Cheek Asymmetry After Radiesse Lump Removal

Radiesse is a stimulatory filler that is an excellent option for patients who desire a longer-lasting filler alternative to hyaluronic acid dermal fillers. In our office, we use Radiesse to complement structural areas of the face and contour bony prominences. Our office also is a center of excellence for filler complication treatments and we see patients who have been treated by other doctors and have undesirable results from Radiesse or other long-lasting fillers. We have treatment options available for Radiesse filler nodules, granulomas, and soft tissue thickening. The first step would be to diagnose the nodularity and determine whether there is an option for surgical vs. non-surgical removal. Surgical excision is a possibility in some patients; whereas others with more diffuse fillers may benefit from intralesional therapy using scar modulators and enzymes and kenalog. Radiesse complications may be long-lasting and prompt action is key. Patients who have no access to an expert in the field should begin gentle massage of the areas of nodularity with Plato’s Scar Serum twice daily. RF and invasive lasers can actually do more damage by stimulating further collagen growth.

Best,
Dr. Karamanoukian
Realself100 Surgeon

This can be done with various fillers including restylane, juverderm, more radiesse, fat injections, or facial implants. Either of these options have benefits and drawbacks. The fillers are temporary and you will need reaugmentation in 6 months to a year. Facial implants will last essentially forever but need to be done in the exact way and augment your cheek in the best way. When you place cheek implants into the cheek area, sometimes the cheek can be fixed on the cheek bone with metal screws and if there is less than ideal augmentation more or less then you can tailor the augmentation through different means.
If you have too much augmentation, you can tailor the cheek implant with burrs if the cheek implant is solidly fixed with the screw. If it is not big enough you can always place a bigger implant or fix more silicone onto the existing implant with sutures. The key with silicone or other implants is to have the implant fixed so its stable, not moving and not collecting fluid between it and the bone. These are things that can prevent infection and rejection. Silicone is probably the safest and most stable and non reactive implant that you can place. Other implants create more inflammation and have a higher incidence of rejection and infection.
Fat injections are another way of building up the cheek. The survival of fat is variable but if the fat survives after the first 6 months to a year the fat will likely survive for years.