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Is it OK to get Restylane After Radiesse?

asked 9 months ago by Icy80
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 355 times
Tags: combination, contraindication

I had radiesse injected in my upper lip in June 2011. I am considering having restylane in my upper and bottom lip in a week. However, I am having trouble finding information on whether it is ok to combine these fillers. Would appreciate an answer! Thank you

17 answers to Is it OK to get Restylane After Radiesse?

Combining Radiesse and Restylane

These two fillers are a great combination. However, we NEVER use Radiesse in the lips as the risk of adverse effects in this area is very high. Restylane is perfect for your lips. Both are wonderful in other areas of your face depending on what needs correcting.

Sheri G. Feldman, MD
Beverly Hills Dermatologist

Restylane After Radiesse

These fillers can combine beautifully. However, radiesse is not generally used in the lips. Restylane has received FDA approval for lip augmentation.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon

www.drkrisreddy.com

Radiesse and Restylane combination

Yes, you can have Restylane injected into the lips after Radiesse, although you haven't explained why you want to pursue this now. I agree with the panel that it is not advisable to inject Radiesse into the lips; Restylane does nicely in that area.

Robert L. Kraft, MD
New York Plastic Surgeon

Restylane after Radiesse?

Hi Icy. It's absolutely fine to use Restylane in combination with Radiesse. The concern we have is that using Radiesse in the lips can cause very serious side effects. While there are some practitioners that offer Radiesse for the lips, we do not think it's worth the risk. If you were instead considering Radiesse for the cheeks, then the combination of Restylane and Radiesse is an excellent one. Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

It is fine to use the Restylane.

Frankly, I'm sorry to hear that your injector thought it wise to inject your upper lip with Radiesse. There is no FDA-approval for that and it is not a recommended off-label use of the product because Radiesse's use in the upper lip is fraught with complications. That being said, you can use Restylane without the fear of similar problems occuring. I love the stuff as it makes very natural looking volumized lips when used by an experienced injector. Good... more

Manish H. Shah, MD
Denver Plastic Surgeon

Combination Restylane and Radiesse in same area may be risky

There is genreal agreement that Radiesse is not a good idea for the lips and HA fillers such as Restylane and Juvederm are much safer there. I do not agree that combining dermal fillers in the same area is a good idea though. For one, they may re-absorb at different rates, making the result look imbalanced. Different fillers may be used in differnt parts of the face though, for example Radiesse in the cheeks and Restylane in the lips.

Richard Baxter, MD
Seattle Plastic Surgeon

Radiesse is not a good product for the lips.

Radiesse is not a good product for the lips because of the risk of nodule formation that may become hard and visible. The hyaluronic acid products are much safer and much more forgiving if you should become unhappy with your results.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

Restylane - Is it OK to get Restylane After Radiesse?

In general - yes. It's actually pretty common to combine fillers. Usually, Radiesse is used for the deeper contours, and hyaluronic acid (such as Restylane) for the more superficial contours. So from that standpoint it's fine. I generally prefer not to use Radiesse in the lips. I normally recommend hyaluronic acid for that area. I hope that this helps, and good luck, Dr. E

Alan Engler, MD
New York Plastic Surgeon

Radiesse is not for lips

In my opinion, Radiesse should never be used in the lips. When Radiesse is injected in the lips, regardless of the skill of the injecting physician, it tends to be associated with a high incidence of nodules. Migration to a distant location from the injection site on the lips has also been described. Juvederm or Restylane are perfect for lips. In other areas of the face I will commonly combine Radiesse and Restylane as they can work together to enhance your results. more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Radiesse and restylane in the lip

First, radiesse is not recommended to be used in the lip because of the possibility of forming lumps. Restylane is perfectly fine to use in the lips. It can be used in the presence of radiesse.

Steven Wallach, MD
Manhattan Plastic Surgeon

I do not recommend Radiesse in the Lips

Radiesse is made of a compound similar to bones and I do not recommend that people get this in their lips. It is harder and more white, and can look and feel very strange. That being said, you can layer fillers and can combine different fillers, like Restylane and Radiesse, but I recommend this in the cheeks and temples, not in the lips.

F. Victor Rueckl, MD
Las Vegas Dermatologist

www.lakesdermatology.com

Restylane after Radiesse

Greetings~ Your question is a good one and probably one of the most common that patient's have. Not only is it okay and safe to combine Radiesse with Restylane, or one of the other hyaluronic acid fillers, but it is also quite common. Radiesse is great in the deeper layers of the skin to provide structure and volume, while Restylane is great more superficially for fine lines and, in the case of lips, that soft plumpness that patients love. Since HA fillers (like... more

Grant Stevens, MD
Los Angeles Plastic Surgeon

It is OK to combine fillers

It is ok to combine fillers. In fact, I always do Radiesse deeper and Restylane more superficial. The combination of the two give very good results. Ben Behnam

Ben Behnam, MD
Santa Monica Dermatologic Surgeon

Using Different Fillers in Combination for Facial Rejuvenation is OK

It is very common to use different types of fillers for different parts of the face. Radiesse is a thicker, longer lasting filler that is best used deep in the face. I prefer to use it to augment cheek bones. Restylane is a hyaluronic acid filler and it is better for more superficial lines, lips and under the lower eyelids. In my experience, it is best to seek help from a surgeon that is familiar with several different fillers so that you can choose the correct filler or combination of... more

David Schlessinger, MD
New York Oculoplastic Surgeon

In the future, don't let anyone inject radiesse in the lip.

There is no problem combing these fillers. We often to this to address lumps and bumps left with the injection of Radiesse too close to the skin, lip edge or in the under eye area.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Combo fillers

Absolutely yes,. For years my office has dubbed this our R and R package. Radiesse for the deep fill and Restylane for the superficial line

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Combo fillers

There is no reason not to mix fillers. It is common practice to layer fillers so that we can address both volume and line issues. Radiesse and Restylane work well together to address this common issue.