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Will a Kenalog Injection Help Reduce 'Bulky' Radiesse Results?

Kenalog is a particulate steroid which alters your body's natural immune response. It is effective at reducing inflammation by reducing your body's to produce certain proteins that are part of your immune response. Kenalog has the following risks that your physician should discuss clearly with you. 1. tissue atrophy (a permanent problem) 2. in reducing your immune response can make you more prone to infection temporarily in the injected area. 3. can cause hypopigmentation of the skin (making your skin appear lighter - again a permanent problem). 4. systemically it can also temporarily increase blood sugar (usually not an issue in individuals who are not diabetic or in small doses of the medication). It may also not correct the problem you're dealing with - especially if the residual swelling is secondary to a fluid collection. You should discuss this issue in detail with your treating physician. He will likely tell you to wait and monitor your progress carefully with you for the next few weeks.

Clinical Context

Radiesse's calcium hydroxylapatite particles come suspended in a gel carrier that provides much of the initial volume. That carrier is gradually absorbed over the following weeks as your own collagen forms around the particles, so treated areas often look and feel fuller or firmer at first than they will later. This normal remodeling process is why most surgeons recommend waiting several weeks before deciding whether an area needs further treatment.

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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