Bellafill is considered a long term, semi-permanent dermal filler. This means that once it is injected, it cannot be dissolved or removed from the treated area. Unlike hyaluronic acid dermal fillers that can be removed or dissolved with hyaluronidase injections, PMMA stays put in the skin once it is injected there.
If you feel that the Bellafill need to be reduces then a combination of 5FU and Kenalog 10 should work but it is a slow process if done properly as at least 4 to 6 injections spaces a month apart is the safest way tp approach this.
Bellafill® contains non-resorbable PMMA microspheres. Implantation is permanent and will not be reversed without excision. The safety of Bellafill® for use during pregnancy, in breastfeeding females, or in patients under 18 years has not been established.
Answer: Can Bellafill be dissolved? No. Bellafill is a permanent filler that lasts over 5 years. When nodules or granulomas appear, steroid or saline injection into the area can help resolve these issues.
No, cortsone is an anti-inflammatory and will limit scar formation and as a side effect can dissolve fatty tissue. However, there is no fat in the lips and if the lump is a filler or an implant, the cortisone will have no effect.
Enter: hyaluronidase. Whether it's the lips, under the eyes, in the cheeks, or any of the other areas where HA filler is placed, injecting hyaluronidase can speed up the degradation process and reduce plumpness and/or lumpiness in a matter of days.
Massage can encourage the filler to be broken up by the body more quickly. But in practice this still takes a long time (like weeks of daily vigorous massage) to improve the outcome. This may also spread the product over a larger area causing more problems.
Some physicians who use Bellafill may have their patients massage after the treatment and others may not. If you do massage, this should just be done gently. It is very unlikely that you have caused any damage to your face by massaging it in the first 24 hours.
Answer: After performing thousands of syringes of Bellafill over the last 7 years, half of my patients returning 9-12 months later notice that their Bellafill looks even better than after the initial treatment.
Bellafill - A Collagen Stimulator
When Bellafill is injected, the PMMA and collagen gel provide immediate correction. Over time the collagen gel dissipates and fibroblasts migrate in and around the PMMA microspheres.
Intense heat on the skin can make your filler break down more quickly or produce less effective results. Ideally, you should avoid exposure to intense heat for at least 12 to 24 hours after your appointment.
You cannot dissolve lip fillers at home. Only licensed medical professionals can administer the enzyme hyaluronidase. However, you can wait for your dermal fillers to dissolve on their own.
As a 5-year filler, Bellafill won't go away nearly as fast as Restylane or Juvederm. Many doctors only prefer Restylane and Juvederm, not because these temporary fillers are any better than Bellafill, but because they know that if they make a mistake, a temporary filler goes away quicker.
PMMA Microspheres
In this filler, PMMA acts as structural support for the skin, like scaffolding for a building, working to hold up the skin and fill in lost volume. PMMA takes several years to be metabolized by the body, which is a large part of why this treatment lasts so long.
Unlike all other fillers including Juvederm, Restylane, Belotero, Perlane, Sculptra or Radiesse, Bellafill should be considered permanent. Bellafill cannot be dissolved the way that hyaluronic acid fillers like Juvederm and Restylane can be dissolved.
A: Bellafill is an injectable bovine collagen (sourced from calf) dermal filler with non-resorbable polymethylmethacrylate (PMMA) microspheres that provide structural support to the skin. It also contains 0.3% of local anesthetic (lidocaine). The lidocaine in Bellafill helps to improve the comfort of the injection.
If the filler is in a location further away from direct blood flow than other locations, then this means that cells that secrete hyaluronidase will not be able to reach the hyaluronic acid gel, and will therefore be unable to dissolve it.
Can all fillers be dissolved? Fillers with silicone (which are sometimes used in the lips and face, cannot be dissolved). Other semi-permanent fillers such as Scultpra and Radiesse also can't be dissolved. But temporary fillers, such as Hyaluronic Acid (HA) fillers can easily be dissolved.
Hyaluronic acid fillers such as Juvederm can be dissolved with the hyaluronidase enzyme, which begins to work almost immediately. Many patients experience slight swelling or bruising after these injections, so you may not see most of the settled effect until 2-3 days after injection.
When injected into the affected areas, hyaluronidase dissolves the hyaluronic acid particles to help correct issues such as: Overfilling or dissatisfying results.
Be gentle with your skin, and don't scrub or push on your face during your skincare routine. When you move and poke fillers, they will break down faster, so the more delicate you are with your fillers, the longer they will last.
Answer: LED Light Therapy will not affect dermal fillers
It is completely safe and will not affect any dermal fillers, nor will it break them down quicker.
Hyaluronidase will not help with fillers such as Radiesse, Bellafill, and Sculptra. In certain patients, a steroid injection may help reverse the effects of some of these fillers to an extent, but the only surefire way to “undo” the results of these fillers is to wait for them to be absorbed by the body.
To dissolve lip fillers, you'll need to receive injections of hyaluronidase (Hyalase) near the filler. Hyaluronidase is a concentrated synthetic form of an enzyme that naturally occurs in your body. When injected, it begins to break down the filler, speeding up the dissolving process that would take place over time.
ICE: Use of ice or over the counter hydrocortisone 1% cream will reduce the risk of bruising and swelling. Icing is recommended immediately following treatment and for the first 2 days after treatment.