Radiesse bad results? What can I do now? Should I get radiesse again to adjust it?

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

Radiesse can cause significant swelling. I recommend massaging the area and molding it to the shape you are seeking. Your doctor should be able to assist you with this technique,In general, when treating the nose and areas which require etching and subtle contouring (tear troughs, smile lines), rather than volumizing (cheeks), less is more. This means that staying conservative with the amount of filler used in these areas often gives a better cosmetic outcome.I suggest you follow up with your doctor within 2 weeks to re-assess. I also suggest using a hyaluronic acid gel type filler for nose contouring, such as Juvederm.Good luck!

Use of fillers in the nose can accomplish subtle aesthetic improvements, but is limited in range. It is sometimes refrred to as a nonsurgical Rhinoplasty, but this is more a marketing term than an adequate descriptor of the technique. Without a picture, it is very hard to give any meaningful advice on the result. Further injections may worsen the current scenario; Radiesse cannot be dissolved like hyaluronic acid fillers. Make sure that your Doctor is experienced in this technique.

I would not advise having more Radiesse injected to "correct" a previous treatment of your nose. It might make sense if you feel you were undercorrected in a region that can support additional filler (such as the cheekbones or nasolabial folds) but the nose has very thin skin and overfilling it may result in additional problems. There is also no way to "neutralize" injected material (as there is, at least theoretically, with HA products and hyaluronidase). Most likely, simple massage of the overfilled areas (if that's what they are) will be the best course at this time. If it's very early after your injection, then some of what you're seeing may be the effect of swelling from the injection itself. Otherwise, though, there are limitations to what degree this can be reversed.Sorry about that, but it will hopefully settle down better on its own over the next few weeks. You should, of course, remain in touch with your own plastic surgeon.I hope that this helps and good luck,Dr. E