Can you laser and reshape Bellafill after two years?

Question

I have an aesthetician with whom I have worked for about seven years. Early on I had great results with her. After about five years, I went back in for bellafill (second time, other than little touch ups). When I left I was very swollen, which concerned me, but I thought it would subside. It did, but two years later I have too much filler -- pillow face-ish. I asked her what could be done and she said she could laser and remold it. Is this even possible?

Anna Chacon, MD, FAAD · Answer

Bellafill is a dermal filler that is composed of polymethyl methacrylate (PMMA) microspheres suspended in a collagen gel. Unlike hyaluronic acid fillers, Bellafill cannot be dissolved with an enzyme like hyaluronidase. Therefore, modifying or removing Bellafill can be more challenging. Here’s what you need to know about your situation:

Laser Treatment:

Lasers are generally not effective for altering or reshaping dermal fillers like Bellafill. Lasers are typically used for skin resurfacing, treating pigmentation, or vascular lesions, but they do not have the capability to reshape or remove fillers.
Remolding or Reshaping:

Once Bellafill is injected and has settled, it cannot be remolded or reshaped with manual manipulation or via laser treatment. The PMMA microspheres are designed to provide long-term volume by encouraging collagen production around them, making them more permanent than other fillers.
Options for Correction:

Surgical Removal: In some cases, surgical intervention may be necessary to remove excess filler, especially if it is causing significant aesthetic concerns or discomfort.
Consultation with an Expert: It is advisable to seek a second opinion from a board-certified dermatologist or plastic surgeon experienced with Bellafill. They can provide an assessment and discuss potential corrective options.
Future Considerations:

Moving forward, it's important to have a clear understanding of the long-term nature of Bellafill and to ensure that any further filler treatments align with your aesthetic goals. Regular follow-ups with a trusted and experienced provider can help manage outcomes effectively.
Given these factors, it would be beneficial to consult with a specialist who can provide a tailored approach to address your concerns with Bellafill.

Can you laser and reshape Bellafill after two years?

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