Is there a potential for Radiesse to migrate after injection?

Question

Is there a potential for Radiesse to migrate after injection?  For example, could it spread from the cheeks into the nasolabial folds?

Raffy Karamanoukian, MD, FACS · Answer

Fibrous septa provide a dense attachment between the dermis and the underlying subcutaneous fascia of the face. Injection in the subcutaneous plane is unlikely to lead to migration of a stimulatory filler such as Radiesse. Although migration is theoretically unlikely, it can occur in the rare occasion.

Paul Vitenas, Jr., MD · Answer

Radiesse is very unlikely to migrate from the area where it is injected. It is a calcium hydroxyapatite substance that rarely migrates. Because of the types of tissue planes in the face migration is unlikely.

Harold J. Kaplan, MD · Answer

Hi ladyl.  There is a difference between migration and movement.  Often after injection, we are able to move or manipulate Radiesse in a way that helps accentuate the desired facial contours.  But this does not involve moving the product from one area of the face to another.  It simply means we can reposition some of the product after injection.

	Migration is altogether different and infers a movement of the product that was not caused directly by the methods described above.  We can think of no way that Radiesse would be able to move on it's own (migrate) from your cheeks to your nasolabial folds.

Anil R. Shah, MD · Answer

Unlikely for Radiesse to migrate, however, intense manipulation can theoretically position Radiesse in another location.  Be sure to follow post injection protocols by your physician.

David Shafer, MD, FACS · Answer

Lady I,
From my experience with Radiesse, it does not migrate.  Additionally, I have not talked with anyone who has experienced migration either.  Radiesse is malleable right when it is injected, but only to mold the shape, not to push in into different tissue planes or locations.    I hope this is helpful.

Kristina Tansavatdi, MD · Answer

Radiesse is a filler that can be molded after injection to provide the contour you need in areas of the face lacking volume. In your example, the cheeks and nasolabial folds have different planes of injection and are anatomically separated by fibrous septae so you are unlikely to see migration from the cheek (usually injected just over the bone) to the nasolabial folds (injected just below the dermis). Most doctors will recommend to avoid manipulation of the site because with manipulation could cause the material to coalesce in one area (clump) rather than be contoured appropriately. That being said, the product is too thick to migrate from one of the area of the face to another.

Jeffrey W. Hall, MD · Answer

Any product injected has a slight risk of migration.  However, it would stay within the injection site area.  It would not migrate from the cheeks to the nasolabial folds.

Edward E. Dickerson, IV, MD · Answer

After injection the Radiesse is malleable in order to shape the contours of the face. Massaging or placing pressure on the area of injection may help to smooth out any desired bumps, but it does not move into other areas, planes, or tissues of the face. This is simple repositioning and molding, but the filler is thick and will not migrate in your face once set.

	 

	"Dr.D"

Grant Stevens, MD · Answer

No,  Radiesse will not migrate from the cheeks to the NL folds.  We love Radiesse and especially love it in the cheeks to augment the midface.   Other great areas for Radiesse include the nose, the hands, the temple, the facial skeleton and the naso labial folds.   The lidocaine has just about eliminated the discomfort associated with the injectionss.   Good Luck!

	Dr Grant Stevens

Debra Irizarry, MD · Answer

The face does not consist of "open spaces" where Radiesse could migrate around. This is a very good design for limiting spread of infections, etc., and helps keep injectables where they are placed. Vigorous massage can and does "flatten out" any undesireable lumps after injection, and this "molding" is often part of the injection technique with this firm filler.

Is there a potential for Radiesse to migrate after injection?

Answers (15)

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