Can migrated radiesse be removed from my upper lip?

Question

I had radiesse placed above my lips (under my nose) for lines. some migrated into my lip and now I have a white lump on my upper lip. is this something that will go away over time, and if so, how long? if not, or if it will take a long time, can a surgeon remove it?

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

This can be surgically removed. I suggest you see an expert for treatment and evaluation. Best, Dr. Emer.

Monika Soni, MD · Answer

Thank you for
your question. Radiesse is not meant to be injected into superficial lines or
into the lips as it not possible to remove. However, sometimes an injection of
cortisone can help. Radiesse will eventually dissolve on its own, but can take
several months. Please make sure you are seeing an expert injector in the
future. Best of Luck!

Hardik Soni, MD · Answer

Thank you for
your question. Radiesse is not meant to be injected into superficial lines or
into the lips as it not possible to remove. However, sometimes an injection of
cortisone can help. Radiesse will eventually dissolve on its own, but can take
several months. Please make sure you are seeing an expert injector in the
future. Best of Luck!

Keith Denkler, MD · Answer

Superficial Radiesse can take a long time to go away.If it is a small area it can be removed under local anesthesia.

Melvin Elson, MD · Answer

Radiesse is not meant to be injected into superficial lines or into lips. it is not possible to remove it but sometimes an injection of cortisone will help. it will eventually go away on its own although it may take months. You should be sure to see a board certified dermatologist or plastic surgeon

Leon Goldstein, MD · Answer

In my opinion Radiesse that unintentionally settled in the lip will resolve over time. The time interval varies and is not predictable. Massage often helps and there is rarely if ever a need for surgical excision. Steroid injection do not always work. Be patient. Discuss options with your board certified plastic durgeon

Rodney E. Schmelzer, MD · Answer

actually hyaluronidase which is used to reverse HA fillers will very often dissolve Radiesse.  Discuss with your plastic surgeon or Derm in oder to try and address.

Matthew Elias, DO, FAAD · Answer

Thank you for your question.  You need to follow up with your board certified Dermatologist/PS asap.  Radiesse is never to be placed around the lips and most definitely not in the lips as lumps and granulomas are common.  This can be attempted to be broken up with intralesional kenalog injections in combination with a deep heating treatment like Venus.  Surgical removal is possible, but it is best to try non-invasive treatments initially.  There is no definitive timeline for how long the lumps may last as they can dissolve on their own over a number of years or can be permanent particularly when Radiesse is placed around the lips.  Regards, Dr. Matt Elias

Can migrated radiesse be removed from my upper lip?

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