Renuva v. Bellafill- What is the best permanent filler?

Question

I would like to add volume to my cheeks. Both of this options seem intriguing. I am curious to hear which is best and are they really "permanent". Thanks for your guidance.

Douglas Hamilton, MD · Answer

There are no studies or proof of which we are aware showing Renuva either has significant duration or value for facial or body contouring use; it appears to be  simply a new  variant on an old temporary approach ( fat ). Bellafill is the only proven facial filler of 5 years' duration ( FDA ); 12 years in another study it is frequently seen as both permanent and safe.

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

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

Sabrina Fabi, MD · Answer

Thank you for your question. We use Bellafill in our office because the filler tends to require less maintenance than other “permanent” fillers. However, the experience of your injector is much more critical than the filler used to ensure success. I encourage you to meet with a board-certified cosmetic dermatologist who can assess you in person and recommend the best treatment plan for you.

Jason Emer, MD · Answer

there is no perfect permanent filler. Renuva works okay but needs a lot of treatments to "stay" long term.  Bellafill is expensive for long-term improvement but works great in small amounts.  Fat is the best larger volume filler, but isnt predictable.  I suggest you see an expert to discuss.  Best, Dr. Emer.

Todd Kerner, MD · Answer

YES. You can do this in mild cases but please first consult with a professional since this can be challenging. Injecting dermal fillers along the jawline can act as a liquid facelift. Significant sagging usually requires surgery.

Renuva v. Bellafill- What is the best permanent filler?

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