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?

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7 answers to “Should I try a different filler to...”

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

By Jeffrey D. Hoefflin, MD - Los Angeles Plastic Surgeon

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

A: Restylane to correct Radiesse

By Mary Lupo, MD - New Orleans Dermatologist

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: Radiesse complications

By Brett S. Kotlus MD, MS - Michigan Oculoplastic surgeon

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: Be careful no to do too much

By Edgar Franklin Fincher, MD, PhD - Los Angeles Dermatologic surgeon

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: Poor Radiesse results not so easily corrected.

By George J. Beraka, MD - Manhattan Plastic Surgeon

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: Radiesse is not like the other fillers

By Robert M. Freund, MD - New York City Plastic Surgeon

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: Hard to tell

By Steven Wallach, MD - Manhattan Plastic Surgeon

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

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Comments (1)

Michael Sinclair MD
132 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.