Will bellafill that's been overfilled continue to get bigger as my collagen starts to replace the bellafill collagen? (photo)

5 days is a bit soon to expect swelling from Bellafill to go away especially if done with traditional needles.  With blunt cannulas, swelling can still last 2-3 days.  It's possible you have a bruise and if so, it could take 2-6 weeks for it to resolve.  Be patient and wait at least 2 weeks and see if the swelling is gradually improving.  As the bovine collagen gets replaced by your own collagen typically the result is the same as with the bovine collagen.

5 days is way to soon to panic.  If possible give it some time to smooth and settle.  You are also still very swollen from the treatment.

Quite a possibility. Our office specializes in the removal of permanent fillers from soft tissue. Many patients who have Bellafill may not be candidates for surgical removal. Best, Dr. Karamanoukian Los Angeles

when i inject marionette lines i also usually start at the jaw line. 5 days post treatment is still very early and there is still swelling... i believe it will go down over the next few weeks... also i dont think you will get larger due to collagen production.. I think the result you see immediately is the expected final result.. after treatment it will swell some, then the swelling goes down the result may actually lessen after a month or two and then when the collagen production kicks in you should see the improvement you saw on day one.

In my experience, the long-term results from Bellafill is usually less then the one week result. I don't believe that your body replaces collagen one for one with the bovine collagen in the product. At this point, it is best just to wait and see what happens in 3-4 months.

Be patient and stay calm. Five days after injection with Bellafill is too soon to judge the results. With time the "puffy"  areas should subside and you should see substantial improvement of the jaw area.  The bump may  be due to a small collection of blood under the skin due to trauma from the injection and should resolve.  Most importantly  speak with your doctor about your concerns.

Good Day, Thank you for your question, narrative and photograph.
First, the facial site you had injected with filler, which you refer as the marionette line (pre jowl sulcus) is a common area for volume replacement as a result of the descent of the facial soft tissues. This area with increased volume results in a more straight mandibular line, which is rejuvenating. Thus, treating the pre jowl sulcus (in front of the jowls) is an excellent choice.
Second, the "heavy lower puffy jaw" appearance is not uncommon with the initial swelling from the filler and trauma of placement. The literature reveals 50-100% of the volume injected persists, however, the average is about 80% of the volume injected persists long term if not permanently.
It is best to have some patience and allow the area to settle. I would not massage it yourself, although your inject can mold the area for about 2-3 weeks if indicated. Worst case scenario, one can inject Kenalog, 5 FU or a combination of these to absorb some of the collagen synthesis if excessive or in an adjacent unwanted area.
In summary, have some patience for swelling resolution and followup with your injector to determine the final appearance and if any treatment is needed to optimize the appearance. 

Bellafill or Artefill, like all fillers, causes trauma and
that results in swelling, bruising, lumps and bumps that you can fell but
usually not see as well as tissue distortion.
All of these problems will settle.
In fact, the adverse events reported in the 5 year study for Bellafill,
showed no persistent problems at the end.
Of course we do not want to wait 5 years and I can tell you that when
these problems are seen after a Bellafill injection, they are almost always
gone at 3 months without any intervention.
Many injectors are quick to treat these problems with things like excision
or steroids but I can tell you from 9 years of using Bellafill almost daily, 99
% of these problems will settle on their own if given a chance. In addition, as a medical consultant for the
makers of the product who reviews patient problems that are submitted to them,
these problems are usually injector error.


Bellafill gives remarkable results in the right hands. One week is too early to tell what your
results will be, but from what I see, I believe you will like them but you have
to be patient, its only been a week! 

Because it lasts so long, you should be aware of the risks
and benefits of these types of fillers.
I have added a video that may help you.

I hope that helps.

Best regards.