Radiesse Injection in Cheek Area Affecting Smile

At the doctor's suggestion - I had Radiesse injected only into the area of my cheek next to my nose (not the cheekbones). I am unable to fully smile ever since he did this - is this normal? Will it eventually dissolve or will it be replaced with collegen which will continue to restrict movement of my face?

Doctor Answers 6

Radiesse injection affecting smiling

Radiesse will be resorbed and replaced by collagen over time. Smile muscles are delicate. It's a good thing that silicone was not used because smile muscles can be permanently impaired with silocone injections! Since Radiesse "goes away', your smile should recover with time.

Orange County Plastic Surgeon
4.6 out of 5 stars 22 reviews

Filler shouldn't affect smile

If the radiesse is injected just under the skin it should not affect the smile. However if the injection is too deep into the muscle it can render that muscle not working. On the other hand if too much volume is injected the tissue does not move as supple.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Radiesse injections to the face

Radiesse is a stimulatory filler that is safely injected subdermally. The short term risks of Radiesse include transient swelling and edema. These will subside with time, leaving a natural improvement in facial contour. Radiesse does not affect facial movement or expression.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews


Radiesse may by volume minimize how much you can move your facial muscle depending on where it's placed but don't despair. It will dissolve and not be permanent.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

How long been since the injection

You will have some swelling and this will affect the smile. The injection of the Radiesse will not change the muscle movement. You may use small hand held vibrater to help the swlling

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.8 out of 5 stars 122 reviews

Radiesse eventually goes away

I am picturing the injection being between the nose and the cheekbones. I have never seen injection of Radiesse in this location affecting the smile. Radiesse will eventually get absorbed by the body and does not leave behind any residual effects in about a year. The new collagen fibers in the injected area can be demonstrated but does not seem to have any visible clinical effect. I would not worry about any movement restrictions.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon
4.9 out of 5 stars 38 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.