What can I do - think I was overfilled with Radiesse?

Question

I had radiesss almost 2 weeks ago now. He tried to even out my jawline a bit but there are lumps on both sides now and in different places along the jawline so even the lumps aren't even. The After pic doesn't really show the extent of the pouch on my jaw. Any help would be greatly appreciated! I'm really stressed out about this!

Jason Emer, MD · Answer

Radiesse can cause swelling which will resolve on its own in 2-4 weeks.  There is no reversing agent for radiesse and I would avoid steroid injections. I suggest consulting with a facial contouring specialist for correction. Radiofrequency and laser can help if you are unhappy.  5fu or saline injections are also options.  Best, Dr. Emer

Raffy Karamanoukian, MD, FACS · Answer

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

Hardik Soni, MD · Answer

The before and after pictures are in two different positions so it is difficult to appreciate exactly what you are talking about.  It is difficult to overfill with one syringe of Radiesse.  In addition, give it a couple more weeks as when the gel carrier dissipates it should look less lumpy.  I agree with the other comment that it is unlikely you are overfilled and the filler could have been misplaced.  Unfortunately there is no reversal agent for Radiesse but with time the lumps will go away.All the bestDr Soni

Ralph Massey, MD · Answer

While the hylauronic acid
fillers such as Restylane and Juvaderm can be reversed with an injection of
hylauronidase, there is no equivalent reversal agent for Radiesse. I would
suggest considering correction with adding a reversible filler to even things out,
knowing that the Radiesse will eventually all dissipate although this may take
a year or so. Good luck.

Melvin Elson, MD · Answer

I can see that there is unevenness in the jaw and cheek area and it may not be that it is overcorrected but misplaced.  Be sure you are seeing a board certified dermatologist or plastic surgeon and if so discuss with him what is going on and how to correct it. It can be corrected

What can I do - think I was overfilled with Radiesse?

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Answer: Overfill with Radiesse

Answer: Overfill with Radiesse

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What can I do - think I was overfilled with Radiesse?

Answers (5)

Answer: Overfill with Radiesse

Answer: Overfill with Radiesse

Answer: Radiesse injection

Answer: Radiesse injection

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Recommended reading

Everything you need to know about Radiesse

Our mission is to create a world where every investment in modern beauty is Worth It.