When considering Radiesse injections before a surgical procedure such as a trapeziectomy, it's important to take several factors into account: Consult Your Surgeon: It's crucial to discuss this with your hand surgeon. They will provide guidance based on your specific medical history and the details of your upcoming surgery. Healing and Inflammation: Radiesse is a dermal filler that can cause temporary swelling, bruising, or inflammation. These effects might complicate the surgical area or interfere with healing if administered too close to the surgery date. Timing Considerations: Generally, it's advisable to allow ample time between cosmetic procedures and surgery to ensure any side effects from the filler have resolved. A month might be sufficient, but this can vary depending on individual healing responses. Risk of Infection: Any injection carries a small risk of infection, which could complicate surgical outcomes if it occurs near the surgical site. Impact on Surgical Planning: The presence of filler might alter the texture or anatomy of the hand temporarily, which could impact surgical planning or outcomes. In summary, while a month might be an adequate buffer, it's essential to get personalized advice from both your dermatologist or cosmetic specialist and your hand surgeon to make an informed decision.