Scared about my face after bellafill?

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

Thank you for your question.  Swelling in the lower eyelid can last longer then other areas.  Massage the area and continue follow ups with your physcian.  Best wishes

Bellafill is only approved for acne scars and for the nasolabial area.  It is not approved for the delicate area under the eyes. I would definitely consult your treating physician and massage the area in the meanwhile. Bellafill is a permanent filler.  For the delicate skin under the eyes I prefer Restylane or Belotero. Please consult an expert.  Best, Dr. Green

I would just wait it out. Massaging the area is a good idea. Final results are months off. If there are lumps, 5FU is a better way to treat than surgery. Save surgical excision for persistent lumps after 5FU. 

Time to go back to your injector for them to assess and make recommendations.  I have been using Bellafill for close to 10 years and have stopped using it around the eyes and mouth as the tissues are very soft, thin and there is quite a bit of motion which can make Bellafill clump and be more visible on the surface   At this point I would recommend your doing a bit of pressure massage to the area.  Get your best eye cream and grease up the tip of your index finger.  To the areas of swelling apply firm pressure and do just a bit of circular massaging.  Don't overdo it!  What this does is help distribute the microspheres more diffusely an helps reduce any vascular/lymphatic congestion.