Can Radiesse migrate from temples into cheek area?

Question

I had Radiesse injected into the temples. Straight away I saw volume there but after about a week the volume started decreasing in the temples and instead my cheeks gradually gained volume. I asked the Dr if its possible when injecting Radiesse into the temples that it can also make the cheeks gain volume and he said that its impossible as the Radiesse is injected deep into a cavity in the temple so the Radiesse only stays in the temples. Can Radiesse can migrate from the temples to the cheeks?

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

Jason Emer, MD · Answer

Radiesse cannot migrate from the temples to the cheeks.  It has been reported to migrate but this is typically in areas close to the lips.  Best, Dr. Emer.

Hardik Soni, MD · Answer

Thank you for your question. Your injector is correct that Radiesse cannot migrate as it is placed deep into a cavity in the temples. What you experienced is swelling after the injection and this will take time to resolve. You now have delayed swelling below the treatment area, which is normal. If you have any other concerns please contact your injector.

Leon Goldstein, MD · Answer

Radiesse is placed deep to the skin and stays where placed. The swelling at the site of injection enhances the effect of the Radiesse while the delayed swelling below the treatment  area is normal dependent edema (swelling) from the procedure. All swelling subsides.

See your board certified plastic surgeon.

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Can Radiesse migrate from temples into cheek area?

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