Will RUSTY STAIN on my Skin from Radiesse Ever Go Away?

Question

I'm 6 wks post Radiesse injections for tear troughs. I now know that most PS will not use Radiesse in this area due to problematic issues. Day 2 I developed raised fluid sacks that had a yellowish/brownish color to them (looked like festoons) they finally went away leaving me with a light rust color on the upper cheek bone. Could the carrier gel be causing an inflammatory reaction still and can it cause permanent scaring? I'm afraid to do anything else to this area in fear it will only make it worse.

Harold J. Kaplan, MD · Answer

Hi DA. Like Dr. Rueckl, we also use lasers to treat the residual staining that can occur after injection bruising. We use q-switched lasers (same as the one used for tattoos, birthmarks, sun spots and other dark pigmentation issues). A couple treatments will speed up the resolution of the issue. Good luck.

George T. Boris, MD, FRCS · Answer

It sounds as if the area bruised; the hemosiderin collects in the skin and will be metabolized. Most bruises take time to heal, especially in the tear trough area. I prefer other fillers for the tear troughs. You can speed the healing with lasers or wait it out. Either way, I wish you the best.

Kenneth Hughes, MD · Answer

Hemosiderin staining is usually digested by the body over a longer period of time.  Kenneth Hughes, MD Los Angeles, CA

Raffy Karamanoukian, MD, FACS · Answer

The discoloration of skin can be caused by erythema, hemosiderin, or melanin deposition. A q switched laser can often help with hemosiderin deposits. I would also begin skin exfoliation to improve resolution.

Evan Ransom, MD, FACS · Answer

Thank you for the great question. The staining that you are seeing is likely the result of some bruising. When blood gets into the skin it can leave a yellow-orange or "rusty" looking stain even after the bruising and swelling have resolved. The best treatment for this is a laser that is targeted for the specific pigment in blood (heme). A couple of treatments in the office can take care of most patients. Best of luck!

Will RUSTY STAIN on my Skin from Radiesse Ever Go Away?

Answers (5)