Radiesse is a great filler for filling in deeper lines and for replacing lost volume in the mid face. Most practitioners routinely mix it with lidocaine to help with pain from the injections. Usually this is combined with topical numbing creams or nerve blocks (although nerve blocks can hurt quite a bit!). Radiesse is meant to be used below the dermis. Regarding your specific results, in my opinion, that's a lot of lidocaine to mix in. When you think about it, half of the volume that is injected is lidocaine, which dissipates, and another small percentage is a gel carrier, so LESS than half of the injected volume was the active ingredient. If you liked how you looked immediately following the injection, you probably just need another syringe.
No, the lidocaine has nothing to do with your results. Lidocaine dissipates quickly from an injected area and is used to block the area from pain. Some fillers like Restylane and Juvederm have lidocaine pre-mixed into the syringes to help with pain. Radiesse doesn't have this so many injectors chose to do a lidocaine block before the procedure. Also, technically, Radiesse is supposed to be used at deeper depths; but the depth of the filler is what is impacting your results. Not the lidocaine.
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Radiesse for Hand RejuvenationUsing a small amount of saline or lidocaine will allow the Radiesse to flow more evenly to the areas requiring filling.A small amount of epinephrine in the lidocaine may diminish bruising , but this is not much of a problemRADIESSE® can be combined with a numbing cream to minimize discomfort during the injection/s. A small needle is placed under the skin to administer the product. Typical treatment time is 15-20 minutes.
What to expect after your RADIESSE® treatment?
Results will be seen immediately following your treatment at our Newport Beach med-spa. You may experience temporary minor swelling, bruising, tenderness of the injected area/s, and lumps. Side effects should subside within a few days. After your visit you can resume daily activities, however you will be asked to avoid exercise for approximately 48 hours. You will be given specific instructions following treatment.
Merz, the makers of Radiesse, encourage the use of Radiesse mixed with lidocaine. Soon the lidocaine will come pre-mixed in the syringe.
Mixing lidocaine with Radiesse should not have a negative effect or affect its longevity just as long as equal Radiesse volumes are placed .
Results can vary, especially when it comes to provider technique. Ideally Radiesse should be placed both deep and slightly superficially for the most benefit. Fillers are difficult to get just right so its important to choose a VERY experienced provider for your treatment.
Regarding placement with Radiesse, it depends on the location as to what type of injection can be used. I would use a combination of both deep and threading technique. It is fairly standard to mixing Radiesse with Lidocaine. I will use 0.2 Lidocaine with 1.5 cc Radiesse.
One can mix Radiesse with lidocaine, however the amount of lidocaine necessary is very small. As a result you do not see the deflation issues you experienced.
Stephen M.Davis, MD, FACS
Green Hills Plastic Surgery
MOST FILLERS DO HAVE LIDOCAINE BECAUSE IT COULD BE SLIGHTY PAINFUL BUT THE MORE LIDOCAINE IS USED THE MORE THE PRODUCT BECOMES MORE LIQUIFIED. SPEAK TO YOUR DOCTOR WITH YOUR CONCERNS
Generally - no.
Most plastic surgeons mix lidocaine with Radiesse prior to injections - it is otherwise too painful. While the addition of lidocaine does make the injected material somewhat more liquid, and therefore a little easier to spread evenly (than for a thicker material), I am not aware of any studies, and it is not my experience, that show that the addition of lidocaine changes the final result.
And it's a difficult study to do, and difficult to draw conclusions based on a small number of injectable experiences. There are too many variables: depth of injection, precise amount of material injected in any one spot, swelling from the injection, any bleeding at the time of the injections, etc.
But with respect only to the addition of lidocaine I would not say that the final result should be, or is, different.
I hope that this helps and good luck,
Dr. Alan Engler
Member of RealSelf100