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Swollen Nose After Using Radiesse for Revision Rhinoplasty

I had Radiesse injected into the bridge and tip of my nose as a means of augmenting it after a Rhinoplasty and Revision Rhinoplasty left me with what I perceived as a shortened nose.

The plastic surgeon suggested a "grecian nose" and injected the Radiesse from the top of my bridge down to the tip. That was over 2.5 year ago. Despite the claim that the filler is supposed to dissolve and return the skin to its pre-injected stage, my nose has hardened and remains swollen, and there is a distinct wavy outline along both sides of the bridge of my nose that protrudes.

I have sought out dermatologists, and other plastic surgeons re: what can be done..my nose remains swollen, enlarged, and although the filler is gone, it feels like it has been replaced with scar tissue. I am beside myself. I am fearful of making a horrible look even worse and am reticient to try lasers or steroid treatments. Help! Anyone who can offer me some direction on what to do?

Asked 36 months ago by ubthejudge in Los Angeles, Ca

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side effects

Radiesse and the nose

Too much a good thing may not be a great idea. That is what it sounds like. I have used it on a few people that had multiple rhinoplasties and had mild contour deformities. In these cases, I think it is alright. I used maybe 0.3 cc's total. Unfortunately for you, it is unclear what is going on. It sounds like you should get another opinion to see if there is anything that can be done for you without making things worse.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Nose Still Swollen 2 1/2 Years After "Non-Surgical Nose Job" With Radiesse

Hi UBthejudge, Your nick name reminds be of the old Flip Wilson skit and song "Here Come Da Judge". In your case I would like to be the judge, but without a photo or examination of your nose, this "judge” has to dismiss the case. I am truly sorry that you are suffering long term effects of the "Non-Surgical Rhinoplasty", which has nothing to do with "rhinoplasty" and everything to do with "non-surgical". We are finding that some fillers... more

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

Two years after the procedure, the likely choice for correction is probably surgery

Dear Ubethejudge, I am very sorry to hear that you have had the problems with your non surgical rhinoplasty. Unfortunately, this is one of the complications that can arise with non surgical rhinoplasty done with Radiesse, and it is one of the reasons we concluded in our recent review of non surgical rhinoplasty patients that it is best to use a fully dissolvable filler, such as Restylane or Juvederm, when first considering a nonsurgical nose job. That being said, at this point it is more... more

Peyman Solieman, MD

Beverly Hills Facial Plastic Surgeon

Radiesse in the nose can lead to bad results

I am really sorry to hear about your situation. Unfortunately it is not too uncommon. It is one of the reasons why I prefer not to use Radiesse in my practice. It is hard to tell without seeing you, but it is possible that you have developed some scar tissue with or without inflammatory granulomas at the site of Radiesse injection. Unfortunately, the best way to deal with it may be via another surgery and removal of this injectable implant. You would need to go to an experienced rhinoplasty... more

Stella Desyatnikova, MD

Seattle Facial Plastic Surgeon

Radiesse can last longer than 1 year

Radiesse can last longer then 1 year especially in the nose. Add to that the scar tissue and you have your concerns magnified. Steroids should help and may be permanent. Give it a try before considering surgery.

Robert M. Freund, MD

New York Plastic Surgeon

ASPS

Lasers or steroid treatments will not help

See a revision Rhinoplasty specialist. Lasers and steroid treatments won't help. An experienced revision Rhinoplasty expert will be able to give you good direction to resolve your problem.