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

Question

Hello, l have a hard solid silicone implant put in my forehead (under my eyebrows) 20 years ago under the skin (subcutaneous). Now the implant became more protruding (may be because of fat loss in forehead). Now I want to inject belotero (or other HA filler) around implant to soften the contour. 1) Is it safe to inject HA filler around implant? 2) Is there risk of biofilm formation, when it may happen? 3) What is a symptoms of infection and what should be done in this case asap? Thank you!

Anna Chacon, MD, FAAD · Answer

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.

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

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

Answers (1)

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Recommended reading

Everything you need to know about Belotero

Our mission is to create a world where every investment in modern beauty is Worth It.