Can CO2 laser destroy PMMA in Bellafill in my cheek area?

lasers do not affect fillers can can be done at the same time.

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant or moxi regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8/pixel8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

In my opinion, a CO2 laser treatment to the face would not destroy Bellafill that had been previously placed under the skin in that area. In most cases, the CO2 laser would not penetrate to the level where the Bellafill was placed.

No. Our group did a paper on fillers & energy devices. Filler is placed deeper than 99% of laser settings. Filler is also stable at temperatures over 100 degrees for several minutes.

All the best,
Dr Davin Lim
Brisbane, Australia.