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Bellafill Causes Less Puffiness Than Temporary Fillers

Posted: 6:00 a.m. Sunday, Nov. 6, 2016

By Anita Mandal, M.D.
Question: I have dark circles under my eyes and deep creases in my upper cheeks. I went to a medspa doctor, who was not even a plastic surgeon, but who injected Restylane under my eyes and Juvederm in the grooves of my upper cheeks. The fillers made my eyes and cheeks look puffy for an entire year, without making me look any better. Now that the fillers have gone away, I’m stuck with the same hollows under my eyes and cheek creases. Are there any non-surgical options that won’t make me look so puffy?

Answer: Not all injectable fillers are the same. There are some significant differences in the properties of each of the different fillers. A skilled and knowledgeable plastic surgeon understands their different uses and benefits.

The temporary hyaluronic acid fillers such as Juvederm, Perlane, Restylane and Bellatero are beneficial for certain facial areas and concerns. However, these injectables work by attracting water from your body to maintain the filling effects.

Areas such as the hollows under the eyes and the malar cheek creases have a natural tendency to retain water. Such areas can swell from allergies, increases salt intake as well as the effects of gravity when lying flat. If injecting hyaluronic acid fillers, the risk of persistent or increased puffiness is higher.

Bellafill, the 5-year filler, is much less likely to cause puffiness when injected into the cheek creases or lower lid hollows. Bellafill softens the creases and hollows by stimulating your body’s own natural collagen. Since the collagen made through Bellafill is not overproduced or working by attracting water, the risk of puffiness is minimized in the presence of proper injection technique.

Bellafill is about twice as costly as most temporary fillers, but it can give you a result that lasts 5 years and is more natural. If you are opting for temporary hyaluronic acid fillers in facial areas prone to water retention, it is advisable to use them in patients with no known history of environmental allergies or fluid retention under the eyes or in the upper cheeks. When it comes to the lower lid hollows and cheek creases, Bellafill is my filler of choice for its 5 year duration, natural results and lowest risk of puffiness.


Laser Whisper™ Lift: Three 1cm micro-incisions, 45-90 minutes, local anesthesia, 4-5 days downtime.

Kybella, 10 Minutes: Permanent, minimal invasive neck fat removal for double-chin.

SculpSure, 25 Minutes: permanent, non-invasive body fat reduction with skin tightening.

Infini RF, 40 Minutes: Non-Surgical Facelift for sagging jowls and neck with no downtime.

Bellafill, 90 Minutes: The 5-Year Filler. Dr. Mandal is a BellaDiamond physician in the top 1% of expert Bellafill injectors in the world.

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