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Bellafill city, state

Bellafill logo San Francisco facial plastic surgeon Dr. Evan Ransom is excited to offer the newest and longest-lasting filler available, Bellafill®. This product is a unique formulation of two different fillers, which lasts up to 5 years in clinical trials. Bellafill® is used to add volume to the face, in the areas of the smile lines (nasolabial and marionette folds), cheeks, and along the jawline. In addition, Bellafill® is FDA approved for the treatment of facial scars resulting from acne. The procedure is performed in the office with topical anesthetic. There is minimal discomfort and no downtime.

Bellafill® is a combination of collagen and polymethylmethacrylate (PMMA). The collagen component of the filler provides an immediate volumizing effect that is shorter-lasting (about 8 weeks). Then, over about 2 to 3 months, the PMMA stimulates your body to make its own collagen. This results in significant and long-lasting revolumization of the treated area. Over time, and with additional treatment, the effects of the Bellafill® may be additive as the collagen-tissue matrix forms in response to the PMMA.

Some patients will have adequate volumization after one treatment, while others may want to return for an additional session as the PMMA response becomes clearer. The treatment effect has been shown to last up to 5 years – much longer than any other commercially available injectable filler on the market. Patient surveys confirm that people receiving Bellafill® remain highly satisfied with their treatment over time.

Who is a candidate?

Anyone with facial volume loss, deep folds, or facial acne scars is a candidate for Bellafill®. In addition, patients desiring a fuller or rounds appearance of the cheeks or a more defined jawline may choose Bellafill® treatment as part of their rejuvenation or aesthetic plan. The ideal patient has localized volume loss or contour irregularities with good overall skin elasticity. Patients with significant skin excess or poor elasticity may be better served with different techniques (e.g., face or neck lift). Dr. Ransom can help you decide if Bellafill® is right for you during your comprehensive facial aesthetic consultation. As a final note, Bellafill® treatment requires a skin test to ensure that no allergy to the bovine collagen component is present. Allergic reaction is extremely rare. The skin test is performed 48 hours or more before the scheduled treatment.

Frequently Asked Questions

Question: How long does Bellafill® treatment take?
Answer: Each treatment session takes about 20 to 30 minutes. This involves preparing the skin surface, outlining the injection sites, and placing the Bellafill® injections.
Question: Does it hurt?
Answer: Bellafill® is injected with a tiny (27 to 30 gauge) needle with minimal discomfort. In addition, Dr. Ransom uses a topical numbing cream prior to the treatment to further reduce the sensation in the treated area. Ice is applied afterward to reduce any immediate swelling.
Question: How many treatments are there?
Answer: The total number of injection sites and syringes used are dependent on the size degree of volume needed or desired by the patient. A follow up appointment is recommended about 2 months after Bellafill® injections to assess the results and direct further treatment.
Question: What is the downtime? Can I go back to work afterward?
Answer: There is minimal downtime from Bellafill® treatments. The injected area may be slightly swollen or irritated. This resolves in most patients within 24 to 48 hours. No specific post-treatment measures or restrictions are required, though ice may be applied to the area. Many patients will go back to work after their treatment session; other patients will return the next day. This is largely personal preference. Strenuous activity (e.g., working out) should be avoided for about 24 hours.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.