I had injections of Bellafill under my eyes eight months ago. I had major swelling that needed two rounds of prednisone. No swelling sinse but very unhappy with the end result. The lumps under my eyes are slightly visible creating more of a bag on my right side. I am afraid to get anything else injected, for example Kenalog , it seems everything has side effects. I am open to suggestions ,also wondering if this will ever just go away on its own.
June 5, 2017
Answer: Treatment of Bellafill Nodules Hello and thanks for posting. If you have palpable and visible lumps under your eyes from Bellafill injections after 8 months it seems unlikely that they will go away on their own. The fact that you had significant post-injection swelling that required prednisone suggests that your immune system had an overly robust reaction to the Bellafill and may account for the lumps. If so, injections of Kenalog into the nodules is the accepted treatment to reduce the size and appearance of these nodules. In some refractory cases, the combination of Kenalog and 5FU may be used to reduce the size of nodules. Although the PMMA does not go away, these agents reduce the inflammatory matrix of white blood cells and collagen that surround the PMMA microspheres. Since you still have volume loss in the under eye region you would benefit from injection of an HA filler like Restylane. Alternatively, you could have lower blepharoplasty surgery. Good luck!
Helpful 1 person found this helpful
June 5, 2017
Answer: Treatment of Bellafill Nodules Hello and thanks for posting. If you have palpable and visible lumps under your eyes from Bellafill injections after 8 months it seems unlikely that they will go away on their own. The fact that you had significant post-injection swelling that required prednisone suggests that your immune system had an overly robust reaction to the Bellafill and may account for the lumps. If so, injections of Kenalog into the nodules is the accepted treatment to reduce the size and appearance of these nodules. In some refractory cases, the combination of Kenalog and 5FU may be used to reduce the size of nodules. Although the PMMA does not go away, these agents reduce the inflammatory matrix of white blood cells and collagen that surround the PMMA microspheres. Since you still have volume loss in the under eye region you would benefit from injection of an HA filler like Restylane. Alternatively, you could have lower blepharoplasty surgery. Good luck!
Helpful 1 person found this helpful
June 6, 2017
Answer: Not happy with results of Bellafill around eyes, what should I do now? Bellafill is not my first choice for fillers around the eyes. I don't think that the Bellafill caused much difference but I can see the issue you are wanting to correct. The mid cheek volume wasn't addressed with the Bellafill. If concerned about the Bellafill, I would do an HA product in the medial cheek area and tear trough. Consider a blepharoplasty too, but you do need volume in this area. All procedures have risks. I use cannulas to minimize the risks in this area. Seek out a couple opinions before proceeding forward.
Helpful
June 6, 2017
Answer: Not happy with results of Bellafill around eyes, what should I do now? Bellafill is not my first choice for fillers around the eyes. I don't think that the Bellafill caused much difference but I can see the issue you are wanting to correct. The mid cheek volume wasn't addressed with the Bellafill. If concerned about the Bellafill, I would do an HA product in the medial cheek area and tear trough. Consider a blepharoplasty too, but you do need volume in this area. All procedures have risks. I use cannulas to minimize the risks in this area. Seek out a couple opinions before proceeding forward.
Helpful