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Radiesse: injected TOO deep?

Ask Dr. Rivkin questions on all non-surgical cosmetic procedures, laser treatments, and injection fillers, including Botox, Juvederm, Restylane, Radiesss, Sculptra, IPL, Fraxel, Thermage, Mesotherapy, Non-surgical nose job, chin/cheek augmentation, and many other procedures.

Radiesse: injected TOO deep?

Postby Alicat100 » Fri Jan 30, 2009 12:52 am

Hi Dr. Rivkin,

I've seen several people (doctors/injectors) on various sites post that if Radiesse is injected too deeply it doesn't last long at all or could migrate. Is this true? I thought it was supposed to be injected deeply. Can an injector really control the level they inject within the deep or subdermal layers?

I've felt that Radiesse in N/L folds either migrates or doesn't last a week, but my injector (MD) has said said that this is unlikely given that it's injected so deeply (which seems the opposite of what these other people are posting). If I can feel the radiesse from the inside of my mouth with my tongue after the swelling has gone, does that mean it's injected too deeply?

I'm so frustrated that nothing works on my N/L folds--and they're really not that deep. I've tried Radiesse and Restylane with one doc and Juvederm ultra plus with another. It seemed like Restyl. worked the best (maybe b/c it's injected least deep?) but still didn't diminish them much--and I'm not looking for 100% correction...

Any help/suggestions you can give would be much appreciated! Thanks very much!
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Postby AlexanderRivkinM.D. » Mon Mar 30, 2009 2:07 pm

I disagree with the concept of radiesse disappearing or migrating if injected too deep. I place radiesse on the bone when I do cheek injections, and it lasts a good amount of time and does not migrate.
In terms of the nasolabial folds, it is tough to tell what the problem is without seeing you, but if the folds are not that deep, I like juvederm alot. Frequently, patients will come in and request nasolabial fold filling, but I will steer them toward filling the front of the cheek instead. It works very well to give a perception of lifting the midface and de-emphasizes the nasolabial folds. You may want to try that.
hope that helps
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
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Radiesse: injected TOO deep?

Postby Alicat100 » Tue Apr 07, 2009 12:36 am

Thanks very much Dr. Rivkin!
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Joined: Mon Oct 22, 2007 11:03 pm

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