How to resolve this Bellafill reaction? (Photo)

Filler migration and granuloma formation can cause longterm problems with Bellafill and Artefill fillers. This is similar in patients who have Artecoll and PMMA fillers. Longterm filler complications include migration, edema, chronic swelling, and nodularity. If patients have filler migration or nodules, 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 likely not HA material or 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.

Surgical removal of Bellafill is possible and we have a wide ranging experience with the treatment. Some areas of the face can be treated because the Bellafill removal scars are barely visible. We have found that Bellafill nodules, if palpated, can be removed from the tissue. Undereye Bellafill, nasolabial fold Bellafill, and lip filler can be treated successfully. Diffuse Bellafill is difficult to treat.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Icing, cold compresses and ibuprofen can give improvement. Keep in mind, it can take several months for final results with Bellafill. If you're unhappy with your final results, 5/FU steroids and radiofrequency treatments can give improvement. See an expert. Best, Dr. Emer

I would probably try some steroids orally and/or injections into the treated area. There is no way to reverse the product. I have seen swelling after Bellafill which resolves but can't tell you if this is going to in your case. Final results take about 4-6 months. Still early in the healing phase.