Had 2 syringes of Bellafill for marionette line through the cheeks? (Photo)

Bellafill filler can cause nodules and chronic edema, soft tissue reaction, and longterm problems. We specialize in the removal of Bellafill on the face and see patients with old and new PMMA filler problems. Bellafill will eventually form scar tissue around the permanent filler. 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 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. We remove Bellafill filler from the lips, nasolabial folds, and eyelids. Cheek Bellafill is difficult to remove surgically.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Without question, this is an issue best addressed with the physician who injected you -  he or she surely wants to see you happy.  Combination approaches are a staple in my practice and tend to yield far superior results.  That being said, it is not out of the ordinary to do midface injections in an attempt to lift the lower face. This just has to be done very skillfully and in the properly selected patient. To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself500 Physician

Hi and thank you for your question! Unlike the common belief that to correct an issue, the best approach is to make the injection right at the site of the issue, more experienced cosmetic doctors know that an injection done skillfully at a relatively distant area can often have better results. For example, to treat nasolabial folds I commonly do injections in the cheeks. The lift generated in the cheeks following filler injection may also help with marionette lines, but it is hard to tell without seeing you in person. Keep in mind that Bellafill is a stimulatory filler and the results tend to improve over time. This being said, I highly recommend that you wait for 2 weeks following the injection and if still concerned, go back to your doctor for a follow up. Comparing before and after pictures can objectively show the points of improvement and also help with guiding your physician to see if there is need for further touch ups. I hope it helps and good luck!