope that helps.
Without an examination, I cannot determine whether the puffiness is related to the Bellafil injections. Seek out an expert eyelid surgeon for a consultation. A surgical option may be indicated.
All the Best