My doctor used Radiesse in my tear troughs and now I'm worried!

Question

I just recently began having facial work done and began with Juvederm in the lips, Botox in the forehead and Radiesse for my cheeks, temples and under eye hollows. I went with the doctor's recommendations on which product to use where. I am now reading LOTS of opinions that Radiesse is not good for the under eye area. Mine was done two weeks ago - Should I be worried or anything I can do to prevent problems? I am still very bruised so not sure how the final look will be.

Jason Emer, MD · Answer

As long as you're not having problems, you should be fine. It seems as though you still have some time before your final result. Radiesse cannot be reversed but there are techniques that can be used to help reverse the filler, if you are unhappy with your final results. I recommend using microcannulas to get the best result. See an expert. Best, Dr. Emer

Stephen Prendiville, MD · Answer

None of the currently available fillers have an FDA indication for the tear troughs.  Radiesse is generally considered the least desirable because of its firm nature and our lack of ability to dissolve it, as is possible with hyaluronic acid fillers. However, if you aren't having a problem, no intervention is necessary other than making sure you don't have Radiesse in this area again.

Elham Jafari, MD · Answer

Hi and thank you for sharing your concern here! I do
not recommend Radiesse for under the eye injection, as it is a thick filler and
may not settled naturally under the eyes. In addition, Radiesse is a stimulating
filler (meaning that it induces body to produce more collagen around it, which
can be a great thing when Radiesse is injected at the proper location), but
when injected under the eyes (or in other inappropriate places like lips), it
may cause small lumps and bumps later on. Of course these are all possibilities
and they might not be the case for every patients to emerge as noticeable
problem and it might be best for you to monitor the progress and follow up as
needed with your doctor or other physicians experienced in the field. Generally
speaking, Radiesse can be a good choice for many other places like the temples
and cheeks which you also did, although I personally prefer Voluma in the
temples and cheeks over Radiesse (albeit the higher cost can be a factor to
consider). Anyways, I hope it helps and good luck!

Michael I. Echavez, MD · Answer

I generally do not recommend using Radiesse in the tear troughs because the skin is very thin in that area and the Radiesse is fairly firm, so it is possible that visual irregularities could develop. Having the Radiesse there should not cause any other potential problems though. If you are not seeing any bumps or lumps at this point two weeks after your treatment, everything most likely will be fine.

Melvin Elson, MD · Answer

Although there are many fillers on the market, none are actually approved for use in the tear trough. The more robust a filler is the more trouble can occur and Radiesse is a robust filler. That said if you are not having trouble then it is ok. Sometimes if a filler like this is injected deep enough onto bone it is ok, but not recommended

Matthew Elias, DO, FAAD · Answer

Thank you for your question.  We would not typically recommend Radiesse in the tear troughs as that is a firm filler and eyelid skin is very thin.  This is already a technically very difficult area to treat, so selecting the proper product is important as is injection technique, we recommend microcannula.  That being said if at two weeks you are noticing any problems you are likely to be ok.  Please seek out the expertise of a Board Certified Dermatologist/PS for future aesthetic treatments.  Regards, Dr. Matt Elias

Alan M. Engler, MD, FACS (retired) · Answer

I would normally recommend an HA filler - such as Juvederm or Restylane Lift (formerly Perlane) - for treatment in that region.  If, however, you're not having a problem with it, then there's no harm in leaving it alone and, actually, not being concerned about it (easy for us to say).  Unlike the HA fillers it is not reversible so there are few options in that regard.  You should of course be assessed by a board-certified plastic surgeon, and make treatment decisions based on that.  You can also get a second consultation from someone (else) who can examine you in person.  I hope that this helps and good luck, Dr. Alan Engler, Member of #RealSelf500

Francis R. Palmer, III, MD (retired) · Answer

Hi, I've used Radiesse on may patients for facial shaping.  When it first became available in the US, I used it in the cheeks, chin and jawline.  Once the HA fillers came out with similar products, I found Restylane Lift (Perlane) the best for shaping the cheeks and chin while Radiesse is very good for shaping the jawline in men and filling in hands.  Radiesse and the thicker HA fillers (Restylane Lift, Juvederm Ultra Plus and Voluma) are designed to be injected into areas with subcutaneous fat.  The lower eyelids and lips don't have that layer and as such, these fillers shouldn't be used.  They can and do create enlarged lumps in the the lower eyelids (skin is very thin) and lumps in the lips.  Additionally, unlike the HA fillers there's no way to dissolve Radiesse.Hope this helps.

My doctor used Radiesse in my tear troughs and now I'm worried!

Answers (8)

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