Does mixing Radiesse with lidocaine alter the results?

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.

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

Radiesse is mixed with lidocaine prior to the injection, which is recommended by the manufacturer. I only add 0.4 cc of lidocaine to 1.5 cc
of Radiesse to retain its properties while other physicians may add much
more creating a more dilute product. So, as long as the
product isn't being overdiluted, mixing with lidocaine is perfectly acceptable.  In my hands, the technique of injection varies depending on the location
of the injection. For midface injections in the cheek, I get the best
results with deep depot injections followed by manual molding. For
injections into the temple, I get the best results by bolusing the
product as well. Since Radiesse is a firm product, it is designed to be
placed deeply. I will use a linear threading technique for the
injection of Radiesse into the nasolabial folds (line from nose to
corner of mouth), marionnete folds (line from corner of mouth to jaw),
or to support the oral commisure (corners of the mouth). The longevity
of the product depends on where it is placed (more movement = shorter
duration) and the dilution with lidocaine (more lidocaine mixed in may
mean more "stuff" to inject, but not more product per se). I feel only
"core" injectors should perform cosmetic injectables (facial
plastic surgeons, plastic surgeons, dermatologists, or occuloplastic
surgeons). This is because we all have a keen understanding of facial
anatomy and the effects of injecting Radiesse in different
regions of the face.  I wish you well!

Radiesse is not affected by lidocaine.  However if you use large volumes of lidocaine then you must compensate for the extra volume.  The lidocaine will be reabsorbed by the body so the area needs to be slightly overcorrected to account for this loss of volume as the lidocaine is reabsorbed.

Radiesse is not effected by lidocaine.  However, if you use a lot of lidocaine, the volume of injection will go down after a few days.  But the clinical results are not effected and collagen stimulation still happens.  Best, Dr. Emer.

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, FACSGreen Hills Plastic Surgery