Bellafill adverse outcome - hyaluronidase seems to be working. How is this possible?

Question

Belafill a year ago, had complications immediately after the injections. It is apparent that the injector caused the problem. There is a thick ridge from the corner of my lip down to my chin &large swollen pocket from the side of my chin to my cheekbone. Those issues are pushing in the side of my mouth creating a pronounced line that is about 2 1/2 inches. The injector is injecting Hyaluronidase which everyone says does not work on Belafill, however it seems to be working. Is that possible?

Raffy Karamanoukian, MD, FACS · Answer

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

Bellafill adverse outcome - hyaluronidase seems to be working. How is this possible?

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Bellafill adverse outcome - hyaluronidase seems to be working. How is this possible?

Answers (1)

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Recommended reading

Everything you need to know about Bellafill

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