Cheeks Radiesse filler. Are my cheeks too big for my face? Could they still be swollen? (Photo)

Question

Had my cheeks augmented four days ago with Radiesse.. I'm wondering if my cheeks are too big for my face? And could my cheeks still be swollen? When I'm not smiling they seem fine but when I smile not sure if it's a good look. Any suggestions?

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

Adriana K. Holy, MD · Answer

Thank
you for your RealSelf question and photos.  It was a great idea to include
the photos with and without your smile.

I
advise my Radiesse patients and other filler patients that post-procedural
swelling will resolve in approximately 1 week. Radiesse is also uniquely
constructed with a gel vehicle that dissolves at the 3-month mark. Your doctor
may have anticipated some of this loss and in one week you will likely find
that this was a perfect treatment. Sometimes it takes a few extra weeks for
this to occur. Definitely if you have any questions I recommend talking to your
doctor. Good luck!

Dr.
Holy

Jason Emer, MD · Answer

Radiesse can cause swelling which will resolve on its own in 2-4 weeks. You can still expect some swelling for several more days before you see optimal results. I suggest you speak to your physician if you are upset.  Best, Dr. Emer

Monika Soni, MD · Answer

Thank you for your question. It is normal to have swelling after any injectable filler. It can take 2-4 weeks for all swelling to resolve after Radiesse. From your photos it appears you are going to have great results. However, please give it a few more weeks for all swelling to resolve to see your final result. Best of Luck!

Hardik Soni, MD · Answer

Thank you for your question. It is normal to have swelling after any injectable filler. It can take 2-4 weeks for all swelling to resolve after Radiesse. From your photos it appears you are going to have great results. However, please give it a few more weeks for all swelling to resolve to see your final result. Best of Luck!

Patricia Faraz, MD · Answer

Hello Wanda8,Yes, you definitely will have swelling up to 4 weeks after Radiesse has been injected. Give it some time and I am sure you will very happy with your treatment. Hope this helps!Dr Faraz

Steven Swengel, MD · Answer

Hello and thank you for your question. Swelling is a normal side effect of any injectable procedure and every patient is different as to how long their swelling will last. Your cheeks appear to look as expected after having Radiesse injected a few days ago. Based on your pictures it looks like you will be happy with your results. Give it a couple weeks and if you think they are still too big make a follow up appointment with your doctor. Regards, Dr. S.

Melvin Elson, MD · Answer

After 4 days there is still probably a bit of swelling but looking at your pictures it looks like you are going to get a very good result. just give it another 10 days or so

Lisa Vuich, MD · Answer

Thanks for your question. Yes, you can absolutely still have swelling at this point so I would not consider this the final look. Give filler injections about what weeks to judge the end result.Best,Lisa Vuich, MD

Cheeks Radiesse filler. Are my cheeks too big for my face? Could they still be swollen? (Photo)

Answers (9)

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