Next steps for Radiesse reversal is 5fu/very diluted kenalog - what the risks of these?

Question

Hi, I know Radiesse is not dissolvable. It was misplaced in June (5 months ago). I have had several saline flushes, and months of intense massage which have greatly reduced it. There is a small amount of volume left with intermittent swelling. The next step of treatment is 5fu/ VERY diluted kenalog 5. I am wondering what the risks are of each of these. I know kenalog can have atrophy risk, but if it is greatly diluted does this risk nearly disappear if injected properly? Risks if 5fu? Thx

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

Next steps for Radiesse reversal is 5fu/very diluted kenalog - what the risks of these?

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