Hard lumps from Bellafill. Searching a 2nd opinion before cutting to remove the lumps. I need to find a Bellafill qualified dr.
Doctor Answers 5
Bellafill Skin Test - Surgery Last Resort
Bellafill is a bovine collagen based filler which contains polymethylmethacrylate (PMMA). The product contains also lidocaine which is a local anesthetic. It is imperative that skin testing be performed four weeks prior to injection. As with any filler granuloma , nodule or lump formation can occur. Bellafill is really meant for a subdermal injection and is contraindicated in thin skin such as the lips. Massaging the bump or nodule may help. Most lumps from dermal fillers which are hyaluronic acid based can be easily treated with hyaluronidase injections, however, the issue is different with Bellafill. PMMA nodules have been shown to respond to intralesional corticosteroids. Systemic corticosteroids may offer some benefit as well. Allopurinol has also been shown to be of some benefit. Most lumps will resolve with time. Surgery is the last resort. The key to successful treatment with Bellafill is proper skin testing beforehand, aseptic technique injecting, and placement in a subdermal location.
Hard Lumps from Bellafill
Bellafill is composed primarily of collagen and collagen will almost always make lumps that go away completely, in time. Lumps or bumps were a common complaint of patients who used to get collagen injections. The good news is that they all go away if you are patient enough. The 5 year study on Bellafill was just reviewed and approved by the FDA. This showed that any lumps or bumps that occurred with this filler were almost all gone by a year and that 12 out of over 1000 patients who were followed and had a lumps at a year did not have those lumps at 5 years.
Many physicians are worried about the PMMA particle but these only make up a total of 0.1cc in each syringe, are negatively charged so they will not clump and are all 40 microns in size (about the size of a single cell). All of the lumps that have been examined pathologically have shown that they are simply scar. Scars usually will respond to an injection of a steroid called Kenalog that often needs to be repeated on monthly intervals until the scars softens and settles in volume.
The first question I would ask is are you lumps visible? If they are not then I encourage you to be patient. If they are then I would encourage you to seek a second opinion by someone who has extensive experience with this product. Check the Suneva Medical website for providers of Bellafill in your area and then check their credentials with respect to Bellafill.
I hope that helps.