What can I do to get rid of this oval lump under my eye after Radiesse Injections

Question

I had the radiesse injections under eye (upper cheek) area to take the sucken and tired look away from my eye. My doctor recommended radiesse. My left eye looks good, but my right eye is terrible. Much worse then before. I have a huge lump under eye...looks like someone punched me in the face. I dont know what to do. I called my doctor and told me to massage the area...it did help alittle but then goes back to the keloid look. Does anyone have any ideas how you can help me???

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

Steven Hacker, MD · Answer

In my practice every cosmetic patient is addressed separately as there are no "cookbook" approaches even after almost 20 years of filler experience.We use many different fillers in the same patient to achieve a optimal correction.  If you have a lump from injection, than I  would recommend you discuss with a dermatologist board certified and experienced in fillers in your area.

Jeffrey Fromowitz, MD, FAAD · Answer

Radiesse is a thicker filler that requires placement in deeper areas. Because of this it is not the ideal filler for the tear trough (under yee area). Given that it has only been one day post injection it is possible that what you are seeing is swelling, bruising, or even a hematoma. Try to alternate warm and cool compresses. See the doctor that injected you for further evaluation and you may have to give it a couple of weeks to see what direction this is headed.

Daria Hamrah, DMD, FAACS · Answer

Sorry about your experience. I am not sure how long ago you had your injection. Depending on the timing it could be swelling or the actual material (Radiesse). Typically the swelling takes several days to weeks to decrease however I have seen patients where it took up to 2 months for all the swelling to subside. Although I agree that Radiesse is not for under the eyes (as it is a very viscous material) I assume that it was injected in the area of your cheek under your eyes and not directly under your lower eyelid. Please let me know if that is correct and also when it was injected.

Samir Shureih, MD · Answer

I do not believe Radiesse is ideal for under the eye filler. You may need to wait at least 12 weeks for all the swelling to settle then re-evaluate and the srgeon will be able to give a better advise as whether this is a filler or granuloma. It may require surgery to remove.

F. Victor Rueckl, MD (in memoriam) · Answer

This is unfortunate to say the least. Radiesse needs to be put in very deeply, thus it's usually not ideal for the eye region because the skin is much too thin there. There isn't a way to dissolve, which is really sad when something like this happens. You can possibly make it a bit better with some kenalog injections, but not always. Really, time is usually your best bet and Radiesse lasts about a year. If the injections were done very recently there's a chance your injector could help by injecting a numbing agent and trying to smooth and manipulate the area. But it's a hard call because this doesn't always work. "This answer has been solicited without seeing this patient and 
cannot be held as true medical advice, but only opinion. Seek in-person 
treatment with a trained medical professional for appropriate care."

What can I do to get rid of this oval lump under my eye after Radiesse Injections

Answers (6)

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