I had Belotero injected in March 2016 into my cheeks, now I have 'lump' when I smile! Can anyone recommend what to do?

Question

The lump is not hard nor can I feel it, it's more like to much was placed in one spot and it forms a crease/lump when I smile I'm not confident in going back to my surgeon and worried I will be left with this lump? Will it eventually dissolve?

Katherine Zamecki, MD, FACS · Answer

It looks that area under the eye was overfilled. The Belotero will eventually break down on it's own (usually about nine months) but can be dissolved sooner with an injection of an enzyme called hyaluronidase. This works immediately. If you do not feel comfortable with how it looks now, you should consider having it reversed so that you feel more confident. Filling below the eyes can be difficult even in the best of hands and such results are not uncommon. Return to your injector for re-evaluation. Wait a few months to have the area refilled with Belotero or another filler, if so desired.

Corey Frucht, MD, PhD · Answer

Hello, and thanks for your question. I'm sorry you did not get the result you had hoped for. It looks to me like your right tear trough was overfilled. You could have the filler dissolved with injection of an enzyme called hyaluronidase. I recommend following up with the dermatologist who did the injection. Best of luck, Dr. Frucht.

Yasser A. Elseweifi, DDS · Answer

Belotero is an HA filler than can be dissolved with dissolving injections. The procedure is easy and almost instant. Consult with you doctor and bring up your concerns. Good luck

John Harbison, MD · Answer

I am sorry to hear that, and i do see a lump in the tear trough area.  This is a common area for injection and Belotero is a common filler used here.  You do have 2 choices.  The first is just waiting it out.  The belotero will only last around 9 months, and it sounds like you are already nearly half way there, it may even calm down a bit before then.  The second option would be to have some hyaluronidase injected into the area to dissolve the filler, which is usually quite effective.

Shaun Patel, MD · Answer

I see fullness along the tear trough, worsened by smiling. This was most likely caused by too much product being injected too superficially. I would followup with your injector to discuss your results as the Belotero is a hyaluronic acid based filler and it can easily be reversed with hyaluronidase.

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I had Belotero injected in March 2016 into my cheeks, now I have 'lump' when I smile! Can anyone recommend what to do?

Answers (6)

Answer: Lumpiness after belotero

Answer: Lumpiness after belotero

Answer: Belotero injection to undereyes and lumpiness

Answer: Belotero injection to undereyes and lumpiness

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Recommended reading

Everything you need to know about Belotero

Our mission is to create a world where every investment in modern beauty is Worth It.