La Jolla Radiesse doctors
|
Mitchel Goldman, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 300, San Diego |
1 answer | |
|
Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 125, San Diego |
||
|
Paul E. Chasan, MD
San Diego Plastic Surgeon
1431 Camino Del Mar , Del Mar |
||
|
Roy A. David, MD
San Diego Facial Plastic Surgeon
3252 Holiday Court Suite 206, La Jolla |
|
|
|
Richard Fitzpatrick, MD
San Diego Dermatologic Surgeon
9339 Genesee Ave Suite 300, San Diego |
Recent Answers
I had Radiesse injected under my eyes 8 1/2 months ago. (Biggest mistake of my life!!!!!!) One eye continues to have a large nodule (pea-sized, tear drop shaped) that does not seem to be going away. I have had a series of steroid injections, but the nodule remains almost the same size. Will the nodule eventually go away on its own? If so, when? Should it be getting gradually smaller each month? (it's not!) At what point should I consider surgical intervention? Please Help!!
There is no simple solution to incorrect application of Radiesse. The vehicle dissolves away slowly, but the fibroplasia will probably limit the usefulness of surgical extrusion of the material after 1 to 2 weeks. Surgical excision would cause unnecessary scarring. Triamcinolone acetonide injections will reduce the swelling and fibroplasia but will not have a major effect on dissolution and may lead to fat atrophy. Radiesse dissolves away rapidly in some individuals, but the correction can last for years in others. Radiesse is excellent for volume loss correction when injected smoothly and deeply in areas where there is plenty of overlying soft tissue. In the infraorbital hollow, the cautious injector would consider a hyaluronic acid–derived filler so that hyaluronidase could be used in the event of any volume-related adverse events. This is a particularly important consideration in the case of a less-experienced injector. This case also highlights the dangers of nonphysician injectors and physicians working out of their specialty training.




