Lumps from Hyperdiluted Radiesse, what can I do to fix this? (photos)

Question

I had hyperdiluted radiesse done about a year ago and developed a few nodules around my mouth. The doctor injected me with (I think) sodium thiosulfate and it seemed to reduce them. However, I just got fillers around my temples and in the top corner of my nasal labial folds, which seemed to lift my jowls up quite a bit. Now I can see that I still have a couple of nodules. One is in my cheek and the other is in the corner of my mouth, above my lip. Please help!

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

Lumps from Hyperdiluted Radiesse, what can I do to fix this? (photos)

Answers (1)

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