Hollowness under eyes after Radiesse

I had Radiesse injected in my cheek area for more volume a little over two weeks ago. However, due to the extra volume in my cheek area, my undereyes became hollow and dark. Has anyone encountered this problem? How long before the area goes back to normal again? I am assuming it will go down in a few weeks. Massaging the area does nothing.

5 answers to “Hollowness under eyes after Radiesse”

A: Radiesse in cheek

By Steven Wallach, MD - Manhattan Plastic Surgeon

The hollowness under your eye may be the result of a few different things. It could be from over filling the cheek and not feathering it into the lower eyelid inferior orbital rim region, it could be shadowing, or it could be swelling. If it is from not feathering or appears hollow, then I would recommend some... more

A: Restylane to correct under eye hollow appearance

By Stella Desyatnikova, MD - Seattle Facial Plastic Surgeon

I think it is possible to create or exacerbate under eye hollowness trying to increase cheek volume. Massaging will probably not help. You can go back to the treating physician and address this issue. It might be improved by adding some volume in the under eye area using Restylane or Juvederm.

A: Your problem is not likely to resolve soon on its own

By Bryan K. Chen, MD - San Diego Dermatologist

Radiesse is quite durable and can last a year or longer in the cheek location, so unfortunately that is how long you can expect the hollowing to last. You might benefit from injections of small volumes of hyaluronic acid filler e.g. Restylane or Juvederm to the lower eyelids to correct the... more

A: I have seen it happen

By Min S. Ahn, MD - Westborough Facial Plastic Surgeon

Judy I have seen this happen where the weight of the Radiesse in the cheeks almost pulls down on the lower eyelid leaving a slight hollowing and darker area along the lower rim of the eyesocket. The effect will resolve as the material wears off but it may take several weeks or longer. There is no immediate fix... more

A: Too Much of a Good Thing

By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Judy, Sounds like either too much Radiesse or improperly placed and feathered Radiesse. Massage, massage, massage, and see your injecting physician. Part of the darkness under your eyes may be due to some residual deep bruising. If things don't get better within two, three weeks, you and your... more

Comments (2)

drbanda
91 posts
16 Jan 2009

Sounds to me like you had the Radiesse right around the cheek bone to accentuate the outer cheek prominence. Standard procedure, but indeed one can put a little too much there creating the effect you describe. At two weeks, the traumatic swelling is now gone. There will be a little more 'settling' of the Radiesse over the next few weeks, but I suspect the effect on the under eye area will not improve much without intervention. See your physician and discuss whether they think a hyaluronic acid filler into the trough will help.

Emmilou
15 posts
17 Apr 2009

Further to Judy's question (I fear I also have this problem) -- I am fearful that all the massaging I'm doing is making my problem worse. My Dr. initially told me to massage upward & inward, then she said just to press on the cheeks. She wants to add juvederm since the Radiesse didn't do the job. I'm really wary of going below the eyelid. After all, I'm not happy with the first result...why invite more of the same? Also, re: aftercare -- what do you give your patients in the way of specific instructions? Do you have a handout? My current Dr. gives nothing, but a former Dr. did. I'm disillusioned. Thanks.