I Had Radisse Injections 5 Days Ago and Still Have the Same Wrinkles and Lines, Why?

I Had Radisse Injections 5 Days Ago and Still Have the Same Wrinkles and Lines???

Doctor Answers 5

Same lines and wrinkles after Radiesse

  It is quite possible that the lines and wrinkles are NOT the same as they were before but that the results of the procedure has not fulfilled your expectations.  Nevertheless, the results may improve with time.  I suggest that the next time you see the doctor you carefully review the pretreatment photos if these were taken.

Saint Petersburg Oculoplastic Surgeon
4.9 out of 5 stars 134 reviews

No improvement from Radiesse injections

Wrinkle lines or folds are really just the first obvious visible signs of a slow progressive change taking place in all structures of the face. Radiesse is not injected directly into these wrinkle lines and folds, but rather into multiple areas of the face to treat the volume loss that leads to their appearance. This leads to the subtle and natural-looking results that are so often desired. Since every face is different and because this is an art as much as it is a science, it is especially important to remember that the experience and technique of the physician injecting Radiesse is the most critical part to your achieving a beautiful, natural result. the experience and technique of your physician injector is the most critical part to your achieving a beautiful, natural result. Always ask to see before and after pictures of patients they have personally injected. If possible, look for someone who is on the medical education faculty for one of the facial fillers. If they have been selected to train other physicians how to treat the aging face they are likely to be good, experienced injectors.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Radiesse Injections Do Not Lead To Calcium Stone Formation

The answer to your question is “No”. Radiesse will not lead to calcium oxalate stone formation. The calcium in Radiesse is bound to phosphate, as calcium hydroxylapatite. This is the same form of calcium which comprises bone and teeth. Calcium in this form is broken down very slowly, and we typically expect the results of a Radiesse treatment to last 9-12 months. I will provide some additional information to put this into perspective in a follow-up answer, just give me some time to do a bit of research.

Kidney stones affect >10% of the American population. Calcium-oxalate stones account for about 90% of all kidney stones. Calcium-oxalate develops in acid urine (pH less than 6.0).

The majority of calcium-containing kidney stones are associated with unexplained elevated calcium in the urine (hypercalciuria). This may be the result of intestinal hyperabsorption of calcium, impaired reabsorption of calcium in the kidney (Renal leak of calcium), or the increased bone breakdown and the subsequent increase in serum calcium level (resorptive hypercalciuria) seen in hyperparathyroidism.

Oxalate forms an insoluble complex with calcium to develop a calcium oxalate kidney stone. High levels of oxalate in the urine (hyperoxaluria) are even more important to stone formation than high levels of calcium (hypercalciuria). Excessive intake of food containing oxalate leads to calcium-oxalate stones.  There are several specific oxalate-containing foods that significantly increase urinary oxalate, and therefore the potential for calcium-oxalate stone formation. These foods included nuts, tea, chocolate, beets, rhubarb and wheat bran.  It is recommended that people prone to calcium-oxalate stone formation limit their intake of certain very high oxalate-containing foods, and maintain adequate calcium intake. Adequate calcium intake is important because dietary calcium has a protective effect by binding to oxalate in the intestine and preventing its absorption in a form that leads to kidney stones.

Excessive intake of Vitamin C, which is metabolized to oxalate, may also lead to elevated urinary oxalate levels and an increase in stone formation.
Citrate also plays a role in calcium stone formation. Citrate forms a soluble salt with calcium and inhibits the formation of calcium-oxalate and calcium-phosphate crystals. Anything that leads to low levels of urinary citrate (hypocitrauria) increases the chance of developing stones. Chronic diarrhea, renal tubular acidosis (RTA), diets high in protein and salt, and low levels of blood potassium (associated with thiazide diuretics) are all associated with low urinary citrate levels.

Kenneth Dembny, II, MD
Milwaukee Plastic Surgeon
4.9 out of 5 stars 34 reviews

Radiesse Results

Radiesse is a filler used to replace volume.  It is typically not used to fill fine lines and wrinkles.  However, replacing volume in certain areas of the face can tighten the skin and alleviate wrinkles in other areas.  It takes time to see this effect because your skin needs to lay down its own collagen on the Radiesse scaffolding.  You may need an additional type of filler to fill the fine lines as well!

Sheri G. Feldman, MD
Beverly Hills Dermatologist
5.0 out of 5 stars 1 review

Results from Radiesse

Radiesse is a calcium based volumizing filler that is indicated for the cosmetic improvement of moderate to severe facial wrinkles.  Results are typically appreciable immediately after the material is injected, however the longevity of the result is partially defendent on your body manufacturing and depositing collagen around the Radiesse particles.

Specific results of filler treatment are normally a function on the size and depth of the crease and the amount of material injected.  It is possible that you may just need additional injections of Radiesse.

Discuss your concerns with your treating physician.  Patient surveys have revealed that the most common cause of dissatisfaction following filler injections is under correction.







Alexander Gross, MD
Atlanta Dermatologic Surgeon
5.0 out of 5 stars 1 review

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.