When does the volume decrease after radiesse injection. I had a syringe in each cheek a month ago. I was definitely overfilled?

Question

Radiesse overfilled in cheeks

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

Mitchel Goldman, MD · Answer

The results of Radiesse injections are temporary, but can last for up to one year. Hyaluronic acid gel fillers can be dissolved, however, there is no way to dissolve Radiesse.

Alan M. Engler, MD, FACS (retired) · Answer

Radiesse can last for up to a year and, sometimes, even longer.  There is, perhaps unfortunately, no "reversal" agent for Radiesse the way there is for the HA products.  Even in that case, though (ie, the HA products) there is no guarantee that an unfavorable result or complication can be reversed adequately.  At least, though, there is a product that "dissolves" whatever portion of the filler material it comes in contact with.  There is no comparable product for Radiesse and, as such, you have to wait for it to disappear on its own.  That can take up to 18 months, or sometime even longer, but does not usually take that long in my experience.I hope that this helps and good luck,Dr. E

F. Victor Rueckl, MD (in memoriam) · Answer

Unfortunately there is no counter product for Radiesse like there is for hyaluronic acid fillers like Restylane and Juvederm. Time will take away the Radiesse, but it can be there for up to a year average in that area. "This answer has been solicited without seeing this patient and cannot 
be held as true medical advice, but only opinion. Seek in-person 
treatment with a trained medical professional for appropriate care."

When does the volume decrease after radiesse injection. I had a syringe in each cheek a month ago. I was definitely overfilled?

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Answers (4)

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