3.5 months after radiesse in tear troughs, will these lumps ever go away? (photo)

I normally suggest Hyaluronic acid fillers such as Restylane or Belotero for tear troughs, your body will metabolize the filler and the lumps should dissolve but it will take some time and patience 

Radiesse, an excellent collagen-stimulating filler, composed of Calcium Hydroxylapatite particles suspended in a carrier gel has many indications.  It is widely used for its excellent lifting capacity in the midface area, for the treatment of the nasolabial folds, and for its ability to act almost as an "implant" for the chin area. HOWEVER, this filler is not meant to be used for the tear trough area! At most, I use a drop of Radiesse to "tint" my Restylane syringe in patients, who have a bluish discoloration in the tear trough area to begin with. At that concentration, Radiesse has very little ability to cause a problem.  However, if solely used as a filler material for the tear trough area, it acts as a foreign body in this very thin area of the face.  This property is welcome when we need this foreign body reaction to induce collage production.  However, this reaction becomes quite unpredictable in the tear trough area and unfortunately, about a year, if not more, has to pass prior to the material to disappear and with it, the lump.

Radiesse is not the ideal filler to the tear trough.The lumpiness you have will not go away, you may need to wait one year to one year and a half and hope it will go away.Samir Shureih MD. FACSsshureih@msn.com