Had Radiesse 6 months ago. What can I do to improve my face after Radiesse injections? (photo)

Question

Feel that it has aged me and took away softness from my face...my nlf look more deeper too...had botox in jaw too which I didn't like either bc it also gave me an older appearance. ..I'm 42 and have an appt with a new injector...what can I do to improve aesthetics of my face?

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph and I am sorry that your results have not been what you anticipated.  Because Radiesse can not be dissolved you will need to camouflage your current results with better placed dermal fillers.  This can be additional Radiesse or one of the HA fillers like Voluma or Lyft.   I would recommend treatment into the apple of the cheeks and any remaining filler placed deeply into your smile lines.  Hope this helps.

Nelson Lee Novick, MD · Answer

Let me start by saying that I am sorry that you are experiencing this problem. Unfortunately, while the photo is helpful, there is no substitute for an in-person examination for determining what would actually be best for you. In the meantime, you really need to clarify in your own mind exactly what feelings about your appearance are evoked by your current, post-Radiesse appearance when you look in the mirror. For example, do you feel you are looking sad, angry, tired or saggy. Such information will help your new injector (hopefully a board certified aesthetic physician with sufficient experience and expertise in the use of fillers for nonsurgical facial rejuvenation) to create a specific treatment plan to meet your needs. The photo suggests that you might benefit from refining the marionette lines; defining the vermilion border, particularly of the upper lip; possibly addressing some volume deficit posteriorly in the region in front of the ears; adding some filler along the smile lines; and addressing the jowls along the jawline. The bottom line: you need to be sure you are consulting with an experienced injector and it would be wise to ask to see his/her before and after photos before agreeing to proceed. Best of luck.

Jason Emer, MD · Answer

I recommend fillers for the folds themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments, J Plasma and peels to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer

Leslie Pickens, MD · Answer

Thank you for your question.  It would be good to see a photo before your injection.  The good thing about filler is you can place a little at a time to sculpt and contour.  It is usually better to add in stages to see results from each addition.  Radiesse is good for adding volume to cheeks to reduce the nasolabial fold appearance.  Also the volume on the sides of your lips could be restored to help round out your chin and a little to even out your jawline.  A combination of Radiesse and hyaluronic acid filler can give total facial rejuvenation.  Another alternative is Vampire Facelift with a small amount (as little as 1 ml) of hyaluronic acid filler and PRP placed at strategic places as mentioned above to rejuvenate your whole face for long lasting results and overall volume and softening.

Israr Wong, MBBS · Answer

Dear Towork,

Thank you for putting your faith in us to suggest a suitable treatment for you. I would highly suggest augmenting the zygoma and cheek apex with high G prime lifting fillers like Radiesse or Ellanse PLACED DEEP ON THE BONE, to achieve volumising and lifting effects at a go. That would soften your nasolabial fold and lift your jowls slightly and then you could place the above fillers mentioned there as well. 
This would give an overall aesthetically pleasing result as the causes of aging - the mid cheek fat pad descent and cheek and zygoma loss of volume are suitably addressed.
Of course a threadlift would be good to be combined together but do make sure you find a doctor well versed in the threadlift as it has a very steep learning curve.

Steven Swengel, MD · Answer

Hello thank you for sharing your picture and your questions. The best advice I could give you would be to get a consultation by a provider who is able to offer multiple options to improve your skin. What I mean is someone who can offer laser treatments, fillers, Botox and great products. It is with combination procedures and a good assessment of your face that someone can come up with the best plan. I typically like to talk to my patients and find out what bothers them and then I can see what I can offer. Fillers such as Radiesse are excellent products to use deep to bone and provide structure of the loss of fat and bone that we experience as we age. Hope this helps, Dr. S.

Davin Lim, MBBS, FACD - Account Suspended · Answer

The product is only as good as the injector. There are many methods to improve your skin tone and volume, in your case I would assess your suitability for treatments like Ultherapy to lift the lower 1/3 of your face, and then consider fillers to enhance your mid and upper 1/3 . Depending on your goals, a Specialist can tailor a program to enhance and improve facial features. Getting to know you and your end goals is the very first step for effective rejuvenation. Dr Davin Lim. Brisbane. Australia.

Had Radiesse 6 months ago. What can I do to improve my face after Radiesse injections? (photo)

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