In my mid 20s and had Radiesse done two years ago. Can feel build up. Should I go back to NP to have it removed? (photos)

Question

Hi I’m in my mid 20s and two years ago I went to nurse practitioner to get radiesse done on the mandible specifically the angle of the jaw. It’s been two years and I can feel a build up (lump) of radiesse on the angle of my right jaw. While getting masseter botox another nurse injector said I should speak to surgeon. The lump is painless and non visible. Should I go back to nurse practitioner to have it removed? Should I consider surgery ?

David Branch, MD · Answer

Gregarious6333, you likely have filler left after 2 years that has not yet metabolized. Unfortunately, there is no substance that can dissolve Radiesse. You should contact whomever put in the Radiesse originally. If it is bothersome it can be surgically excised, though this would be a last resort. Some providers use saline or steroid injections to help resolve these nodules. Hope this helps

Raffy Karamanoukian, MD, FACS · Answer

Radiesse is an FDA-Approved filler that we use very frequently in our office to sculpt the contours of the face. Since we are a national center of excellence for filler reversal, we also encounter patients from other doctors' offices who wish to have Radiesse fillers removed for one reason or another. In our office, we employ a directed technique to visualize the filler material, if possible on ultrasound, and then use non-surgical methods to dissolve the filler or granuloma tissue using intralesional injections. There are many methods using a combination of enzymes, intralesional modulators of scar tissue, and Kenalog to help reduce volume and remaining filler. These techniques require meticulous attention to detail and can be performed at intervals of two to three weeks to achieve longterm effect.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

In my mid 20s and had Radiesse done two years ago. Can feel build up. Should I go back to NP to have it removed? (photos)

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In my mid 20s and had Radiesse done two years ago. Can feel build up. Should I go back to NP to have it removed? (photos)

Answers (2)

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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.