Lumps after hyper diluted Radiesse in neck. What can I do to fix this? (Photo)

It is not uncommon to experience some degree of swelling or lumps after a Radiesse treatment, particularly in areas of the face and neck where the skin is thinner and more delicate. However, the development of large lumps, particularly in areas where the filler was not intended to be injected, may be a cause for concern.
In order to address this issue, it is important to schedule a follow-up appointment with your dermatologist or cosmetic surgeon who performed the treatment. They will be able to assess the lumps and determine the appropriate course of action to correct them.
Depending on the size and location of the lumps, your dermatologist may recommend a variety of treatments to help resolve the issue. This may include massage to help break up the lumps, or in some cases, further injection of a dissolving agent such as hyaluronidase to dissolve the Radiesse filler.
It is important to note that the correction of lumps and other irregularities following a Radiesse treatment can be a delicate process that requires the expertise of an experienced and qualified cosmetic practitioner. Attempting to correct the issue on your own or seeking treatment from an unqualified practitioner can potentially worsen the problem and may even result in complications.
In summary, the development of lumps after a Radiesse treatment is not uncommon, but large lumps in unintended areas may require intervention from a qualified cosmetic practitioner. It is important to schedule a follow-up appointment with your dermatologist or cosmetic surgeon to address the issue and determine the appropriate course of action.

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

Unfortunately, real world experience has not demonstrated that sodium thosulfate, often touted for treating Radiesse complications, is actually not particularly helpful for dissolving unwanted Radiesse or adverse reactions to the latter. It can also have adverse effects itself. I stopped using Radiesse quite a few years ago when softer, cohesive HA fillers appeared on the scene that could also stimulate new collagen synthesis, but which could easily be dissolved if necessary. I have personally had success using varying concentrations and combinations of intralesional anti-inflammatory agents and hyaluronidase to shrink unwanted Radiesse nodules. Make sure to seek out an experienced, board certified cosmetic dermatologist. Best of luck.