Bluish Discoloration Under Eyes from Radiesse

Duchess,
Are you sure you were injected with Radiesse. Radiesse is hydroxyapetite and does not give a bluish discoloration. The HA products, such as Restylane and Juvederm have sometimes been known to cause a bluish discoloration which is due to the refraction of light hitting the product under the skin. This is called the Tindle effect and has been attributed to large or superficial injections. If this is the case, you can have your doctor inject hylauronidase to help break up the product. If it really is Radiesse, there is noting to inject to dissolve it. I hope this is helpful.

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

 

Duhcess, Radiesse is a powerful and effective dermal filler that consists of the ground substance of bone. This filler is more solid than the hyaluronic based fillers and should be used selectively. This filler achieves the best results when used deep into the skin. It should be avoided around the superficial muscles of the eyes and mouth. At this time, revisit with the dermatologist that injected this. 

The bluish discoloration you describe may be the Tyndall effect because the Radiesse was injected too superficially in the tear trough area. Unfortunately, time is your best option and the discoloration should resolve once the material has been resorbed. The redness you describe could be a reaction to the medication or a cellulitis. I would suggest visiting the physician who performed your injections to discuss your concerns.

Duchess,
As you now know, Radiesse in the tear troughs is a no-no. The red half moon is probably a granulomatous reaction to the material, and the bluish discoloration is probably from the inflammation that accompanies the reaction.
You should see your board certified plastic surgeon or dermatologist for options to diminish the discoloration. Good luck!

You might have the filler showing, or you might have the residual bruising that will take a while for your body to dissolve. Radiesse is not an ideal filler for tear trough area. Your best option, probably, is to wait it out and see whether it goes away. If it persists, occasionally surgical removal is the only option. Avoid Radiesse in this area in the future. Restylane or Juvederm will probably be a better option, and if you don't like the results you get with them, they are easily reversible.

Hi.
This doesn't help you, of course, but Radiesse in the face should only be used deep in the chin and cheekbone area. It should not be used under the eyes.
Only Restylane should be used in the tear troughs and under eyes.
I don't know any treatment for you other than time. It may take a year, but the discoloration should eventually go away. I am sorry.