Small Nodule Formed After Radiesse Injection, Should I Be Concerned? (photo)

Radiesse is an FDA-Approved filler that we use very frequently in our office to sculpt the contours of the face. Since we are a national center of excellence for filler reversal, we also encounter patients from other doctors' offices who wish to have Radiesse fillers removed for one reason or another. In our office, we employ a directed technique to visualize the filler material, if possible on ultrasound, and then use non-surgical methods to dissolve the filler or granuloma tissue using intralesional injections. There are many methods using a combination of enzymes, intralesional modulators of scar tissue, and Kenalog to help reduce volume and remaining filler. These techniques require meticulous attention to detail and can be performed at intervals of two to three weeks to achieve longterm effect.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Nodules are a common side effect with Radiesse around the mouth and eyes.  These typically can take up to one year to resolve.  However, firm, aggressive massage may speed up the process in the flattening and dissolving of the nodule.  If that doesn’t work, I usually have my patients do a ReFirme laser treatment with elos technology that can offer great results with little or no discomfort.  Since yours is not causing you any major issues or symptoms, I wouldn’t recommend having it surgically removed.

The nodules could be a side effect of the Radiesse injections, unfortunately these nodules may not dissipate even if the product is no longer there. The nodules are not causing the jowling. Probably due to the product dissolving and the normal aging process.