Unhappy with Radiesse Results - I Can't Tell Much Difference

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

Radiesse provides incredible results in the right hands.  Generally, when patients are unhappy it's because the expectations were not addressed or conveyed appropriately in advance.  There are 2 possibilities: 1. not enough product was used to achieve the result or 2. some patients with round faces or generous cheeks can have difficulty seeing results unless a larger amount of product is used or a concurrent lift is performed.  Talk with your surgeon about options to address your dissatisfaction.

Hi 5565.  It's difficult to say what's going on without looking at the before and after pictures.  It's likely that if you did this many areas and only had 1 syringe that you might need more.  

An experienced injector would tell you if they were being conservative with the product so as to set the excpectation that you might need more.  Return to your injector with your concerns and take a peek at the photos.  That's a good starting point for the discussion and we always schedule our first time injection patients for a 2 week checup to make sure the results are inline with the expectations.