Lumps in Jaw line after Radiesse fillers. 10 days post Is it still swelling or will these lumps be here for years? (photo)

Question

Hello, I had Radiesse filler in my jaw line, nose and cheek. I didn’t know that it was a non dissolving product. I have these two lumps more pronounced on my right side. It looks saggy to me and makes me look older. Is it still swelling or will these lumps be here for years? Should I massage the area towards my ear to move the product? Thank you

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

Jason Emer, MD · Answer

If you're feeling pain, you should follow up with your injector / physician. Or see an experienced cosmetic dermatologist to get a formal evaluation, resolve the issue, and develop a new treatment plan to address your acne scars. Best of luck, Dr. Emer

Francis Johns, MD · Answer

Thank you for your question. Radiesse is a difficult filler to remove. I would recommend just massaging and trying to get it to dissolve that way. Typically it only last 6-9 months, it is not very common to last a year.

David S. Rosenberg, MD · Answer

best to follow up with the person that injected you.  Radiesse in the jaw doesn't last longer than 9 months so if you are unhappy with anything related to that don't worry it should go away

Thomas J. Lee, MD · Answer

Thank you for your question and photo. It can be challenging to fix problems with Radiesse, since it is a calcium hydroxylapatite filler and not a hyaluronic acid filler that can be dissolved easily.  Some of the options include steroid injections (which carry their own risk), surgical removal, mechanical disruption, and softening the contour abnormality with additional filler near the affected area.

Leonard Grossman, MD · Answer

The jaw bone has multiple ridges in every individual. This is probably what you're feeling because you never touched your jaw the same way prior to the treatment. If you cannot see it externally, don't worry about it. Good luck from New York City

Lumps in Jaw line after Radiesse fillers. 10 days post Is it still swelling or will these lumps be here for years? (photo)

Answers (6)

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