Can anything be done to correct this Radiesse disaster? (photos)

Question

Please view pictures. Asymmetry (photo 1), hollow indents under eyes (photo 2), emphasized marionette lines d./t Radiesse lumpiness (photo3). Pictures say it all. I'm miserable, don't even like to go out of the house. I look like a boxer or bulldog!!

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

Jeffrey Schiller, MD · Answer

You need to wait at least a 6-12 months to see if it dissolves. Steroid injections might help with the inflammation. Sometimes Radiesse needs to be removed from the eyelids surgically. I have had two patients who needed this. Please see an eyelid specialist = an Oculoplastic Surgeon for an opinion. Search for one near you at ASOPRS.org

Melvin Elson, MD · Answer

It looks like you did not have a good injection session. the areas can be injected with cortisone to help and you should see a board certified dermatologist as soon as possible

Matthew Elias, DO, FAAD · Answer

Thank you for your question.  Please be evaluated by an expert board certified Dermatologist.  Radiesse bumps and asymmetry is difficult to dissolve but should improve over time.  Treatments may include intralesional kenlaog injections in combination with some sort of heat therapy like Venus to try to break up the Radiesse.  At home you can start with massage or light vibration therapy if the Radiesse was recently injected.  Regards, Dr. Matt Elias

Can anything be done to correct this Radiesse disaster? (photos)

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