Saline Injection for Removing Radiesse?

The good news is that although Radiese is a long lasting product, it is not permanent and it WILL eventually dissolve. The bad news is that it seems the Radiesse is in a prominent area and this product can be quite obvious if not done perfectly in this anatomically sensitive area.
Although there is no accepted "antidote" for Radiesse, some do think that normal saline (salt water) solution may actually dissolve away Radiesse. As a matter of fact, the company representatives themselves have presented this simple and safe treatment as a potential solution to dissolve away "unwanted" Radiesse.
I have tried this once myself for a patient who had a severe inflammatory reaction to Radiesse in the Marionette line area. While the saline did not immediately dissolve the Radiesse, it did go down quite a bit after several treatments, each 2-3 weeks apart. The good news is that saline injections are completely safe and you lose nothing by trying (other than the potential for soem bruising and swelling).
So if you trust your doctor, you may want to give a small conservative injection of saline a try! Good luck!

Radiesse is a stimulatory filler that is an excellent option for patients who desire a longer-lasting filler alternative to hyaluronic acid dermal fillers. In our office, we use Radiesse to complement structural areas of the face and contour bony prominences. Our office also is a center of excellence for filler complication treatments and we see patients who have been treated by other doctors and have undesirable results from Radiesse or other long-lasting fillers. We have treatment options available for Radiesse filler nodules, granulomas, and soft tissue thickening. The first step would be to diagnose the nodularity and determine whether there is an option for surgical vs. non-surgical removal. Surgical excision is a possibility in some patients; whereas others with more diffuse fillers may benefit from intralesional therapy using scar modulators and enzymes and kenalog. Radiesse complications may be long-lasting and prompt action is key. Patients who have no access to an expert in the field should begin gentle massage of the areas of nodularity with Plato’s Scar Serum twice daily. RF and invasive lasers can actually do more damage by stimulating further collagen growth.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Firm manual compression is the best way to remove Radiesse nodules. Lidocaine injection followed by VERY firm compression, like crunching a Cheerio, will resolve all but the worst nodules within three months.