Concerns with using Kenalog/5fu (Photo)

We are specialists in the removal of Artefill from the face and body. Inflammatory mediators can wreak havoc on permanent fillers, causing swelling and pain. Early removal is key. I would use SwellX to reduce swelling, if possible. 
Best, Dr. KaramanoukianLos Angeles

Hi and thank you for your question! For this and a few other reasons, I don't recommend Bellafill for tear troughs and for any filler injections under the eyes, I stick to Restylane Silk, Volbella or Belotero. In your case, the strategy depends on how visible the lumps are. If not that much, then being patient can sometimes be the best approach. The collagen in Bellafill tends to break down over time and some of the lumps will hopefully go away on their own. Bellafill has a stimulatory components as well, but it has been designed in a way to reduce significant lump formation. If after waiting for sometime you don't see improvements, then you can discuss the options to break down the filler with an experienced physician, but at this time and if you had the injections recently and if the results do not bother you significantly, allowing more time might do the trick. I hope it helps and good luck! 

The most common area of complications from Bellafill is the tear troughs. It needs to be injected in this area with caution and for most injectors, it should be avoided. You still have noticeable volume loss around the eyes and you might consider adding HA fillers to try to hide the poor Bellafill injections. Alternatively, 5FU can used alone to try to help this problem. There should be no significant problems with using 5FU.

Bellafill injection into the tear trough can be extremely rewarding as well as risky and challenging.Augmentation typically decreases over the first month followed by a return of volume over the next few months.  Injection of FU and or Kenalog can decrease the amount of collagen formed around the microspheres resulting in partial improvement of over correction.The combination of both medications has decreased the frequency of Kenalog side effects drastically.Suneva the distributor of Bellafill shows results lasting up to five years.  PMMA microspheres compose twenty percent and collagen eighty percent of Bellafill.  The microshperes do not reabsorb or decompose; the amount of collagen produced surrounding the PMMA changes with time and age.
Most patients elect to have a less permanent filler injected for the first time to see what can be done. Afterwards they often choose Bellafill to give longer lasting results. 
Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Good Day. Thank you for your question and photograph.Simple answer: yes, 5FU can be sued alone with re-inejction 3-5 weeks.Kenalog word well, however, it can also result in fat atrophy and producing an indentation.Surgical excision through an hidden incision inside your lower eyelid (transconjunctival approach) is also an option, although I recommend kenalog or 5FU injections first.Best of luck.