My Doctor had a nurse come over do 1/2 left face, I did not want it, but he insisted. Overfill with Bellafill. Please help?
Doctor Answers 4
Microcannula Works Best - Bellafill
It is not uncommon to use 2-3 syringes of Bellafill on each side of the face to treat the loss of volume in the midface and lower face. Bellafill is a combination of bovine collagen and PMMA ( polymethylmethacrylate). Skin testing four weeks before treatment is necessary. Bellafill is meant for a subdermal injection. This product is placed differently than most of the common hyaluronic acid fillers. That is why more volume of injection is needed to achieve the results. I found that a microcannula works best because you are spreading the product over a larger area. It is a less painful way to place the product. You likely will have less bruising with this technique. Pre Marking the areas beforehand and applying an aseptic technique is the key to any injection. Over correcting with any product is not a good idea. Stopping in the middle of the injection and having the patient assess the progress with a hand mirror is a good idea to help carefully achieve the patient's desired results.
Lump from Bellafill
I don't know what the time frame is from injection to this question. If recent, I would try to massage the area. If you are more than 3 months out and there is still a lump and dissatisfaction, I would seek another opinion. Sometimes nodules can be improved using 5FU/Kenalog injections. Sometimes further injections can help with poorly placed filler. Most of the time, things get better if you wait a few months after injection.
Because it lasts so long, you should be aware of the risks and benefits of these types of fillers. I have added a video that may help you.
I hope that helps.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.