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The Top Surgeon for PMMA Bellafill and Silicone Biopolymer Complications and Removal

If someone has developed complications from Bellafill or PMMA, then immediate care is recommended to prevent further problems. In our Los Angeles plastic surgery center, we see short and long-term complications from Bellafill and PMMA, which include swelling, asymmetry, nodularity, granuloma, formation, itching, pain, erythema and redness, hematoma formation, and infection.

Experience with removal of Biopolymers including Bellafill, Artefill, and Artecoll

Dr. Raffy Karamanoukian is the world-expert surgeon for the removal and management of Bellafill and PMMA fillers in the face and body. Our office, Kare Plastic Surgery Los Angeles, offers comprehensive solutions for PMMA and silicone biopolymer filler that includes either surgery, pharmacologic therapy, or medical management. Experience and board certification make Dr. Karamanoukian a recognized leader in permanent filler removal. 

Learn why Dr. Karamanoukian is the world’s expert on Bellafill and PMMA complications

Extensive Experience: Dr. Raffy Karamanoukian has managed countless patients who have sustained complications from PMMA and silicone biopolymer fillers. Although many of these PMMA fillers have been deemed safe by national health associations, we continue to manage complications of these permanent fillers on the face and body. Dr. Karamanoukian is a Fellow of the American College of Surgeons and an active member of the American Society of Plastic Surgeons. 

Pioneering Advanced Protocols to Remove Bellafill and PMMA Complications: Dr. Raffy Karamanoukian has developed unique and proprietary protocols that make him a world-expert in PMMA and biopolymer removal. He has lectured in national and international forums on the management of silicone fillers and PMMA fillers that are no longer tolerated by the body. Dermal filler rejection and autoimmune disease can be managed surgically or medically. 

Surgical Expertise: Trust the experts at Kare Plastic Surgery in Los Angeles with your surgery. Dr. Karamanoukian has double board certification and expertise in the plastic surgery and reconstructive management of this autoimmune problem. When the body rejects PMMA or silicone biopolymers, we can step in and reduce the toxic load of these permanent fillers. 

Non-surgical Options: Not everyone is a surgical candidate. Dr. Karamanoukian has developed specific non-surgical protocols that utilize the latest immune therapy treatments for implant and dermal filler rejection. Both PMMA and silicone biopolymers can be managed long-term with his protocols. It is always better, however, to reduce the volumetric load of permanent fillers with surgery or extirpation therapy. 

Dr. Raffy Karamanoukian is a world expert in Bellafill removal or Bellafill treatment, depending on your specific needs.  He is available for consultation in Los Angeles at Kare Plastic Surgery and Skin Health Center. Virtual consultations are offered for those patients traveling from outside of California. Please call 310-998-5533 to schedule consultation for under eye Bellafill removal in Los Angeles. 

Treating Undereye PMMA and Eyelid PMMA or Silicone Biopolymer

Dr. Karamanoukian is among the top plastic surgeons for cosmetic oculoplastic surgery including canthopexy, canthoplasty, eyelid surgery, blepharoplasty, and brow surgery. He has expertise in the subciliary, transconjunctival, and tarsal crease techniques for blepharoplasty. In fact, he has developed a specific blepharoplasty technique known as a Foxtail Blepharoplasty that is recognized internationally for its age-defying contouring of the eyelids. In patients with PMMA and Silicone granulomas in the eyelids, Dr. Karamanoukian uses his expertise in cosmetic blepharoplasty in Los Angeles to carefully dissect and remove these unwanted permanent fillers from the skin. 
 
What is Artefill?

ArteFill consists of polymethylmethacrylate (PMMA) microspheres (20% by volume), 30–50 μm in diameter, suspended in 3.5% bovine collagen solution (80% by volume) and 0.3% lidocaine.

What is Artecoll? 
Artecoll contains 20% PMMA Microspheres (30-40 microns in diameter) and 80% bovine collagen, along with 0.3% lidocaine. 

What is Bellafill? 
Bellafill is an implant filler composed of non-resorbable polymethylmethacrylate (PMMA) microspheres, 30 to 50 microns in diameter, suspended in a water based carrier gel composed of 3.5% bovine collagen, 92.6% buffered, isotonic water for injection, 0.3% lidocaine hydrochloride, 2.7% phosphate buffer, and 0.9% sodium chloride. Source: FDA

Bellafill seems to have the ability to either migrate locally or to cause local inflammatory conditions that may lead to chronic swelling and nodules. Our double board-certified plastic surgeon specializes in the management of under eye, lip, and facial Bellafill, and these inflammatory conditions can be addressed with either surgical or non-surgical methods.

