How can I get rid of these Bellafill lumps? Are they permanent?

bellafill cannot be reversed but it can be surgically removed , injected with steroids/5fu or saline or sometimes subsidised to get improvement.  RF treatments like exilis and venus legacy give a significant improvement.  I suggest you see an expert for treatment options for this complication.  Best, Dr. Emer.

Bellafill filler can cause nodules and chronic edema, soft tissue reaction, and longterm problems. We specialize in the removal of Bellafill on the face and see patients with old and new PMMA filler problems. Bellafill will eventually form scar tissue around the permanent filler. 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 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. We remove Bellafill filler from the lips, nasolabial folds, and eyelids. Cheek Bellafill is difficult to remove surgically.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question! It is hard to give you any precise opinion without more information provided and without pictures. Those are usually treatable with lasers and combination of steroids and antimetabolite 5-fluorouracil. I advise you to schedule a follow up appointment. Best of luck!