Post Radiesse Swelling and Hardness Normal 1 Day Post Op?

Question

I had Radiesse injected 24 hrs ago. I had cheekbone area, nasolabial folds done and also around my mouth and chin to fix rough texture due to collagen loss and mild acne scarring. Overall, I am happy with the way everything looks so far. I just have two areas I am concerned about-there is a bit of uneveness at the top of the cheekbones-could be due to swelling? There is also a small, semi-solid lump in the chin area. Its a little sore and I can feel it more than see it. Is this normal?

David Shafer, MD, FACS · Answer

One day after filler injections is too early to get concerned.  If you post before and after pictures, we may be able to give you more advice.  However, mild swelling for a day or so is normal.  If you do have any concerns, you should follow up with your injector.  And of course, my recommendation is always a board certified plastic surgeon.

	 

	Good Luck.

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

Jacqueline Calkin, MD · Answer

Your post op course sounds entirely normal at this point.  Radiesse does cause a fair amount of temporay swelling.  Additionally it is often palpable around bony areas like the chin and jaw.  The swelling will reside within the next several days.  Don't make a judgement about your results for at least two weeks.  Best to you.

Robert L. Kraft, MD, FACS · Answer

What you are describing sounds like normal post-procedure swelling.  You can ice the area (and should have done that beginning yesterday) to ameliorate it.  Some areas, especially over bone, bruise more than others so you'd need to give it some time before there would be reason for concern.

Mitchell Schwartz, MD - Account Suspended · Answer

Typical side effects associated with Radiesse injections include bruising, redness, swelling and pain. These occur in as high as 90% of patients and usually resolve within one week. It is possible that some of these side effects may be affected by the injection techniques such as fan like injections, higher injection volumes, and more rapid injection times. Give things more time before becoming concerned. And of course, please ignore advice, such as that below, from plastic surgeons suggesting you only see a plastic surgeon.

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Post Radiesse Swelling and Hardness Normal 1 Day Post Op?

Answers (6)

Answer: Bruising after Radiesse

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Answer: Swelling and hardness from Radiesse

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