Does anyone have experience removing Bellafill under the eyes?

First, let me say how very sorry I am that you are having this problem. Anyone familiar with my RealSelf answers over the years would surely know that I have repeatedly cautioned readers against having the injection of permanent fillers, since permanent fillers can mean the possibility of permanent problems. You have not said when you were injected. If very recently, this could simply be temporary edema, which can fluctuate during the day, usually worse in the morning before arising. If so, gentle massage several times a day may be helpful. Another possibility may be compression of the lymphatic drainage, which can be a more persistent issue, but may also be helped by gentle massage several times per day. Over the years, I have had experience in improving adverse reactions to permanent fillers, such as silicon, alcamid, and Artecoll (the former name of Bellafil when first introduced in Europe) by using injections of antiinflammatories, such as triamcinolone and 5-FU. Although it is not a hyaluronic acid-based filler, Bellafill sometimes responds to a combination of hyaluronidase and anti-inflammatories. Make sure that you consult with a specialist with experience in dealing with adverse reactions to permanent fillers. Best of luck, and once again, so sorry you are having this problem.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Removal of Bellafill is possible, even near the eyes. I have performed these with success. Inflammation is a key component in surgical planning. Best, Dr. KaramanoukianRealself100 Surgeon

This is a difficult problem but improvement may be possible with surgical removal or debulking of the filler/scar complex which is best done using transconjunctival approach. Need to see an expert oculoplastic surgeon.

There is a doctor named Raffy Karamanoukian, MD, FACS who promotes that he is an expert in taking care of problems with Bellafill. I think he's in Los Angeles/Beverly Hills. This appears to be very poorly placed and needs attention. In general, Bellafill is not recommended to be placed close  the eye but can be placed in the medial and lateral cheek.