West Orange Radiesse doctors

Smile lines on the cheeks are usually a result of volume loss in the upper and midface, particularly the temples and the lateral and central upper cheeks.  This volume loss can happen in the bony structures, fat, or soft tissues of the face.  When volume is lost, the skin does not have the support it needs and it descends, forming wrinkles and folds.

The best approach to correcting that is to replenish the volume in the upper and midface.  The increased volume in the upper face will improve the smile lines without giving a chipmunk appearance.  If filler is needed in the lines themselves, it should be significantly less if the upper portions are filled first.

Radiesse or Sculptra would be my revolumizers of choice in this case.

Whether to be concerned about nodules after Radiesse injection depends on what the cause of the nodule is and when it appeared.  If the nodule appeared immediately afterwards, it could be some Radiesse deposited in a small area or a resolving hematoma from the injection.  Acne can also be exacerbated by injections in the area. 

If the nodule is Radiesse itself, it will take up to a year to dissolve.  A hematoma should resolve in 1-2 weeks.

If the nodule appeared later, it could be an allergic reaction to Radiesse or potentially even a late-onset inflammation or infection. 

I recommend an evaluation by your injecting physician or a board-certified dermatologist or plastic surgeon with training and experience in Radiesse injections.  Sometimes just a small intralesional injection of Kenalog and a short course of antibiotics can help resolve persistent nodules.