Will Radiesse ever dissolve? (Photo)

Question

I got Radiesse injected in my undereye area, cheeks, and nasolabial folds about 7 months ago. The products caused persistent swelling and large lumps, that make my face look grotesque. I underwent a lower blepharoplasty 3 months before the Radiesse injections. All the procedures were performed and suggested by the same doctor. I am feeling desperate. Will those hard bumps ever dissolve?

Michael I. Echavez, MD · Answer

In my experience with Radiesse, I have never seen it not go away.  It is possible this could take 12-18 months from the time of injection though.  Some physicians have been using injections of sodium thiosulfate to help dissolve Radiesse faster.

Jason Emer, MD · Answer

Radiesse, a dermal filler, typically lasts between 12 to 18 months on average, with some patients experiencing results for up to two years. The duration of Radiesse effects depends on several factors, including:

Collagen and Elastin: The strength of your skin's collagen and elastin fibers can influence how long the results last.
Cosmetic Concerns: More severe cosmetic issues may require earlier maintenance.
Age and Health: Older individuals or those in poorer health may need more frequent touch-ups.
Lifestyle: Diet and other lifestyle choices can also impact the longevity of the results.

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

Laurie A. Casas, MD, FACS · Answer

Radiesse is a calcium based product that will dissipate over time, usually in about a year. I would recommend following up with the doctor to address your concerns.

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question and helpful photos. So sorry you are experiencing this problem.  I would recommend seeing a board certified and experienced oculoplastic surgeon to see if they can remove the filler manually and correct the problem.  Radiesse is unfortunately not a regular HA filler and can't be dissolved with hyaluronidase like all the HA fillers.  Please see an expert, and good luck!

Will Radiesse ever dissolve? (Photo)

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