American Society of Plastic Surgeons
For Medical Professionals
 
Goranlut
3 years ago
Answered

Removal of filler

I had a face filler procedure many years ago with a product called Bio Alcamid. I’ve been very satisfied with the results but recently there has been some migration on one side of my face. I know this product has a reputation for being difficult to remove but if there is any way, or anyone that can do so, I’d love a bit of advice on how to proceed. Many thanks for your time and expertise.

Procedure: Injectable Fillers
Location: NYC, NY

Replies 3

Douglas Monasebian
ASPS Surgeon
Add to Favorites

Good day and thank you for your questions. Dr. Monasebian, our Board Certified Plastic Surgeon, will answer your questions. He is also trained in Maxillofacial surgery and has worked over 30 years in treating the face. Dr. Monasebian would have to see you and examine you to look at your face and assess the status of the filler. There are potential surgical and non surgical ways to treat or improve your condition. We would be happy to see you if you are in the New York City area. We look forward to meeting you soon.

Regards, Dr. Monasebian and Park Avenue Plastic Surgery.

More
 Show more Replies  Replies 2 less
Samir Shureih

Bio-Alcamid is non-absorbable filler. It causes granulomas and lumps where it is injected. Migration of the filler is common due to the nature of the filler and gravity.

The only proven way to remove is direct excision of the granulomas and lumps when they are palpated. Depending on where the Bio-Alcamid is injected surgical excision is indicated. The method and expected result can be discussed with your Plastic Surgeon. Be sure to see a Board Certified Plastic Surgeon. This can be a very involved surgery.

More
David Rapaport
ASPS Surgeon
Add to Favorites

Hello!

This product is well known for causing problems months to years after the injection. For this reason, it is not recommended to be used and when it migrates and causes problems, it needs to be removed through either small incisions, sometimes with liposuction, other times with facelifts. It is not available in the U.S. for this reason. The bottom line is that each case has to be evaluated individually, but some of the above are good starting points to ask your local board-certified plastic surgeon about. If you are based in NYC or would like to speak to Dr. Rapaport virtually, you are more than welcome to send photos to: office@drrapaport.com

Best of luck on your journey!

More
Logo

Patient Care Center