I Have a Hard Ridge of Radiesse That is Nearly Protruding out of my Tearduct, What Can I do?

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

Infections after injection of tissue fillers are rare  but they do happen occasionally. If you have an infection it must be treated aggressively. That is, with antibiotics and perhaps drainage if necessary. If some irregularity has resulted from Radiesse it will take a long time for it go away, especially around the tear trough area. It may be necessary to have your doctor squeeze some of it out with a small needle. At other times it may be possible to make these irregular lumps less visible with repeat injection of a tissue filler. I like to use something like Restylane or Juvederm for this area.

Saeed Marefat, MD

You need to see someone with a great deal of experience with Radiesse.  Non ablative Fraxel absolutely helps.  Your physician can inject with lidocaine and "massage/break" up the filler .  There is downtime with both these procedures and you will need to repeat them. Infections are very rare, but if you do actually have an infection you need to stay on antibiotics for several weeks.