Belotero (or Juvederm) HA filler around solid surgical silicone implant? Implant placed 20 years ago.

Injecting hyaluronic acid (HA) fillers, such as Belotero or Juvederm, around a solid silicone implant can be a viable option for softening the contour and addressing changes due to fat loss. However, it is crucial to consider the following aspects and consult with a qualified professional before proceeding:

Safety of HA Fillers Around Silicone Implants:

Generally, HA fillers can be used around silicone implants, but it requires an experienced injector who understands the anatomy and can avoid complications. The injector should be aware of the implant's position and depth to ensure proper placement of the filler.
Risk of Biofilm Formation:

A biofilm is a collection of microorganisms that can adhere to surfaces, including implants. Introducing a foreign substance like HA filler can theoretically increase the risk of biofilm formation. This risk is generally low but can be minimized by using aseptic techniques during the procedure.
Symptoms of Infection:

Signs of infection may include redness, swelling, pain, warmth at the injection site, or fever. If any of these symptoms occur, it is important to seek medical attention promptly.
Immediate Actions if Infection Occurs:

Contact your healthcare provider immediately. They may prescribe antibiotics or recommend other treatments based on the severity of the infection. In some cases, imaging studies might be necessary to assess the situation fully.
Before proceeding with any cosmetic procedure, it is essential to have a thorough consultation with a board-certified dermatologist or plastic surgeon. They can evaluate your specific situation, discuss potential risks, and develop a customized treatment plan.