Bellafill and connective tissue disease: I recently was diagnosed with mixed connective tissue disease.

Filler migration and granuloma formation can cause longterm problems with Bellafill and Artefill fillers. This is similar in patients who have Artecoll and PMMA fillers. Longterm filler complications include migration, edema, chronic swelling, and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes, corticosteroids, and scar tissue modulators. Our HIDEF approach can break down filler scarring and granulomas so that they are less apparent. If the filler material itself does not dissolve, it either means the filler is likely not HA material or is unresponsive to conservative therapy. This technique may be followed by surgical removal of the filler if there is a suitable target for removal and the chance of scarring is low.

Surgical removal of Bellafill is possible and we have a wide ranging experience with the treatment. Some areas of the face can be treated because the Bellafill removal scars are barely visible. We have found that Bellafill nodules, if palpated, can be removed from the tissue. Undereye Bellafill, nasolabial fold Bellafill, and lip filler can be treated successfully. Diffuse Bellafill is difficult to treat.

Best,
Dr. Karamanoukian
Realself100 Surgeon

If you have concerns about your treatment, I recommend following up with your practitioner. Keep in mind, it can take several months for final results with Bellafill. Acne scarring needs a combination approach with lasers, microneedling/prp, subcision and fillers.  Best, Dr. Emer.

Bellafill works well for acne scars. However, I would confirm with my treating physician about its use with lupus or mixed connective tissue disease before having more treatments. Please consult with an expert in acne scars and a board certified dermatologist before having these types of cosmetic injections.  Best, Dr. Green