Post Radiesse Swelling and Hardness Normal 1 Day Post Op?

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.

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

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.

 

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.

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.

  I have used Radiesse and Perlane on many patients for facial contouring and shaping.  Radiesse does, IMHO, have a tendency to look a bit lumpy and bumpy for several days even after it's smoothed and feathered into the proper aesthetic shape.  For this reason, I now use Perlane for shaping the Cheeks.  Perlane is also my preferred filler for the nasolabial folds and marrionette lines, although I will use Radiesse here as well.  

 Radiesse is quite thick and when placed too close to the top of the cheek may show more prominently due to the thin tissue in that area.  I tend to avoid placing thicker fillers like Perlane or Radiesse within about 3/8's of an inch or so from the top of the cheek to avoid that issue.  Aesthetically, the anterior, mid and lower sections, of the cheek, are the areas best suited for contouring and shaping.  Be sure that the MD, you select, for your facial shaping/contouring with fillers understands and follows the proper aesthetics of facial beauty for the creation of a naturally, more attractive face.