Chronic Edema After Radiesse

I had Radiesse injected along the bridge of my nose almost three years ago, and my nose remains distended, red, and swollen all along the areas treated with the filler. They look just as inflamed as if it had been injected recently. I have come to discover the swelling is not scar tissue, but a chronic edema.

I even had kenalog injections to thin out the thickening texture around my nostrils. Any depressions caused are likely masked by constant nasal swelling, especially at night. The ENT doctor prescribed steroid nose spray, but it only temporarily suppresses the inflammation. I have trouble breathing now.

Is there any treatment to get the fluid to dissipate and help me with my breathing? All suggestions welcome!

Doctor Answers 2

Chronic swelling with Radiesse

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Radiesse is a very common filler used in the nose in my practice. I'm not familiar with an issue with chronic edema from Radiesse, It sounds as if the filler material may have caused a foreign body reaction by your body forming a granuloma tha can be treated with kenalog injections. If the surgeon who injected you performs rhinoplasties, and if he knows where the Radiesse was injected, he may be able to 'wash' out some of the 'foreign body' out of the nose though not sure if this would be a 100%. Good luck.

Atlanta Facial Plastic Surgeon
4.5 out of 5 stars 50 reviews

Chronic nasal edema after filler injection

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This sounds very unusual and you should look into all possible causes,

I don'tquite understand the problems around your nostrils if only the bridge was injected. Theoretically there are a few possible explanations but they are hihgly unlikely to be the cause of the problem

You may be experiencing regional lymphatic obstruction and the use of manual lypnhatic drainage may provide you with some relief.

I would recommend a full ENT evaluation with possible CT scans of the sinuses.

At 3 years after injection the vast majority of the radiesse should have been metabolized.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

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