Unhappy w/ Radiesse for the Corners of the Mouth - Options?

There may be improvement in the next few days as the swelling improves. Otherwise see what your doctor can do to make it look better. It maylook very good to you in a few days.

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

One day after injections is too early to start getting worried about results.  It may take several days for any swelling to resolve.  While injections are great treatments for filling volume deficits like the cheeks, injections around the mouth are more complicated.  If enough filler is placed to completely smooth out any wrinkles, then what too much volume is added.  There needs to be some understanding that fillers are great products but do not perform miracles.  There is a balance between volume and effect.

 

Good Luck.

Hi,

In some patients, swelling from the injection process itself can take 3-5 days to resolve, so if you are just one day out from the injection, I would say to be patient with the result for now. Different parts of your face can disproportionately swell up, so the area around your mouth may be more swollen than your cheeks even though they were both injected at the same sitting. If in a week you still appear “puffy,” I would recommend speaking with your injector about your concerns. Oftentimes massaging the area can help the Radiesse dissipate somewhat. Good luck to you!

Dr.Sunder
 

I agree with some of the responses about overuse of fillers
To compensate for more invasive procedures
Especially a filler like radiesse which is irreversible
Keep ice on it and hopefully will resolve itself
You need to have time on your side
Good luck