Should microneedling be used in combination with Bellafill for acne scars?

This is tough to answer without pictures or a timeline. It could be that you have swelling, which can last 1-2 weeks. If you have your final result and you're unhappy, you can have it reversed with Hyaluronidase and try a different technique next time. Best, Dr. Emer

Let's examine what "working" means.  If you saw a result immediately after your Bellafill treatment or about 10 days after the swelling has gone then the filler is working.  Over the next 3 to 6 months you will absorb all of the bovine collagen but as you are absorbing the bovine collagen, yo...

Bellafill takes a series of treatments and takes time for final results to appear. I tell my patients 3-6 treatments with microdroplets over time.  If you go to completion at first, you could be left with puffiness or lumps.  Best, Dr. Emer.

Lumps that can be felt after an injection of any filler, including Bellafill, are not uncommon.  These lumps are usually little areas of blood accumulation or swelling from the injury of the injection.  If they last past two to three weeks, the lumps are usually some scar formation, this is es...

These may respond to steroids. Another solution is 5FU. Physically breaking it up with a needle after numbing also helps. These problems are mostly related to too much product in a small area.

I would agree with others in that the depth of penetration for the RF treatment is not deep enough to adversely impact the Bellafill. Having said that I am not a huge fan of the RF treatments as a whole as the results seem to be very inconsistent.