Expectations on the Day of Surgery for Bellafill Nodules or Granuloma
 
Patients who have under eye, lip, or facial Bellafill swelling and nodules may benefit from a procedure in which the Bellafill is surgically removed or dissolved partially. The most important nonsurgical option is the introduction of intralesional injections in order to soften the scar tissue around the Bellafill, a surgical option for the eyelids includes a subciliary incision whereas for the lips, a mucosal incision, followed by surgical extirpation and removal of the unwanted Bellafill that is causing problems. Not everyone is a surgical candidate, but surgery continues to be a safe and affordable option for many patients. 

PMMA Removal from the body may be a difficult prospect, and much different than silicone biopolymer removal. It is important to consult with a world-leader in biopolymer management, such as board certified plastic surgeon Dr. Raffy Karamanoukian, as there are subtleties in treatment that can yield favorable results. 

Outpatient Surgery for Bellafill Removal 

Your Bellafill PMMA removal surgery is usually performed as an outpatient technique with either local anesthesia or sedation. Major procedures of the face or body may require a more invasive technique with the support of general anesthesia. Rest assured that Dr. Karamanoukian and his team will work closely with the anesthesiologist, if anesthesia is required, in order to safeguard your health during the procedure. Surgical extirpation of PMMA and Bellafill involves the removal of filler with small, well-hidden incisions placed in the skin. 
If you are interested in combining your PMMA or Silicone biopolymer surgery with another type of cosmetic plastic surgery, Dr. Karamanoukian can evaluate your concerns and give you a platform for combined plastic surgery. Our accredited surgery center can accomodate your schedule and concerns. 

Recovery After Bellafill Removal

On recovery after your surgery, you will be advised to avoid strenuous activity or movements that may compromise your incision line and scar repair. Patients usually recover quickly, but this all depends on their individual health, the status of the tissue, and the severity of the surgery. Most patients will recover within one to two weeks of their surgery, in which time they can begin to engage in normal social activities without hesitation. 

Our Kare Plastic Surgery patients report that silicone biopolymer or PMMA surgery is usually tolerable in terms of pain. During surgery, your tissue will be anesthetized with either local anesthesia or tumescent. Post-treatment, patients report minimal pain within one to two days after surgery. Results are seen immediately, but are often obscured by swelling and edema after surgery. Within one to two weeks after your PMMA removal, you will begin to see the contours of the reconstructive treatments. 

Risks associated with the surgery are specific to your treatment area, but may include bruising, swelling, silicone embolization, migration of silicone and PMMA, foreign body tissue reaction, autoimmune disease, pulmonary embolism, worsening of your health, and longterm debility. Unfortunately, many of these complications are a direct result of the permanent filler and may be exacerbated by surgical removal. In other words, permanent fillers may have longterm consequences without treatment. Treating the fillers may only unmask these naturally-occuring complications. It is thus very important to seek the treatment of Dr. Karamanoukian, a world-expert in the management of these dangerous fillers. 

Travelling from Out-of-State for PMMA Removal

Many of our PMMA patients live outside of Los Angeles and California. We continue to manage countless patients from out of state and internationally. For those patients living in the middle east, including Saudi Arabia, Kuwait, Abu Dhabi, Qatar, and the Emirates - our expert plastic surgeon oversees a specialty clinic internationally and works closely with plastic surgeons in Beirut at Kare Lebanon Plastic Surgery Center. We can provide you with this level of individualized expertise internationally or in California. 

Travel to our Los Angeles plastic surgery practice may involve air travel through LAX Airport or Burbank Airport. There are many hotels and AirBNB accommodations near Santa Monica, which continues to be a top travel and tourism destination. Our office can provide further guidance for out of state travellers. We aim to make this journey a pleasant and rewarding plastic surgery procedure. 

What if I have silicone biopolymer in my face and body? 

Silicone biopolymers and PMMA are similar permanent fillers. Dr. Karamanoukian is an expert in the management of all types of permanent fillers and their complications. If you have delayed onset nodules, granulomas, or foreign body tissue reaction from a BBL or facial filler; we are here to provide our expertise. 

What is Silikon 1000? 

Silikon 1000 is an injectable form of silicone biopolymer that is sometimes used for dermal filler. We have found, through our clinical research and histological case reviews, that the silicone dermal fillers used throughout Colombia, Mexico, and South America are often undesirable copies of Silikon 1000 that may cause longterm inflammatory complications. Foreign body tissue reaction and granulomas are common among these fillers. 
 
Dr. Raffy Karamanoukian is a world expert in Bellafill removal or Bellafill treatment, depending on your specific needs.  He is available for consultation in Los Angeles at Kare Plastic Surgery and Skin Health Center. Virtual consultations are offered for those patients traveling from outside of California. Our surgeons are available at Kare Plastic Surgery Beirut as well as Kare Plastic Surgery Los Angeles. Please call 310-998-5533 to schedule consultation for under eye Bellafill removal in Los Angeles. 

Raffy Karamanoukian MD FACS
Los Angeles
Kare Plastic Surgery 
www.karesurgery.com 

For Appointments call: (310) 998-5533
 
 

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