How to Resolve Bump After Needle Injection? (photo)

Question

Please help! I had Radissee injected on my nose bridge about 2 weeks ago (you can see the 2 injection sites on the attached picture). It left me raised bumps. Since I'm afraid of getting scars, I rub on neosporin after the procedure so maybe it's the antibiotics that's causing it. I also know that it might be the poor technique of the injector but I really wanted to know how to resolve this. Should I ice it, massage it, use mederma, etc.? Any professional advice would be greatly appreciated. Thanks!

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

There is no way to dissolve Radiesse.  This may be product that will dissolve over time.  Kenneth Hughes, MD Los Angeles, CA

Michael A. Persky, MD · Answer

Hi K,

	The  bumps appear to be Radiesse.  Best to discuss your concerns with your injecting physician.  Good luck and be well.

	Dr. P

George T. Boris, MD, FRCS · Answer

I would stop using Neosporin and follow up with the Dr. that injected; most swelling will subside in 2 wks from initial injection.

Alan M. Engler, MD, FACS (retired) · Answer

It's hard to say for sure from this photo - it could be the material itself (in which you'll basically have to wait for it to dissolve on its own) or reaction from the injections (it'll go down on its own) or reaction from the Neosporin (stop using that).  Or, of course, some combination.  You should touch base with your plastic surgeon and, if necessary, get one or two additional consults just to make sure you're not missing anything else.  It will probably just have to get better on its own, which it will, though it will take a while.

	I hope that this helps and good luck,

	Dr. E

F. Victor Rueckl, MD (in memoriam) · Answer

Stop using Neosporin. It's intensely irritating and many people become allergic to it over time. I would suggest you go back to your injector for an evaluation. It's hard to say if those bumps are swelling or actual pockets of product from your photo. So it would be best to be evaluated in person by your injector. Leave it alone until then.

How to Resolve Bump After Needle Injection? (photo)

Answers (6)

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