What can I do with the radiesse overfill? (photo)

Hi ES. You had a much more natural appearance 3 years ago. If you had lost volume after that, but before the Radiesse, it's possible that your injector did not have a keen eye for where the product needed to be placed to keep you looking natural. Injection procedures are as much art as they are science which is why prices vary from office to office. If you are looking for cheek volume alone, another good option is Sculptra, which may look more natural for you. The results can also last up to 2 years.

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

Hi ES,It is not the Radiesse per se that has "messed the proportions" of your face, but rather the artistic vision of the injecting physician. The best course for you is to allow the Radiesse to dissipate over time, and then seek a physician injector with good artistic vision. I would not recommend the removal of any facial fat. Rhinoplasty can be performed, but again it is most important that you choose your rhinoplastic surgeon most carefully. Good luck and be well.Dr. P

Its best you wait until your body has metabolized Radiesse naturally then having it surgically removed, you could make this issue worse doing so

Way overfilled in many areas. Radiesse can not be dissolved, wait for time to dissolve it. Would not recommend liposuction of any fat from the face because when radiesse disappear, the face will look hollow.You did not need any filler to begin with. Fillers are way over usedSamir Shureih MD.FACSsshureih@msn.com

Unfortunately, not much.  Unlike the hyaluronic acid (HA) fillers that can, at least in theory, be modified post-injection with the use of hyaluronidase, there is no known material that can "reverse" or "erase" Radiesse.  Radiesse is generally an excellent filler and has become my preferred filler for many of the areas you describe (malar eminence, nasolabial folds).However, you've had a lot done to your face and, at this point, I would advise that you take a break from doing anything else until your body has had a chance to resorb a lot of what was injected.  At that point you can reassess and decide what, if anything, you want to do next.I would also advise consultations with board-certified plastic surgeons before proceeding with any surgery, aside from the benefits of doing so even for the injectables.I hope that this helps and good luck,Dr. E

From the photos provided, the face appears over-filled without the aesthetic shape that best defines a naturally, beautiful, youthful and feminine face. This points out the most important factor in selecting the plastic and cosmetic surgeon to perform cheek augmentation with fillers...a complete understanding of the aesthetic beauty principles that define what make a face more attractive. Fillers add volume and if this volume is added in the wrong place and/or in the inappropriate amount the face will not be made more attractive. There's no way to dissolve the Radiesse but it can be removed via micro-liposuction or in the "worst case" just left alone to disolve on its own, typically within a year. Moving forward you might consider becoming familiar with the beauty principles for the female face as a means of selecting where and by whom your fillers are provided. We prefer using Perlane for cheek augmentation.