Botched Radiesse along the jawline. How can this be reversed? (Photo)

Question

Hi I had botched radiesse along jawline and would like to reverse the bulk. I heard kenalog could help. Could someone please advise? I have included a before and after pic below.

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about your experience with Radiesse. It’s important to address any concerns you have about cosmetic procedures promptly. Here are some options to consider for addressing excess volume from Radiesse along the jawline:

Consultation with a Specialist: The first step is to schedule a consultation with a board-certified dermatologist or plastic surgeon who has experience in managing filler complications. They can evaluate the area in person and recommend the best course of action.

Kenalog (Triamcinolone Acetonide): Kenalog is a corticosteroid that can sometimes be used to reduce the appearance of excess filler by softening and breaking down the tissue. However, it must be used cautiously as it can also lead to skin thinning or other changes.

Time: Radiesse is a calcium hydroxylapatite-based filler that naturally degrades over time. While waiting for it to dissolve may not be ideal, some improvement can occur naturally as the body metabolizes the product.

Alternative Treatments: In some cases, techniques such as massage or ultrasound therapy can be employed to help reduce the appearance of excess filler.

Avoid DIY Solutions: It’s crucial to avoid any at-home remedies or unproven treatments, as these can lead to further complications.

Future Considerations: Discuss with your specialist any future treatments to ensure a balanced and satisfactory result, and consider seeking a second opinion if necessary.

I hope this information helps guide you towards a resolution. Please consult with a qualified healthcare provider for personalized advice.

Nelson Lee Novick, MD · Answer

After using Radiesse for many years beforehand, I stopped using it quite once newer, more robust HA fillers came on the scene that offered longer and more durable results than were obtained with ordinary HA fillers, like plain Juvederm or simple Restylane, and could be dissolved quite readily, should the need arise, with hyaluronidase.. Radiesse, unfortunately, has no such equivalent enzyme to dissolve it.
That being said, I have had success in treating dissatisfied Radiess patients who had been treated with it elsewhere, employing an algorithm of varying combinations, concentrations and amounts of intralesional anti-inflammatory agents. You would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert. Hope this helps and best of luck.

Botched Radiesse along the jawline. How can this be reversed? (Photo)

Answers (2)

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