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What are some complications that could arise after a Radiesse procedure?

Radiesse has similar side effects as any other filler. Typically, pain, bleeding, bruising, swelling, redness at the injection site can occur. Vessel occlusion is also a very rare side effect of any filler as well. Unlike hyaluronic acid fillers, Radiesse cannot be dissolved with hyaluronidase. Radiesse works very well when injected into the nasolabial folds, cheeks, and folds around the mouth. Radiesse should not be injected into the lips, as it can leave visible nodules. Radiesse is also not commonly used at the eye troughs. Hyaluronic acid fillers are preferred for those areas.

Clinical Context

Radiesse is made of calcium hydroxylapatite microspheres suspended in a gel carrier. The gel is gradually absorbed by the body over months while your own collagen forms around the particles, giving a longer-lasting result than hyaluronic acid fillers. Because it's thicker, injection depth matters: placed too close to the skin surface, it can create visible bumps, particularly around the lips. Unlike hyaluronic acid fillers, Radiesse has no reversal agent, so choosing an experienced injector who understands facial anatomy is especially important.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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