Is it possible to remove or partially remove Hydroxyapatite from upper cheekbone area and below the eyes? (photo)

Question

Is it possible to remove or partially remove from upper cheekbone area and below the eyes?

Anna Chacon, MD, FAAD · Answer

Hydroxyapatite, commonly used in dermal fillers like Radiesse, is a biocompatible substance often used for facial contouring and volume restoration. If you are considering the removal or reduction of hydroxyapatite from the upper cheekbone area and below the eyes, here are some options and considerations:

Consultation with a Professional: The first step is to consult with a board-certified dermatologist or plastic surgeon. They can assess your specific situation, evaluate the placement and amount of filler, and discuss potential options for modification or removal.

Dissolution: Unlike hyaluronic acid-based fillers, which can be dissolved with hyaluronidase, hydroxyapatite fillers do not have a direct dissolving agent. However, over time, these fillers are naturally metabolized by the body.

Surgical Removal: In some cases, surgical intervention may be considered to remove the filler. This is usually more invasive and is considered when other methods are not feasible or if there is a complication.

Wait and Monitor: Since hydroxyapatite fillers are gradually absorbed by the body, another option is to allow time for the filler to diminish naturally. This approach might be suitable if the filler is not causing any urgent issues.

Massage: Sometimes, gentle massage by a professional can help in redistributing the filler, though this is more effective shortly after the filler is administered.

Each option has its advantages and limitations, and the decision largely depends on the specific circumstances, including the amount of filler, location, and any related concerns. It's crucial to have a thorough discussion with a healthcare provider to understand the risks and benefits before proceeding with any intervention.

Zoran Potparic, MD · Answer

Very likely, considering g the depth of filler, I would suggest ultrasound quided placement (injection) of enzyme. Surgical removal should be a very
Last option, if necessary. Hope this helps.

Nelson Lee Novick, MD · Answer

I am really sorry you are having this problem. It is for this reason that I gave up using Radiesse and other semi-permanent fillers quite a few years ago. At the time they were introduced, the advantage of these types of fillers was that offered longer-lasting more durable results than the HA fillers that were available at the time. The disadvantage of the semipermanent fillers was that, in the event of an unwanted cosmetic result or adverse reaction to them, they could not be dissolved easily as could the HA fillers with hyaluronidase. 
However, once more robust HA lifting and volumizing fillers were approved that provided quite durable and longer-lasting results, I could not see the justification for continuing use of the semipermanent fillers.
That being said, I have personally achieved gratifying results in treating semi-permanent filler complications in patients who have come to me having been treated with them elsewhere employing an algorithm of varying combinations, concentrations and amounts of intralesional anti-inflammatory agents. 
You would be wise to seek consultation and treatment by an experienced, board certified cosmetic dermatologist filler expert. Hope this helps and best of luck.

Is it possible to remove or partially remove Hydroxyapatite from upper cheekbone area and below the eyes? (photo)

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