Should I try a different filler to correct poor Radiesse results?

A Radiesse injection left an indentation in one cheek. The attempt at correction made it worse. 

Should I hope it will go back to normal in time or try to have to another filler placed in indenation?

Sort: Date | Helpful
7 answers to “Should I try a different filler to...”

A: Hard to tell

Steven Wallach, MD

It is hard to tell why you have a depression after injection.  This is something needs to be examined.  This can be due to overfill around the area or underfill in the area that appears indented. It can also be scar tissue....hard to tell.  If it is just from underfill, then more filler could help. more

A: Radiesse is not like the other fillers

Robert M. Freund, MD

Dear Julie, Trying to understand what went wrong is difficult by email. The things that can cause your problem include; Too much filler in one area (overcorrection). A scar in the skin that does not allow skin to expand when a filler is injected, thereby creating the appearance of a depression. Injection of... more

A: Poor Radiesse results not so easily corrected.

George J. Beraka, MD

I would really need to know what you mean by poor results. If the problem is that you did not get good correction, perhaps you simply need another treatment with additional filler. Radiesse is a useful and safe filler which I use frequently. If by poor results you mean bumps or irregular contour... more

A: Be careful no to do too much

Edgar Franklin Fincher, MD, PhD

Any filler can occasionally result in bumps or slight skin irregularities. It is most often a result of where the filler is placed ( too high in the skin) or how much is used (overcorrection).  Generally speaking, these slight imperfections can be alleviated with massage, extraction or using a needle and... more

A: Radiesse complications

Brett S. Kotlus MD, MS

Radiesse is an injectable form of calcium hydroxylapatite and tends to be thicker than hyaluronic acid-based fillers.  Radiesse generally lasts aound 9 months, but traces of the product can remain for longer than one year. Rarely, granulomas can form after Radiesse injections. These are areas of... more

A: Restylane to correct Radiesse

Mary Lupo, MD

As Radiesse is injected more frequently by inexperienced physicians, I am seeing more and more complications. Radiesse is not very "user friendly" and unlike Restylane, Perlane, and Juvederm, it cannot be dissolved. The most common problem is over-injection, causing lumps. Sometimes, this can be... more

A: Figure out what went wrong prior to adding a different dermal filler

Jeffrey D. Hoefflin, MD

You might consider what left you with a less than aesthetic appearance or a complication prior to considering the addition of another dermal filler. Many of the problems encountered can be corrected through either massaging, extraction, or some addition of the same filler, etc. Many areas of ovecorrection,... more

Comments

Michael Sinclair MD
134 posts
19 Jul 2008

If you have an indentation after an injection, it should be fairly easy to put a little more filler in the area and smooth it out. If this has already been done and you still have the indentation, you may have some scar tissue that is holding the indentation in place. More filler will just raise the area around the indentation and make it worse. There is a technique called subcision where the doctor can use the tip of the needle to cut the adhesions before injecting. If you have 2 bad results in a row, I think your best bet is to get a second opinion before you try a second filler.

Post your question

Radiesse before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.