Bellafill 6 months ago. Had UTI last week, given Macrobid(7 days). Injection sites now very swollen and painful. Suggestions?

Question

Completed all Macrobid. Woke up this morning with all injection site location of Bellafill very swollen and painful. I am out of town and not near my plastic surgeon office till friday. Suggestions

Raffy Karamanoukian, MD, FACS · Answer

Bellafill filler can cause nodules and chronic edema, soft tissue reaction, and longterm problems. We specialize in the removal of Bellafill on the face and see patients with old and new PMMA filler problems. Bellafill will eventually form scar tissue around the permanent filler. 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 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. We remove Bellafill filler from the lips, nasolabial folds, and eyelids. Cheek Bellafill is difficult to remove surgically.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Steven F. Weiner, MD · Answer

This is something that needs evaluation in person and can't be diagnosed via the internet. It is possible your body is having inflammation related to the infection and it is manifesting itself in your face be swelling where the Bellafill was placed. An immune related response might be occurring and sometimes steroids are indicated for that. Do you have an autoimmune disease? Please see a specialist soon to get treated.

Bellafill 6 months ago. Had UTI last week, given Macrobid(7 days). Injection sites now very swollen and painful. Suggestions?

Answers (2)

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