Is it a common procedure to mix Radiesse with saline to fill small lines and wrinkles?
Doctor Answers 8
Doctors may be innovate with filler techniques to improve results for their patients
As someone who is very experienced with fillers and has tried different innovations with fillers, I can certainly give you some guidance on this matter. To give you a little about my background — I am a Board-certified cosmetic surgeon and a Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. I have been using injectable fillers since the early days when Zyderm and Zyplast, the original collagen, were still the popular choice. Today, in my practice, I regularly use a whole range of fillers from Restylane, Juvederm, Voluma, Radiesse, and Sculptra, so I certainly understand your doctor’s thinking in trying to use Radiesse like Sculptra.
Now, first and foremost, let us define some terms. Sculptra is a suspension of material called poly-L-lactic acid, and the way the body responds to it is based on a certain amount of collagen response by placing this material in a certain area diffusely. Radiesse, on the other hand, is a suspension of calcium hydroxylapatite, which is made up of very fine particles, but when placed is fairly robust as a filler.
It is important to understand that physicians, especially the more creative and innovative types, will consider a palette of possible options to give their patients the best results possible. Most physicians certainly have their own individual way or style of doing treatment; otherwise, everyone would simply be doing procedures in the same repetitive manner, much like a factory worker. Certainly there are protocols and standards that should always be followed, but when it comes to solving problems innovatively, certain tweaks and changes must be made.
To illustrate this, when we use hyaluronic acid fillers in our practice, we place them quite deeply — between the bone and the muscle. Typically, hyaluronic acid fillers are used as dermal filling and are placed at the skin level. However, when I place hyaluronic acid filler at the bone structural level, it creates fullness, definition, and angularity that is unparalleled to that which is achieved through the standard methods of using fillers. While our method may be questionable at first to some, we have established the safety, predictability, quality, and unique benefit of the result.
So if your doctor is being innovative and creative, and they are conscientious of quality and safety, I don’t think you should be suspect of their actions just because they aren’t doing the same as everybody else. I advise you to talk to your doctor and ask if she feels that this method will result in favorable outcomes, if she has done this type of approach with other patients, and what their outcomes were like. I think full disclosure and straightforward honesty with the patient are very important comes to being creative and innovative. It is important that both sides understand that the doctor is doing something outside of the box, and that there is a possibility that the result may not be as predictable or consistent has the standard textbook procedure.
That said, it’s important to have a relationship of trust with your doctor. Of course, if you don’t feel like you can have this type of open and trustworthy relationship with your doctor, or if you don’t have confidence in them, then just don’t do the procedure and simply seek a second opinion. It’s also important not to assume that all doctors are doing the same procedures in the same manner because, like I mentioned earlier, doctors approach problems with their own individual style based on various degrees of experience.
I hope that was helpful and I wish you the best of luck!
Radiesse - is diluting it ok?
Yes, it is accepted to dilute any filler with saline to make it easier to work with.
That said, I do not use Radiesse for lines but for folds.
Every surgeon had a different approach - wait and see if you like the result.
Always see a Board Certified Plastic Surgeon.
Best wishes - Elizabeth Morgan MD PHD FACS
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Not a common practice
Although mixing it with saline is not dangerous, it does change its properties, and i assume your injector was using it as a fine line filler or collagen stimulator by diluting it. we have other products such as restylane silk for this purpose.
In general injectors have personal preferences based on their experience, and if you like your results, it is likely his preparation was appropriate in your case. Good luck!
Radiesse with saline
It but not be unreasonable, however, for a physician to dilute the Radiesse with saline. It just comes down to physician preference and comfort with the product.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.