Can Radiesse Complications Be Reversed?

In my opinion, I would stay away from Radiesse for lipstick or smoker's lines because of the thickness of the product and the lack of fat in this area.  I never use it there.   I think it would be too lumpy and not easily corrected if you did encounter a problem.  I generally prefer hyaluronic acids like Restylane or Juvederm in this sensitive area which can be dissolved with Hyaluronidase if there are any contour issues.   Other options to treat these lines include Botox which of course is temporary.  Combining Botox with Restylane is a more effective method to treat these lines than either alone.  More lasting correction of lipstick or smoker's lines can be achieved with dermabrasion, chemical peels or CO2 laser.   These treatments do have some downtime but over the most natural, long lasting results. 

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

Although Radiesse has a good safety profile, I'm not sure what you mean by mouth lines. If these are the smile creases that run from the corner of the nose to around the corners of the lips, then you have a greater track record of safety than if the RAdiesse is used to try to fill in deep upper (cutaneous - lip colored, not the vermillion or red lip) lines than run vertically from the edge of the red lip to the bottom of the nose (called smokers lines by some). In the latter area there is a greater chance for the Radiesse to cause lumps in the red lips.

NO filler is without some chance of risk. Thick fillers such as RAdiesse can cause a problem but very very rarely with circulation when injected in the smile crease near the corner of the nose and skin changes have occurred with possible scar formation although many of these rare events have healed well. There is no reversal of this or a lump that is noted later with Radiesse compared to the dissolving that can be done with Restylane or Juvederm by using hyaluronidase.  Overall, as you have confidence with your doctor who is very experienced, after you discuss your concerns with them, the two of you can decide to proceed ahead if you still feel comfortable knowing the risks. The numbers of procedures done with Radiesse are evidence of its great safety profile.