Can Bellafill be used on the neck?

Bellafill® has just been approved by the FDA for treatment of acne scars.  This treatment requires either deep dermal or immediate sub-dermal placement of the Bellafill® to get the best results along with subcision of the tethering scar bands. However, if have great difficulty introducing the Bellafill, because it is thick and viscous, into these tethering lines, even with the 1cc "botox" syringe that lacks the rubber that can also add drag and affect the even injection.  We have developed an injector that is adapted from other dermal and dental uses, that lets us introduce repeatable small aliquots of filler down to 1/10 of 1/10 of a cc.  That means for one cc of Bellafill® we can make 100 little droplets under pressure.  This is important, because in the neck, you can easily get overfill of the tethered lines and end up with a permanent bulge, rather than a flat surface.  Also, sometimes I dilute the Bellafill® with the test dose syringe, making it 1/3 less permanent and will allow for a little shrinkage with time.  This dilution is also very good for very small and thin lines like around the eye's "crows feet".  Just as the acne scars are helped with subcision before treatment, I like to use the #21 or a #25, depending on the amount of tethering to open up the treatment area before injection. This always creates a little more bleeding just at the injection site, that can take 3-5 days to settle down. My beautician who I treated last week, used a decorative scars so she would go back to work in two days.  That is harder to pull off in the summer, but if you are paying the expense of Bellafill®, I believe that the subcision is very important.Dr. William Seare
Clinique Sculpture
Carlsbad, Ca

Bellafill can be used in many places where there is loss of
volume. In the neck, the problem is
usually skin creases which are due to skin laxity rather than loss of volume. Like the creases at your elbow, adding more
volume would not be a good idea. However,
if the problem is due to a loss of tissue, like after a cancer removal, then I
have found Bellafill to be extremely effective.



I have added a link to some more information on Bellafill and
a video on filler safety issues.



I hope that helps.



Best regards.