Will Laser Treatments Make Radiesse Dissolve Faster?

Question

I am considering having Radiesse injected next week. I also am looking to schedule to a Pearl Laser Treatment. Will laser treatments like Pearl Laser cause Radiesse to dissolve faster?

Sanusi Umar, MD · Answer

Depending on the type of Pearl Laser treatment you are getting, it should not affect your Radiesse treatment. If you are receiving a more aggressive form, then yes, it may dissolve the dermal filler as the laser treatment may reach the level of the filler. But to be safe, you can ask your doctor if you should receive the Pearl Laser treatment

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

Lorrie Klein, MD · Answer

We have found that the heat produced from some lasers partially dissolve fillers if the laser treatments are performed within two months of injecting the fillers. We have seen this happen so consistently that we actually use the lasers to dissolve filler if patients come to us from other clinics unhappy with their fillers and want them removed. While hyaluronidase dissolves Juvederm and Restylane, Radiesse doesn't have an "eraser" like this so lasers, such as GentleYag work well to reduce it to some degree.

Michael A. Persky, MD · Answer

Hi T,
It depends which Pearl treatment that you are having.  If you are having the traditional Pearl treatment, the laser is very superficial so there are no worries about the Radiesse.
If you are having the deeper Pearl treatment with YSGG, then the laser may reach to the level of the filler.  There have not been any conclusive studies that show that having the laser treatment dissolves the filler any faster.
Since you have not had the filler yet, and are contemplating the laser treatment, it is always better to have the laser treatment first, heal, and then if you still need filler then have it.
Good luck and be well.
Dr. P

Steven Wallach, MD · Answer

It is highly unlikely that the Pearl will have any effect on the Radiesse. The Pearl works very superficially and should not impact it at all. However, if you are concerned, you can always have the laser treatment first, wait a few weeks and then have the Radiesse injected.

Bryan K. Chen, MD · Answer

Radiesse is usually injected deeper into the soft tissue (subcutaneous or subperiosteal).  If the material is injected under the muscle, it may be hidden from the inflammation that is caused by the laser.  If the injections are more superficial, the inflammation from the Pearl laser treatment could increase the rate of Radiesse break-down. 
It might be better to schedule your Radiesse injections 2-3 weeks after the Pearl laser, after the redness/inflammation from the laser has mostly resolved.
Good luck.

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