How to dissolve Radiesse with sodium thiosolfate?

Question

Hi, my name is Rebekah I was injected with radiesse in Minnesota My injector believes using sodium thiosolfate will help dissolve it, I’m looking for a place that can help me with that

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

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

Unfortunately, real world experience has not demonstrated that sodium thosulfate is not particularly helpful for dissolving unwanted Radiesse or adverse reactions to the latter. It can also have adverse effects itself.  I stopped using Radiesse quite a few years ago when robust and durable HA fillers appeared on the scene, but which could easily be dissolved if necessary.  I have personally had success using varying concentrations and combinations of intralesional anti-inflammatory agents and hyaluronidase. Make sure to seek out an experienced, board certified cosmetic dermatologist. Best of luck.

Kevin Tehrani, MD, FACS · Answer

Thank you for your question. Sodium thiosulfate can be used to soften the effects Radiesse. It’s an expert injection technique as it varies in injection technique and dosage and it’s unlike Vitrase which is an enzymatic injection to reverse the effects of hyaluronic acid fillers. It is best to have a virtual consultation to ascertain your candidacy.

How to dissolve Radiesse with sodium thiosolfate?

Answers (3)

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