I Have Restylane in my Cheeks, but Want to Use Radiesse. How Do I Do This?

asked 5 months ago by saphire
Latest answer by Sanusi Umar, MD
Question viewed 249 times
Tags: cheeks, sagging, combination, interaction

Hello there.I have restylane in my cheeks, but it is starting to dimish. I had quite a lot put in, and its going to leave a saggy face!!!I would like to use radiesse but i don't want to wait until the restylane is all gone. Is it ok to inject radiesse into the cheek where restylane may still be. Very grateful for an answer

11 answers to I Have Restylane in my Cheeks, but Want to Use Radiesse. How Do I Do This?

I Have Restylane in my Cheeks, but Want to Use Radiesse. How Do I Do This?

Radiesse or Perlane (my choice for cheek augmentation with a filler) can be placed even if you previously had Restylane in the same area. Perlane and Radiesse are thicker fillers that are injected deeper into the tissues. IMHO Perlane is the best for Cheek Augmentation using fillers. I do use Radiesse but it is thicker and does have more swelling and lumpiness than Perlane... and this can last for up to 1 week. Remember that the results from... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Restylane and Radiesse in the Cheeks

If you already have Restylane in your cheeks, there is no problem with adding Radiesse before the Restylane has been completely absorbed by your body. There will be no adverse effects if the two injections come in contact with each other. They can even be used within the same treatment procedure. Radiesse is actually quite ideal for the enhancing the cheeks since it is able to provide structural support. In fact it is used for patients who are interested in achieving the appearance of... more

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon

Injecting Radiesse in Cheeks with Restylane

It is smart to maintain the cheek contour you like as the Restylane absorbs. This can be done with Radiesse, which I prefer for cheek augmentation, without any problems.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Combining Radiesse and Restylane

You needn't wait for the restylane to dissolve...Radiesse can be injected in combination with restylane, and is often injected deeper, so they never really cross paths. Even if they were to cross paths, no issues...I have done this many times with no incident, as have many of my colleagues. Make sure to have a really experienced and trained injector for radiesse like a dermatologist since there is no antidote to dissolve it if you're unhappy with it in any way.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon

Radiesse after Restylane

In our practice we frequently use multiple filler types in the same patient. Each filler has a different quality and indication and they are not bio incompatible. Thus I would recommend you present to your physician and discuss your desires to learn what is the optimal approach for you.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

Restylane and radiesse

It is not uncommon for physician injectors sometimes to use different products to provide voluem enhancement. I am not a big fan of Radiesse so I pretty much stick with the HA's.

Steven Wallach, MD
Manhattan Plastic Surgeon

Understanding Radiesse vs Restylane

I frequently combine Radiesse and Restylane injections in the same patient as they are used to accomplish different things. When comparing Radiesse to the hyaluronic acid fillers such as Restylane, it is important to understand the difference between "stimulatory" fillers and "wrinkle" fillers”. When treating problems due to volume loss such as cheek hollows and sagging skin, I will almost always use stimulatory fillers such as Radiesse or Sculptra. They are... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Can I get Radiesse After Restylane Injections

Sure, they are not incompatible. Both molecules are highly biocompatible and they should not have any issue mixing. It is not like an oil and water mixture or, for the skin version, silicone and another filler. I frequently use both fillers in the same patient when I want something thicker for sculpting or lifting (Radiesse) and another product for line filling (Restylane). That is the beauty of using multiple products for different goals.

Kenneth Beer, MD
Palm Beach Dermatologic Surgeon

www.palmbeachcosmetic.com

Not sure why you would want to do that. Restylane is a far superior product.

Radiesse is a calcium salt based product and has proven to be a useful fillers. However, it lack an important attribute present in hyaluronic acid fillers-adjustability. Hyaluronic acid fillers can be adjusted any time after the service until the body as removed all traces of the product. An enzyme called hyaluronidase allows the hyaluronic acid filler to be broken down rapidly, literally in seconds of injection of the enzyme. The enzyme treatment can be used to... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Mixing fillers

There is no problem with layering two different fillers such as Restylane and Radiesse. This is assuming you really are a candidate for Radiesse! You can alternatively dissolve the Restylane completely to fill with Radiesse. However, I think each filler has a special place and creates minor subtle changes as compared to other products. Please talk to your derm or plastic surgeon, and I am sure they will be happy to help you!

Tanya Kormeili, MD
Los Angeles Dermatologist

Radiesse & Restylane

Generally you should not have to wait until the previous filler has dissolved completely before putting in additional filler, whether or not it is the same. However, please consult with a board certified specialist who can evaluate you and make the best recommendation for what you are trying to achieve.