Bellafill swelling under eye 7 weeks post op (Photo)

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

Hi and thank you for your question! Bellafill is an excellent filler for the right place and I don't recommend it for under the eyes. My recommended fillers for tear troughs include Restylane Silk, Volbella and Belotero. In your case, your options include attempts at removing lumps using steroid injection and alike, and possibly further injections of hyaluronic acid fillers to better even out the results and conceal the lumps to some extent. I hope is helps and good luck!

Thank you for your question. Persistent swelling is one of the less common side effects of Bellafill. I always recommend working with a board certified facial plastic surgeon so you should remain patient and trust the advice of your surgeon. Please follow all post op care instructions and consider making another in-person appointment to discuss your concerns.Best wishes,