Bellafill bruising 3 weeks after treatment. Do I need to be concerned?

Question

I got 2 syringes of bellafill in my cheeks 3 full weeks ago for acne scarring. My cheeks are still bruised. Bruises are fading but there seems to be a stubborn section that won't go away on both sides of my face. I was taking adapalene gel, using clindamycin cream, and taking doxycycline pills 100mg 2x a day right up until the day of treatment. Do I have to worry about this bruising? Thanks

Philip Solomon, MD, FRCS · Answer

It is not unusual for bruising to last several weeks after injections.  Best to see your treatment provider for an evaluation to ensure nothing else is going on. If staining of the skin persists, there are phototherapy procedures to help with this.

Raffy Karamanoukian, MD, FACS · Answer

Filler migration and granuloma formation can cause longterm problems with Bellafill and Artefill fillers. This is similar in patients who have Artecoll and PMMA fillers. Longterm filler complications include migration, edema, chronic swelling, and nodularity. If patients have filler migration or nodules, 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 likely not HA material or 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.

Surgical removal of Bellafill is possible and we have a wide ranging experience with the treatment. Some areas of the face can be treated because the Bellafill removal scars are barely visible. We have found that Bellafill nodules, if palpated, can be removed from the tissue. Undereye Bellafill, nasolabial fold Bellafill, and lip filler can be treated successfully. Diffuse Bellafill is difficult to treat.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

Bruising can last several weeks after injections. If you're concerned, I recommend following up with your injector. VBeam treatments can give improvement. See an expert. Best, Dr. Emer

Thomas Wright, MD · Answer

Bruising can persist for several weeks and even a month or longer. It is still likely the bruising will go away. However it is possible the discoloration is from a different cause such as staining and if this is so, the color change may persist.

Steven F. Weiner, MD · Answer

I would get an evaluation. I would make sure that this is simply just bruising. If it is, a VBeam or Excel v laser is can reduce the bruising/discoloration.

Bellafill bruising 3 weeks after treatment. Do I need to be concerned?

Answers (6)

Answer: Likely will go away

Answer: Likely will go away

Answer: Bruising after 3 weeks from Bellafill for acne scarring

Answer: Bruising after 3 weeks from Bellafill for acne scarring

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Everything you need to know about Bellafill

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Bellafill bruising 3 weeks after treatment. Do I need to be concerned?

Answers (6)

Answer: Likely will go away

Answer: Likely will go away

Answer: Bruising after 3 weeks from Bellafill for acne scarring

Answer: Bruising after 3 weeks from Bellafill for acne scarring

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Recommended reading

Everything you need to know about Bellafill

Our mission is to create a world where every investment in modern beauty is Worth It.