I am a youthful 56-year-old female. Should I have a facelift or Bellafill?
Doctor Answers 4
Bellafill / ArteFill vs facelift - my experience over 20 years of plastic surgery practice
I was not a fan of ArteColl or ArteFill, and am not a fan of BellaFill, an identical product with a different name. Google ArteFill complications to see the experience of patients who have had ArteFill long term. I believe the PMMA beads can migrate, usually downward. Ernie Klein had the best explanation for this, muscular activity causing forcible shift in position of the beads. I personally believe that ArteFill caused problems with the areas of collection, above the mandibular and nasolabial and cheek septae, resulting in an inflammatory reaction occurring with no place to drain properly, causing chronic edema and unusual swelling.
Most plastic surgeons who have been in practice for many years have seen the results of ArteFill causing chronic, untreatable inflammation and migration downward to produce sometimes alarming, silicone-like results in the face. The immediate results are quite nice, but it is the results 5-10 years later that are disturbing when the biologic process runs its course.
PMMA beads, even larger ones, can develop a biofilm around them. They have no blood supply to protect against the opportunistic organisms which are everywhere in the blood stream and face.
I personally believe the increase in volume seen over time with ArteFill and BellaFIll is due to an inflammatory reaction of granuloma formation or biofilm, not to a beneficial 'collagen production' as its proponents contend.
I stand by my posts from the past in which I have urged patients to avoid permanent fillers such as silicone, once popular and now vilified, PMMA, and ArteFill / Bellafill.
A well done facelift leaves minimal to no trace, rejuvenates permanently, and can always be augmented with either long lasting hyaluronic filler, which seldom causes trouble, or Radiesse, which I have never seen cause a chronic inflammatory reaction the way silicone or ArteFill can. For patients not ready for surgery, those fillers provide very nice, safe augmentation.
I have never injected ArteColl, ArteFill or silicone in any of my patients, and will not do so in the future, no matter how the products are renamed, marketed, and produce revenue for doctors using them.
I will continue to treat the complications of silicone, ArteColl, ArteFill, renamed BellaFill, provided that patients have realistic expectations and realize that the problems resulting from injection of these permanent substances cannot be cured, only improved.
Facelift or Bellafill for 56 year old?
Facelift Versus Fillers
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Bellafill or Facelft? Why Not Both?
In general, facelifts are best at addressing your neck, your jaw line, jowls and the wrinkles of your cheeks. Fillers do a good job around your mouth including your lips, the nasolabial folds and marionette lines. I will often offer or suggest both to patients to get a good overall correction of a patient's signs of aging. Your provider should tailor your treatment to address all of your needs and goals.
I have added a video that addresses all of this.
I hope that helps.
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.