3 months ago, I did Radiesse. I have many white bumps. He used Hyaluronidase to resolve and nothing happened

Question

Three months ago I had filler with radisses and I have so many White Hard bumps on my lips and I don't know what to do I'm so scared how can I remove the white bumbs from my lips,i went to the doctor who did my lips and nothing was resolved,im very scared,he used hyaluronidase for few times,now my lips are flat and many white har pimples,and looks so bad.I need help please

Raffy Karamanoukian, MD, FACS · Answer

Radiesse is an FDA-Approved filler that we use very frequently in our office to sculpt the contours of the face. Since we are a national center of excellence for filler reversal, we also encounter patients from other doctors' offices who wish to have Radiesse fillers removed for one reason or another. In our office, we employ a directed technique to visualize the filler material, if possible on ultrasound, and then use non-surgical methods to dissolve the filler or granuloma tissue using intralesional injections. There are many methods using a combination of enzymes, intralesional modulators of scar tissue, and Kenalog to help reduce volume and remaining filler. These techniques require meticulous attention to detail and can be performed at intervals of two to three weeks to achieve longterm effect.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

I am terribly sorry that you are having this difficulty. Radiesse is an excellent injectable volumzing filler that I have been using for nearly two decades, since the early days when it was called Radiance. It is excellent, for example, for nonsurgically volumizing cheeks, contouring jawlines, and augmenting chins, but it is not intended for use in delicate tissues, such as under the eyes or in the lips where it can give rise, as in your case, to white lumps and bumps. In the past, I have successfully treated cases where Radiesse was inappropriately injected by others into other locations using subcision to physically break up the bulky calcium deposits coupled with the injection of an anti-inflammatory agent, triamcinolone, and hyaluronidase to facilitate the diffusion of the treatment materials. You would be wise to consult with a board certified aesthetic physician with experience in using Radiesse and treating its complications to discuss these issues. Best of luck.

Kristin J. Tarbet, MD, FACS · Answer

Hello and thank you for your question. It is unfortunate that your injector used Radiesse for Lip Augmentation. I would not ever select this product for Lips as it is bright white and may show after injection. I prefer Hyaluronic Acid fillers for lips. Juvederm Ultra works well. I recommend you see a qualified plastic surgeon to evaluate your situation.  Good luck to you.

Pedram Imani, FRACS, MS, MBBS (Hons) · Answer

Whilst Radiesse is a fantastic and versatile filler; in the wrong hands using the wrong techniques and injecting the incorrect areas can cause disasters.  Radiesse should not be injected into the lips or superficially into the skin unless it has be diluted.  It should be injected by an experienced facial plastic surgeon or dermatologist, in appropriate anatomic planes.  It will then give beautiful results.  In your case, time will heal the problems.  If you are very concerned then small incisions with a needle can be used to express the filler out of the lip.  I wouldn't inject hyaluronidase or steroids as these have no effect on the Radiesse and can cause lip tissue atrophy.  Try massaging the lips and be patient.  It may take 6-12 months for this to resolve.  Hope this is helpful.

Glenn Messina, MD · Answer

Radiesse is not a good product for the lips. Since it is a calcium preparation hyaluronidase will not break it down as it would a hyaluronic acid product like Restylane , juvederm. volbella .I would see a good plastic or facial surgeon to have the product surgically removed or broken into smaller pieces. In anyevent the radiesse should not last a lifetime

Melvin Elson, MD · Answer

Radiesse does not contain hyaluronic acid so hyaluronidase will not do anything.  it is not a good idea to place it in the lips. sometimes injections of cortisone may help but it may be able to be removed without surgery. see a board certified dermatologist

Marek Kacki, MD · Answer

Although Radiesse was injected in the lips in the past with success, its use in lip enhancement is very discouraged due to frequent misplacement of this particular filler. It is impossible to dissolve it and many attempts to temporarily change its physical properties have failed successful intervention. The only option is to try to extract Radiesse. It could be quite successful using rather large needle. Your best bet is to see a Plastic Surgeon to discuss the plan. Otherwise, you will have to wait until Radiesse is completely metabolized which may take a very long time. Good luck!

T.G. Khan, DO, FACS · Answer

Radiesse should never be injected into the lips. Hyaluronidase will not work to remove this product from the lips. You should see consultation with a board-certified plastic surgeon to address your concerns.

3 months ago, I did Radiesse. I have many white bumps. He used Hyaluronidase to resolve and nothing happened

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