I believe dermal fillers require regulatory approval in Europe just as they do in the U.S. -- you can reach out to Linnea Safe and
Bellafill (two known brands of
PMMA) to see if they offer European iterations and where. The closest alternative would be
Ellanse, which I believe is approved in some European nations; while the microspheres aren't permanent, they still stimulate a similar (if not identical) collagen type that you find with
PMMA patients, and this kind of collagen is seemingly robust, lasting much longer than had initially been marketed by
Ellanse's manufacturers (in other words, this is as close to
PMMA as you'll probably get in Europe at present time, until someone can demonstrate otherwise).
Hyaluronic Acid (
HA) and Fat Transfer still remain the most popular methods across Europe from last I gathered.