How Can I Minimize Swelling After Radiesse?

Question

I had Radiesse done a few years ago for my cheeks to give my face a lift because I felt I was sagging. Having had Botox for years, I am fine with needles but this I found extremely painful, the next day I looked terrible. I thought, what have I done?! I had a black eye, I looked like a chipmunk, and my son said it looked like I had two snooker balls in my cheeks, but I have to say that after a few weeks it calmed down and I was pleased with the look. I am thinking about having it again but am concerned about the swelling. Any advice would be appreciated. Thanks

Ron Shelton, MD · Answer

Many doctors who are using Radiesse are now adding an anesthetic in the Radiesse (off-label use) which makes it much more comfortable. You might want to ask your doctor if they recommend taking an herb called Arnica Montana that may suppress bruising and swelling.

Larry S. Nichter, MD, MS, FACS · Answer

Stay away from medicines and vitamins that increase bruising for a few weeks prior to your injection. These include but not limited ot Vit E, Fish and Krill Oil, Omega 3 fatty acids, aspirin, alleive, ibuprofen, garlic oil, etc. Cooling with ice (never directly on the skin), head elevation, Arnica, Bromelain and Advil after a few days will tend to help with swelling. As this is a physiologic and not an allergic histimine response, Zyrtec and Benedryl (antihistimines) should not have any benefit.

Michael A. Persky, MD · Answer

Hi Mimi,
In addition to other comments listed here, take Bromelain (500-1000 mg per day) for one week before and after your treatment.  Bromelain is a pineapple extract that helps keep swelling down.  You may also use fresh pineapple.
Ask your injecting physician to use ice.  Ice before the injections helps to decrease the chances of bleeding.
Lastly, avoid alcohol for a couple of days before, and a couple after your injections.  Do not work out for at least two days following your injections.
Good luck and enjoy the fullness in your face.
Dr. P

David Shafer, MD, FACS · Answer

Mimi1,
It sounds like you had more bruising and swelling than what typically occurs with Radiesse injections.  Most people have moderate swelling and minimal bruising.  I am interest to know how much was injected and how many punctures in the skin were used.  In most cases we can perform all your injections with only two or three punctures with the needle per side.
Also, it is possible to mix the Radiesse with an anesthetic solution which helps with the pain, but also helps minimize the bruising and swelling afterwards.  Good luck with your next injection.

Milan Shah, MD · Answer

To minimize swelling after Radiesse injections, consider applying a cold compress to the treated area for short intervals, taking over-the-counter anti-inflammatory medication if approved by your healthcare provider, and avoiding strenuous exercise for a day or two. Always follow your healthcare provider’s post-treatment instructions for the best results.

How Can I Minimize Swelling After Radiesse?

Answers (9)