Too Much Radiesse in Lower Cheeks (Male)? (photo)

Question

I had Radiesse injected into my cheeks 6 days ago. The right side has a small bruise and is ‘puffier’ than the left. As well, my lower cheeks and nose-to-mouth area appear MUCH too full. Also, my eyes appear ‘set back’ and the tear trough is more pronounced. My question: Is there a way to off-set this look and improve my appearance? Would placing another filler in other areas (e.g., tear trough, high on cheek bone, etc.) help to create the look I want (see photos below)? Suggestions please!

Raffy Karamanoukian, MD, FACS · Answer

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

George T. Boris, MD, FRCS · Answer

By adding volume and fullness to the cheeks, it is possible to make the tear troughs look more pronounced. I would advise waiting the full two weeks for swelling to decrease and bruising to minimize, then return to the Dr who injected you. Best of luck.

Kenneth Hughes, MD · Answer

I would wait at least a couple of weeks and maybe longer before thinking about any touchups.  Injecting something else before that time when bruising or swelling is present just confuses the issue.  Kenneth Hughes, MD Los Angeles, CA

Evan Ransom, MD, FACS · Answer

Radiesse is an excellent product for non-surgical cheek augmentation/enhancement. As others have said, it should be placed right on top of the bone and gently molded or sculpted at the time of placement by your doctor. After 24 hours, any additional massage will not likely have a significant effect but could cause more swelling.

	Achieving the right balance in midface and peri-orbital rejuvenation and cosmetic enhancement is at least as much art as it is science. An overfilled cheekbone area may may the eyes look sunken in. This is particularly true if the under eye area already has a bit of a hollow appearance from volume loss or drooping of the cheek fat pad. The best treatment for this is avoidance... but, if there is a differential between these area, a different kind of filler can be used (such as Restylane) for the "tear trough" region. Best of luck!

Michael I. Echavez, MD · Answer

I would recommend waiting a little longer before considering any other treatments.  At 6 days after your Radiesse injection to your cheeks, there still will be some settling taking place.  I would wait at least another week or two and then see how your appearance is.  At that point, it may be possible to use additional filler to help.

Too Much Radiesse in Lower Cheeks (Male)? (photo)

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Too Much Radiesse in Lower Cheeks (Male)? (photo)

Answers (8)

Answer: Too Much Radiesse?

Answer: Too Much Radiesse?

Answer: Too much Radiesse in lower cheeks?

Answer: Too much Radiesse in lower cheeks?

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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.