Radiesse- Is It Swelling or is It Too Much?

Question

I had some Radiesse injected 2-3 days ago to even out my nose bridge, right in between my eyes, as it's a bit bigger on one side than the other. Right now that part of my nose still looks quite big, much bigger than I wanted it to. I'm not sure if it's swelling because it's only gotten a little smaller since the day it was was injected, not much of a change and it's already the 3rd day. If I go back to my doctor right now, is there anything that can be done?

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

Kenneth Hughes, MD · Answer

Radiesse injected to the nose probably has caused swelling that has not resolved.  There is no product to help dissolve Radiesse.  Kenneth Hughes, MD, Hughes Plastic Surgery, Los Angeles

Sam Naficy, MD, FACS · Answer

Without a photo it is hard to assess.  Swelling is common after treatment but this is an area that you need to be very cautious about.  Too much product placed between the eyes can occlude or impede blood flow so be sure you have a well qualified person doing the treatment.  Not only for cosmetic results but for safety as well!

Michael I. Echavez, MD · Answer

After 2-3 days, I would expect that you would still have some swelling from your Radiesse treatment.  Most likely, as the swelling subsides, you will see a change in the appearance on your nose.  If you feel that it still does look right to you after the swelling goes down, I would return to your treating physician, as he or she would be able to evaluate and treat your issue best.

Cameron Rokhsar, MD, FAAD · Answer

Only 2-3 days out there isn't a way to accurately tell how much the change in your nasal shape is swelling and how much is product. In fact, they can feel very similar, even to a physician. I recommend waiting longer until you truly judge the result, and ice your nose in the meantime (gently, of course).

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Radiesse- Is It Swelling or is It Too Much?

Answers (9)

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Answer: Radiesse: Swelling vs. Actual Results

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