Dear Doctor Pierone,

I'm Hungarian, and would like to get some reliable information about bioalcamid removal. I had bioalcamid filling in my wrinkles between mouth and nose. The esthetic outcome is terrible, too much material has been injected, and unfortunately I can't stand the feeling that a stranger body, those nodules are in my face. Unfortunately my mimicry and smile have been also destroyed. What methods are there to remove this material 100%? If surgery from inside the mouth: should it be scrape, cut or aspiration? Is it dangerous for the facial muscles and nerves? What if bioalcamid has been wrongly injected in muscles? Thank you very much.

Hello, and thanks for posting.

It is unlikely that Bioalcamid needs to be completely removed to improve the aesthetic outcome in a situation like yours.

The least invasive or destructive approach for removal of Bioalcamid makes the most sense. So my vote would be for aspiration with a needle and syringe to remove the bulk of the product. This could be performed from inside the mouth or through the skin depending on the location of the filler. If this did not achieve the desired result, then surgical removal would be the next logical step. The chance of damaging muscles or nerves during removal of Bioalcamid is quite low. If some of the material was originally injected into the muscle, I think that aspiration would still be effective.

Good luck!