Radiesse; Dissolving the Carrier Gel with Hyaluronidase?

Question

A few doctors have suggested that that the carrier gel portion of Radiesse can be dissolved with hyaluronidase to REDUCE the appearance of an overcorrected area (by up to 30%). Does anyone have any experience with this procedure, and is it worth trying? It's been almost 6 weeks, and my cheeks look very full and 'fake.' I had a total of 1.5cc injected by an 'experienced' and 'highly recommended' board certified plastic surgeon.

Sam Naficy, MD, FACS · Answer

Though Hyaluronidase is not typically recommended for Radiesse it can be used in the case of an emergency or severe case to try and ease the over correction.  More importantly you may have prolonged swelling or malar edema which in not the Radiesse per se but your body's reaction to it. 1.5 cc of Radiesse is not a lot of product. A teaspoon is 5cc. So it's hard to see how 1.5 cc could make your cheeks look over done. ( Of course without a photo it's hard to evaluate) Have you tried warm compresses or manual lymphatic drainage? These may be more helpful to try first.

Kenneth Hughes, MD · Answer

Hyaluronidase can dissolve some of your own ground substance in a nonspecific action.  Kenneth Hughes, MD Los Angeles, CA

Michael I. Echavez, MD · Answer

The carrier gel in Radiesse is water-based and normally is gone after about 2-3 months.  Hyaluronidase will only dissolve hyaluronic acid fillers.  Therefore, I do not believe that hyaluronidase will have any effect on the Radiesse injected into your cheeks.

Thomas P. McHugh, MD · Answer

Hyaluronidase will not be helpful but there are methods that can help get rid of it quicker.  The safest method is aggressive massage to the product.  Your physician can contact the physician help line at Merz that may give some other suggestions.

Ramona Behshad, MD · Answer

Hyaluronidase will not dissolve any part of Radiesse. It can, however, break down some of your natural hyaluronic acid and decrease volume in your cheeks through an undesirable mechanism. The only eraser for Radiesse is time.

Radiesse; Dissolving the Carrier Gel with Hyaluronidase?

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Answer: Radiesse Disolving Solution

Answer: Radiesse Disolving Solution

Answer: Hyaluronidase

Answer: Hyaluronidase

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Radiesse; Dissolving the Carrier Gel with Hyaluronidase?

Answers (9)

Answer: Radiesse Disolving Solution

Answer: Radiesse Disolving Solution

Answer: Hyaluronidase

Answer: Hyaluronidase

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Recommended reading

Everything you need to know about Radiesse

Our mission is to create a world where every investment in modern beauty is Worth It.