Can radiesse be removed surgically?

Question

Since radiesse can't be dissolved like hyaluronic acid based fillers, I am wondering whether surgical removal during a facial surgery procedure (a rhinoplasty, for example) is possible or advised

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

Douglas Taranow, DO, FACOS · Answer

Where was the Radiesse placed and what are the issues now?  How long ago was it injected?
Radiesse does lose volume over time so if more recently placed, allow time to pass before deciding on alternate options.
I would not advise surgical removal of this material unless it happens to appear directly in the surgical field while performing a procedure.
Best wishes,
Dr. Taranow

Can radiesse be removed surgically?

Answers (2)

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