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

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. 

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

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

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. 

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.

Congratulations on getting Bellafill for your scars.  You should get a nice result.  With scars from acne there is usually a 60 to 70% improvement.  We can never make your scars go away but if we can fill them to make them less deep, they will be much less noticeable.

 I tell my patients to expect what you are going through.  Swelling will last 3 to 10 days.  Bruising will last 10 to 21 days.  Lumps will last 8 to 12 weeks.

I have added a video about filler safety for you.  I hope that helps.