Can Radiesse last forever? Can it cause issues like hair loss?

Radiesse is not a hyaluronic acid filler it’s made of calcium hydroxyapatite (CaHA), a biostimulatory filler. It works differently from HA fillers: it provides structure and also stimulates collagen production over time. Because of that:

It cannot be dissolved with hyaluronidase.

Any correction must be done mechanically (surgically) or sometimes through corticosteroids or ultrasound-guided reduction depending on the issue.

Thank you for sharing your experience in such detail. I can understand how stressful and frustrating this has been — dealing with persistent discomfort, changes in appearance, and unexpected hair loss can feel overwhelming.

Here’s some context about Radiesse:

Longevity: Radiesse is a calcium hydroxylapatite filler, and while it is long-lasting (often 12–18 months), it does not last forever. Over time, it gradually breaks down and is absorbed by the body. In some cases, small amounts may linger longer, but it is not permanent in the way surgical implants are.

Pain and fullness: Feeling pressure or lingering firmness months after injections can sometimes happen, especially if a large volume was placed or if there was some inflammatory response. Persistent pain is not typical, so monitoring or imaging (like an ultrasound) can help determine if the product is still present or if there is another cause.

Hair loss: Hair shedding after filler is extremely uncommon. While most dermatologists may consider it unlikely, there are rare reports of inflammatory responses triggering systemic effects, including hair loss. The timing you describe suggests it could be related to a systemic or local inflammatory reaction, though it’s difficult to prove causation.

Next steps:

An ultrasound of your face can help determine the location and extent of residual filler.

Consulting a board-certified dermatologist or facial specialist familiar with filler complications can help assess ongoing inflammation and discuss safe removal if needed.

Continuing to monitor your hair and overall health with your primary doctor is important, especially since your labs were normal.

I know this experience has been disheartening, and it’s understandable to feel concerned. While rare, complications can occur, and taking proactive steps — like imaging and expert consultation — can help you regain clarity and plan the safest approach moving forward.