Can Radiesse migrate from my cheeks to the corners of my mouth?

Question

On both sides of my mouth, I recently noticed large, thick nodules. I'm not sure if these are normal. I've read some places that refer to this spot as oral commisure and said it's normal to have thicker skin here. Other places I've seen perioral mounds referred to. But I'm concerned these nodules are from the radiesse I had in my cheeks 1.5 years back. Is that possible?

Raffy Karamanoukian, MD, FACS · Answer

Radiesse is an FDA-Approved filler that we use very frequently in our office to sculpt the contours of the face. Since we are a national center of excellence for filler reversal, we also encounter patients from other doctors' offices who wish to have Radiesse fillers removed for one reason or another. In our office, we employ a directed technique to visualize the filler material, if possible on ultrasound, and then use non-surgical methods to dissolve the filler or granuloma tissue using intralesional injections. There are many methods using a combination of enzymes, intralesional modulators of scar tissue, and Kenalog to help reduce volume and remaining filler. These techniques require meticulous attention to detail and can be performed at intervals of two to three weeks to achieve longterm effect.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

This is difficult to answer without pictures, but it is unlikely the Radiesse migrated. Radiesse results last 12-15 months. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Melvin Elson, MD · Answer

The simple short answer is no the Radiesse did not migrate and produce this. most likely this is just your natural facial appearance

Can Radiesse migrate from my cheeks to the corners of my mouth?

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Can Radiesse migrate from my cheeks to the corners of my mouth?

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