I have been cautioning regular followers of my answers to be very cautious about having injections of permanent fillers. Of course, understandably, the enticement is that they are permanent. However, when things go wrong or if the results are not what was desired, these problems can be very difficult, if not impossible, to treat; even surgery to remove the permanent filler can leave disfiguring or troubling scars. What's more, adverse reactions to the permanent fillers, be they silicon, alcamid or Bellafil, may not only occur soon after injection, but even five, ten or twenty or more years later, especially after some kind of manipulation of the tissue around the area that was treated with them. Dental procedures that require the cheek, for example, to be pulled aside to allow access to the teeth or gum, can be one such trigger of granulomas and nodules from permanent fillers injected a decade or more earlier. It is for this reason that I gave up using permanent fillers of any kind decades ago. So, RF laser treatments can conceivably trigger just such undesirable reactions, and this needs to be fully discussed with treating physician before embarking on any form of treatments that can potentially disrupt the equilibrium with the permanent filler. Hope this helps.
