I am having a severe problem with my Artefille/Bellafill injections. Why have I developed swelling and redness? (Photo)

I am one of the leading experts in the world for the surgical removal of permanent fillers. You may be a candidate for removal of some of the offending filler from the lower eyelids.Best, Dr. Karamanoukian Los Angeles

I suggest seeing your physician, this should be evaluated for a late onset reaction or allergic reaction/collagen reaction.  Also to ensure there is no infection.  Please see a well trained cosmetic dermatologist who does a lot of filler injections.  Best, Dr. Emer.

I never like to make comments on other work but I must say that 10 syringes is quite a lot of Bellafill (new name for Artefill). When I see patients that need that much volume I would steer them towards fat transfers (which really do work and last a long time). Moreover, I am always very reluctant to place fillers in the tear trough as the result can be quite lumpy and lead to a prolonged swelling. Best of luck. 

First off, Bellafill requires a skin test to see if you are allergic to the collagen. It needs to wait 4 weeks to see if you are. Second, manipulating for 10 minutes is not customary and it maybe because the doc felt his injections weren't in the exact location he desired. This product must be done by very skillful injectors because it is a very long lasting filler. I would seek another opinion right away. Sam Lam is in Texas and has a huge experience with this filler. You might be allergic to the collagen or have an infection,  it's hard to say.