Bellafill results and how long they last? I've heard mixed information

Question

I've heard mixed information regarding Bellafill filler. Some sources state that the results are permanent and last indefinitely but then others state that the results only last 5 years. Which is it? Those sources that state the later, they claim that although the results only last 5 years the PMMA particles are permanent. So if the results wear off and you get repeat Bellafill injections, will the PMMA particles keep building up on top of each other and eventually create too much volume?

Anna Chacon, MD, FAAD · Answer

Bellafill is a unique dermal filler that is designed to provide long-lasting results compared to many other fillers. Here's a breakdown to clarify some of the mixed information you've encountered:

Composition and Longevity: Bellafill contains a combination of bovine collagen and polymethyl methacrylate (PMMA) microspheres. The collagen provides immediate volume and smoothing effects, while the PMMA microspheres are intended to be a long-term solution, as they stimulate your body to produce its own collagen over time.

Duration of Results: The results from Bellafill are considered long-lasting, with many patients experiencing visible effects for up to 5 years. The collagen component is absorbed by the body over time, but the PMMA microspheres remain as a scaffold for new collagen production, contributing to sustained results.

Permanent Versus Long-Lasting: While the term "permanent" is sometimes used, it's more accurate to say that Bellafill provides long-lasting results. The PMMA particles do remain in the skin permanently, but the visible effects depend on individual collagen production and other factors.

Concerns About Volume: If you receive repeat Bellafill injections, a careful approach is necessary. A skilled practitioner will evaluate your facial structure and previous treatments to avoid excessive volume. It's important to work with an experienced injector who can help ensure that the results are natural and balanced.

To address your concerns about volume buildup, it's crucial to have follow-up consultations with your provider to assess how your skin is responding to the treatment and to plan any additional sessions accordingly. This personalized approach helps maintain desired results without overcorrection.

Daniel P. Markmann, MD · Answer

Thank you for your question.  It is a good question because of the way it is marketed.   When Bellafill was tested in humans, the patients were only followed for 5 years.  At the end of the 5 years about 95% of the volume was still there.   The FDA said, you followed them for 5 years, you can call it a 5 year filler.  
The PMMA beads are coated in cow collagen.  Your body breaks it down and re-coats the beads with your own collagen.   PMMA is a foreign body that your body sees and walls it off by covering them with collagen.   They will always be there and the results are permanent.   Now, that doesn't mean that you will never need more.  You will continue to age and we typically all lose facial volume as we age.  But, what you had injected will never go away.

Bellafill results and how long they last? I've heard mixed information

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Everything you need to know about Bellafill

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Bellafill results and how long they last? I've heard mixed information

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Everything you need to know about Bellafill

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