Is it safe to have other aesthetic/injectable procedures done in areas of the face where you've had Bellafill?

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.

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

Permanent fillers, which I do not recommend for the following reasons, can be responsible not only for immediate problems following treatment, but adverse reactions, such as disfiguring nodule and granuloma development, even five, ten or twenty years down the road, especially if some manipulation or treatment is peformed near the site of their injections. While the idea of "permanent" is admittedly enticing, the idea of difficult-to-treat disfiguring problems certainly is not. These problems can occur many years after permanent filler treatment, say if a dentist manipulates the cheek (where a permanent filler was placed) as part of his/her treatment of a dental issue or if another filler, even an HA filler, is injected in an around the site of the permanent filler. So, it is not necessarily which type of manipulation, be it different filler or threads or energy-based devices, it is the simply the potential "shaking up" so to speak of the underlying permanent filler during the new treatment that is the concern. So, this must be discussed thoroughly with any physician before a new procedure of any kind is done in the vicinity of the permanent filler. Hope this helps. Best of luck.

Bellafill is a dermal filler that contains both collagen and polymethyl methacrylate (PMMA) microspheres. It is used for long-lasting correction of facial wrinkles and smile lines. If you've had Bellafill injected into specific areas of your face, it's essential to consider its characteristics and any potential interactions with other aesthetic or injectable procedures.It's generally safe to have other aesthetic procedures in areas of the face where Bellafill has been used, but there are some considerations to keep in mind:1. Consultation with Your Provider: Always consult with your healthcare provider before undergoing any additional procedures. They can assess your individual case, discuss your goals, and provide recommendations based on your unique facial anatomy and previous treatments.2. Choosing Compatible Procedures: Some procedures may be more compatible with Bellafill than others. For example, procedures like Botox or other hyaluronic acid-based fillers may be considered safer in combination with Bellafill. However, your injector will guide you on the best approach.3. Timing of Procedures: The timing of procedures matters. Your injector may recommend waiting a certain period between treatments to ensure proper healing and minimize the risk of complications.4. Provider Expertise: Choose a skilled and experienced healthcare professional for any aesthetic procedures. A skilled injector can minimize potential risks and optimize the outcomes of your treatments.5. Possible Interactions: While Bellafill itself is generally considered safe, it's crucial to discuss any potential interactions or contraindications with your injector. They can provide information based on your specific medical history and the products used.Always disclose your full medical history, including previous aesthetic treatments, to your injector. This information helps them make informed decisions about the most suitable treatments for you.Remember, individual responses to aesthetic procedures can vary, so it's essential to prioritize safety and have open communication with your healthcare provider.