Can I Get Radiesse Removed?

Radiesse is described as a semi-permanent filler, meaning that it can last in the body for up to 7 years. It typically creates a cosmetic benefit in the nasolabial fold for 9-18 months (1 year average).
I can see that you have come to the conclusion that Radiesse is not a good idea in the tear troughs. Use of Radiesse in this area is off-label and should probably be considered a strict contraindication. There is a possibility that some of the Radiesse could be excised if it is very superficial.
I recommend a consultation with a board certified Facial Plastic Surgeon or Plastic Surgeon in your area to get an expert opinion

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

Thank you for your question. Unfortunately, Radiesse can not be reversed because it is not a hyaluronic acid. Radiuses usually last anywhere from 6 months to a year. It last differently on everybody. Best of luck! Dhaval M. Patel Double board certified Plastic surgeon Hoffman Estates Barrington Oakbrook Chicago

There is no solvent agent for Radiesse.  It usually last for about a year.   Sometimes it can be excised or aspirated in the early stages after injection but after that you are stuck with it until it is gone.

Injection under the eyes, in the tear troughs, is not ideal with a stimulatory filler such as Radiesse. Most fillers last longer under the eyes than around the mouth.

If the product is injected smoothly without nodulairty, it is not possible to remove it, as it is incorporated into the surrounding tissue.

If nodules are present, you can linject the area with lidocaine and use manual compression. Steroids or excision should be avoided. 

Radiesse is very difficult to remove as it can cling to the soft tissues of the skin.  As the eye skin is extremely thin, its removal here is most likely not possible.

Steps to facilitate the absorption of Radiesse:


Daily massage of the area

Possible use of kenalog injection 

Unfortunately, Radiesse filler will be very difficult to remove without some sort of scarring if suboptimally placed. Radiesse is made of calcium hydroxyapatite which gets meshed with your subcutaneous tissue underneath the skin to form a lattice of volume supporting your skin. Tincture of time, typically 9-18 months should do the job. Better yet, next time use a hyaluronic acid filler for tear trough areas under the eyes which can be 100% reversible with hyaluronidase.

The bad news is there is no easy way to get it out without making a cut over the product and trying to extract it. The good news is that is slowly breaks down over time and eventually you will have less material there every month. You can do massage if you have lumps or bumps, this can help.

The answer to getting Radiesse removed is that in short Radiesse last for about a year in the place of injection. You should never have Radiesse injected into the lips. There have been some cases where Radiesse was surgically removal by a certified plastic surgeon.

Radiesse will generally last for 12-18 months and cannot be reverse with another injection like Juvederm or Restylane can. It should be injected in the depper tissues such as the cheek over the bone or under the lines aournd the cheeks (nasolabial folds). Juvederm or Restylane is better suited to areas in the eyelids. Unless an incision is acceptable, one should wait for the Radiesse to breakdown over time.

Radiesse may last up to a year, or longer. Removal is very difficult, would only partial remove the material, and would require a facial incision. Surgical removal may cause more problems than leaving it alone.