Fluid bag and fat necrosis 6 years post Bellafill (Photo)

Addressing persistent lumps and swelling following dermal filler treatments can be challenging, especially when multiple products have been used over the years. Here are some considerations and steps you might take to manage the issue:

Consult a Specialist:

Seek out a board-certified dermatologist or plastic surgeon with extensive experience in managing complications from dermal fillers. A specialist will be able to provide a more comprehensive evaluation and suggest appropriate treatment options.
Imaging Studies:

Consider undergoing imaging studies, such as ultrasound or MRI, to better understand the nature of the lumps and pouches. These studies can help differentiate between residual filler, scar tissue, or other causes of swelling.
Treatment Options:

Steroid Injections: These may help reduce inflammation and the size of lumps if they are due to granuloma formation or scarring.
Enzymatic Treatment: While Bellafill is not typically dissolvable, other fillers like hyaluronic acid-based products can be dissolved with hyaluronidase if they are contributing to the problem.
Surgical Removal: In some cases, surgical intervention might be necessary to remove persistent lumps or fat necrosis.
Laser or Radiofrequency Treatments: These modalities can sometimes help in remodeling tissue and reducing the appearance of lumps.
Monitoring and Patience:

Sometimes, observation and monitoring are recommended if the lumps are not causing significant discomfort or cosmetic concern. Over time, some filler-related issues may resolve on their own.
Avoid Further Fillers:

Until the issue is resolved, it may be advisable to avoid additional filler treatments in the area, as they could exacerbate the problem.
Comprehensive History:

Ensure your physician has a complete history of all cosmetic procedures and products used, as this information is crucial for tailoring the treatment plan.
Ultimately, a personalized approach based on a thorough evaluation by a qualified professional is essential to effectively address these complex issues.