Hi Drs...I just wanted to ask if Acetylcholine injections in the cheeks help dissolve the filler. My cheeks look bulky after 3 years of Radiesse injections (well I'm not sure if it's really Radiesse). A board certified plastic surgeon advised to inject Acetylcholine right in the filler, he said it helps dissolve the bulky filler. Does it have any side effects, complications?
Will Acetylcholine Injections in the Cheeks Dissolve Radiesse?
Doctor Answers (13)
Radiesse cannot be dissolved by injections
Acetylcholine should not dissolve radiesse
I am not aware of any available and safe medicine to inject into Radiesse to dissolve it. Hyaluronidase is used to dissolve Juvederm or Restylane but not Radiesse. Acetylcholine is the neurotransmitter that Botox blocks to decrease muscular activity and should not dissolve Radiesse. Some doctors have injected sterile saline or local anesthetic under pressure to break up nodules.
There is not a known way to reverse Radiesse injections. There has been anecdeotal evidence that ultrasound can hasten Radiesse's resorption.
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No to acetylcholine
There is nothing that has been tested and proven to dissolve Radiesse. Do not let anyone inject acetylcholine into your face for this. There are substances that will dissolve Restylane and Juvederm. There are some anecdotal reports of repeated injections of this, hyaluronidase, dissolving Radiesse but there is no good chemical explanation nor are there any studies, as far as I know, to explain why this might happen. It will dissolve on its own. Be glad you didn't choose a permanent filler.
Acetylcholine and Radiesse
I am not aware of any studies that show that acetylcholine injections will dissolve Radiesse. Radiesse is typically dissolved by the body over the course of twelve months.
Acetylcholine Injections to Dissolve Radiesse? Don't Do That.
I am not sure why any reputable Physician would recommend Acetylcholine injections as a means of dissolving Radiesse. Radiesse is made out of calcium hydroxylapatite and there is no scientific basis for what has been recommended to you. Please get another opinion or just wait, because the Radiesse will dissipate in 9-18 months.
Acetycholine and Radiesse
No, Acetycholine can not be used to dissolve Radiesse. This is the reason that most physicians rather under inject than over inject. But it will dissolve with time. Dr. Behnam.
Acetylcholine Injections to Dissolve Radiesse
Acetylcholine injections will not dissolve Radiesse. Fortunately Radiesse is a temporary filler that will dissolve with time.
Radiesse cannot be dissolved by anything injected into the body
It takes the body approximately 12 months to dissolve Radiesse naturally. Until then, there is nothing to do but be patient.
Acetylcholine is a signalling molecule between nerves and from nerves to muscles in both the central and peripheral nervous systems. It has many different actions.
Poisons that inhibit cholinesterase (the enzyme that breaks down acetylcholine) and lead to accumulation of acetylcholine in the body can be dangerous to one's life. I do not recommend any acetylcholine injections.
Please consult with a board-certified dermatologist or plastic surgeon with training and experience with Radiesse.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.