Numbness 18 Months After Radiesse to Enhance Cheekbones

asked 1 year ago by zengarden in Southern California
Latest answer by Samir Shureih, MD
Question viewed 466 times
Tags: cheekbones, enhancement, nerves, numb

I Had Radiesse Injected Bilaterally to Enhance my Cheekbones 18 Months Ago. My Facial Plastic Surgeon Hit the Infraorbital Nerve with the needle and Radiesse. I still have numbness in my cheek and upper lip. It has resolved somewhat in the past 18 months but about 25% remains. Injecting steroids in the area has proven ineffective. My face looks normal but it is hard to kiss or eat an ice cream cone because of the numbness. What else can be done? Hyaluronidase?

5 answers to Numbness 18 Months After Radiesse to Enhance Cheekbones

Fllers and nerve injury

Just by following this site, i noticed that these nerve injuries after fillers are getting more common.The needle used for injection of filler like Radiesse is a 27 guage, it is not big. Therefore the nerve injury is either due to direct injection of the filler into the nerve or around the nerve. Another mechnism is injury of the nerve fibers or some of the fibers woith the sharp needle. These nerves are well studied and their position can be topographically marked on the skin,... more

Samir Shureih, MD
Baltimore Plastic Surgeon

Hyaluronidase (Vitrase, Wydase) will not dissolve Radiesse

I am very sorry to hear about your persistent troubles after Radiesse injection. Numbness can result from either injecting the nerve or around it causing compression. Hyaluronidase won't dissolve Radiesse but it is likely that the Radiesse is already gone. You are probably experiencing slow regeneration of that nerve and hopefully this will continue until you get all of your sensation back. There is no surgery that I am aware of that would improve your symptoms and would, in fact,... more

Stephen Weber, MD
Lone Tree Facial Plastic Surgeon

Radiesse and numbness

I think that since most of the numbness has improved, it will continue to improve over time (hopefully). Sensory nerves have a tremendous ability to regenerate. At thispoint, there is no further treatment necessary.

Andres Bustillo, MD
Miami Facial Plastic Surgeon

Hyaluronidase does not degrade Radiesse

Unfortunately the hyaluronidase will not dissolve radiesse. You may not have any Radiesse left. I hope your symptoms improve soon.

Ronald Shelton, MD
Manhattan Dermatologist

Hyaluronidase will not help

I am so sorry that you are having this problem. Nerve inflammation and lingering numbness or pain is an extraordinary and rare event. It can happen with any injection in this area. It is highly unusual that it is so persistent. Hyaluronidase is beneficial only to dissolve HA fillers. Radiesse is calcium hydroxy apatite. I would try low dose steroids on alternate days, with food, for 3 weeks and see if this helps. This recommendation, of course, needs to be approved by your physician who... more

Mary Lupo, MD
New Orleans Dermatologist

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