Steroid and Hyalase can be dissolving the Radiesse?

Question

I have done my cheeks with raddiesse filler but I'm not satisfied with the result since last month I'm taking the treatment to dissolve the fillers.my doctor uses steroid and hyalase mixd and inject to my cheeks.do you think this injection would be useful to dissolve the filler as soon as possible or I'm just wasting my money?

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry that your Radiesse results have not been what you anticipated.  Unfortunately because Radiesse is a hydroxyapatite derivative it can not be dissolved with Hyalase and the amount of steroid needed may injury the surrounding fatty tissues of your face so I would counsel you to allow the radiesse to  absorb naturally.  Best wishes.

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

Marwan R. Khalifeh, MD · Answer

It is best to wait it out.  Hyalase can cause problems and will not work on radiesse.  steroids have side effects.  good luck

Michael I. Echavez, MD · Answer

In my experience, steroid and hyalase injections will not dissolve unwanted Radiesse. Fortunately, the Radiesse will dissolve by itself over time. I have not found any substance that helps to dissolve the Radiesse faster.

Jason Emer, MD · Answer

5fu/steroids and/or saline injections can work well to dissolve Radiesse. Often we combine with Venus Legacy (RF) treatments for the best results. See an expert. Best, Dr. Emer.

Philip K. Robb Jr., MD, FACS · Answer

Hello and thank you for your question!

Radiesse is a filler that is made from calcium hydroxyappetite which is the material in bone once all the hard material is removed.

The hyaluronidase that you mentioned is used to melt or dissolve hyaluronic acid fillers. This will not work on Radiesse.

In my experience, too much steroid injection into the skin will not only effect the Radiesse but also the surrounding skin and soft tissue. You have to be very careful with steroid injections.

The Radiesse will dissolve naturally over the span of 1-2yrs- this may seem like a very long time to you but think of it as a tire with a slow leak. You will have less filler in there next month than you do this month and so on.

Hang in there- this is temporary- don't do anything that will leave a permanent effect that you'll hate for many years!

Dr. Robb

Patricia Faraz, MD · Answer

Hello and thank you for your question. Sorry you are not happy with your Radiesse results. Unfortunately Hyalase will not dissolve Radiesse since it is not hyaluronic acid and steroids can help slightly.

Melvin Elson, MD · Answer

Hyalase will have no effect on Radiesse since it is not hyaluronic acid. the steroids should help some, but it will go away completely in a few months

Francis R. Palmer, III, MD (retired) · Answer

Hi, I've performed many facial shaping procedures using dermal fillers, including Radiesse, for 30 years.  Unlike the HA fillers, Radiesse can't be dissolved using steroids, hyaluronidase or any other method. For this reason, I prefer shaping the cheeks with Restylane Lyft.  Additionally, steroid injections can dissolve fat in the cheeks creating permanent indentations. Hope this helps.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Radiesse is a non HA based filler, and hence can not be dissolved with the enzyme Hylase. The use of very dilute steroid injections couples with saline flushes and massage can help to some degree. Dr Davin Lim, Brisbane. Australia.