Radiesse not the best filler for tear trough or vermilion lips

William Ting, MD answers: Recurring swelling after Radiesse?

I recently had Radiesse injected in my tear troughs. My Dr. prescribed prednisone for swelling. It brought the swelling down but two days after i quite taking the med, my face swelled up again.

I told my Dr and he gave me a refill and the same thing happened again after I took all the medicine I swelled up again. Any explanation? thank you. procedure was done three weeks ago and again a week and a half ago.


William Ting, MD
4 months ago

This is why most experienced board-certified dermatologists and plastic surgeons are not excited about Radiesse injection in the tear trough areas or vermilion lips. Radiesse is made of calcium hydroxyapatite complex which is an excellent filler that is longer lasting than hyaluronic acid and a good candidate filler for nasolabial folds. However, it can be quite inflammatory particularly when it is injected near bony structure of the face.  Unlike hyaluronic acid which can be reversed by hyaluronidase, there is no antidote to reverse Radiesse injection. Unfortunately, there is very little you can do other than time and ice compress given the location. If it is away from the eyes, an experienced physician may consider combination of steroid and 5-flurouracil intralesional injection.

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