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All Dermal Fillers have their problems. The journal Dermatologic Surgery devoted two issues, one in June 2008 and the second in February 2009 to Dermal Fillers, their uses and problems.
The most respected “household names” in the dermal filler world were also shown to have problems in certain circumstances. These are usually minor and transient.
The problems associated with “permanent fillers”, which include Bio-Alcamid™ can be more sinister. A good part of the reason for this is that they are not dermal fillers but surgical implants and the processes and techniques for use of the two types of product are vastly different. Bio-Alcamid™ was marketed in the UK as a straightforward, deep dermal endo-prosthesis requiring relatively minimal training.