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What is Marionette line treatment ?

Bellafill is one of the longest-lasting dermal fillers on the market, FDA-approved for the treatment of acne scarring. It’s composed of microspheres which help to continuously induce our own collagen-forming cells to lay down collagen over years, not months! These microspheres are designed to resist breaking down and they encourage the production of collagen in the skin for structural integrity, providing a very long-lasting treatment while reducing and smoothening acne scars.

It’s also FDA-approved for treatment of smile lines, which has been shown to last up to 5 years!

How is Bellafill used?

Acne and resulting inflammation [link to page] can cause structural changes to the smoothness of facial skin and can affect virtually all age groups. The scarring not only causes frustrating changes in appearance but it can also be emotionally difficult. For many years dermal fillers and lasers fell short of being an effective acne scar treatment, since their results dissipate over time, providing only a short-term solution.

Then came Bellafill. It can be injected under the scarred areas of the facial skin to work its magic. This product contains two components, bovine collagen and collagen-inducing microspheres. It’s these microspheres that stay behind once the bovine collagen dissipates. Not only does this formula provide instant correction of the acne scars, its microbeads persist for many years to continue facilitating collagen production, maintaining volume and structural integrity of the skin where scars used to be prominent.

What should I expect with the treatment?

To start, you and Dr. Brandish will develop an individualized treatment plan to determine if Bellafill is the best tool for the desired result. She is an expert injector with an artistic eye and years of experience using injectable fillers to contour the face and turn back the clock.

Before the treatment a skin test is required to determine if there is any bovine collagen sensitivity. Once Bellafill is identified as the right treatment, Dr. Brandish will use topical numbing agents to minimize discomfort with the injection of the filler. All dermal fillers contain numbing agents as well to make treatment even more comfortable. Injections are often performed using a specialized technique with a cannula so that minimal bruising is seen after treatment. A device called an Accuvein laser may also be used to directly visualize the underlying vessels in the tissue around the injection site to further avoid bruising and make treatment more safe.

Even with these extra precautions, there may be some mild redness, bruising or swelling that may last several days. Although the advanced precautions taken at Brandish Clinic help make optimal treatments much easier with minimal downtime. For the first 48 hours after the procedure it’s important to be gentle with the treated areas. Try to minimize your contact with the injection sites during this period.

As with any medical procedure, it’s important to understand that recovery times may vary patient-to-patient, and this is also the reality with cosmetic procedures like Bellafill filler injections.

How long do results last?

Bellafill’s non-degradable formula makes it a sturdy dermal filler that stands the test of time. According to Bellafill’s website, 90% of patients reported being happy with the results at 1 year from injection but in clinical practice, acne scar treatment results generally tend to last up to 5 years with touch-ups as needed.

Bellotero’s website also reports smile line treatment lasting up to 5 years!

Are there side effects to be aware of with Bellafill?

According to the Bellafill website, the most commonly observed side effects are bruising, redness, and swelling. These are typically quite mild, and they should dissipate within several days depending on the treatment site. Dr. Brandish uses a soft tipped cannula for the injection of dermal fillers to significantly minimize bruising and downtime and to make the procedure much safer to administer.

More information about side effects can be found on Bellafill’s website.

Bellafill Summary

Bellafill is a one-of-a-kind dermal filler that we use to help free our patients of bothersome acne scarring and other facial wrinkles/scars. It has a unique gel formula consisting of collagen and microspheres, which work together to provide immediate and long-lasting results. It’s a very versatile filler that has come to the rescue of many patients who may not be achieving desired results with other acne scar treatment methods.

How do I get started?

If you’re interested in hearing more or in scheduling an appointment, contact our office at


and we’ll take care of you. We offer free consultation appointments as well if you’d like to simply go over any problem areas and see if Bellafill or other treatment options may be the most effective solution.