Radiesse is the brand name of a great filler made by Merz Aesthetics. It’s used in the face and hands to help soften wrinkles, fill in hollow areas, and rejuvenate the skin. However, it does have a reputation for being difficult (or even impossible) to melt and remove.

Why would you want to melt filler? Melting of filler is fairly common for multiple reasons: you might have been over-injected, you might have been injected by an inexperienced injector, or your injector might have injected it too close to the skin’s surface causing lumpiness or an excess of filler in certain areas.

The most commonly used fillers in the world – Hyaluronic Acid fillers – are extremely easy to melt. However, for Radiesse, there is no easily available melting agent that can get rid of calcium hydroxyapatite (the chemical that makes up Radiesse). That is, until you’ve read this article!

First Step: Saline Solution

The first line of defense is to inject the excess Radiesse with saline solution, the same fluid that you get in your veins with an IV drip. This will dilute the Radiesse and, with
pressure, can help to thin it out.

Second Step: Sodium Thiosulfate

If you have a nodule or lump, AND if saline injection alone can not thin out your Radiesse enough, then I can inject sodium thiosulfate. Sodium thiosulfate has the effect of “melting” Radiesse, causing lumps to soften and disappear, and also allowing the Radiesse scattered in your face to melt and go away.

I need as many details of your injection as possible to ensure that I am able to fully melt your Radiesse. Sodium thiosulfate is a safe injectable, but obviously will not do anything unless it’s placed into the exact areas where you’ve had Radiesse injected.

Injecting sodium thiosulfate into a lump is substantially easier, but it may take several injections to fully dissolve a lump. A thin layer of Radiesse usually only needs 1 or possibly 2 injection sessions of sodium thiosulfate to see a difference. So, patience is key!

What If You Don’t See Any Difference

If you have had saline and sodium thiosulfate injections and don’t see a difference, then most likely, the Radiesse isn’t the main problem!

Both injectables will thin out and eliminate calcium hydroxyapatite, so if you do not notice any difference with several injection attempts, then your Radiesse has already dissipated/melted.

If you’d like to set up a consultation and treatment session to remove your Radiesse, please contact my office at info@drkim.com or call/text us at (415) 362-1846. I look forward to meeting you soon!

In Vitro Analysis of the Degradation of Calcium Hydroxylapatite Dermal Filler: A Proof-of-Concept Study

https://journals.lww.com/dermatologicsurgery/Abstract/2018/11001/In_Vitro_Analysis_of _the_Degradation_of_Calcium.3.aspx

The Use of Intralesional Sodium Thiosulfate to Dissolve Facial Nodules From Calcium Hydroxylapatite

https://journals.lww.com/dermatologicsurgery/Citation/2020/10000/The_Use_of_Intralesi onal_Sodium_Thiosulfate_to.27.aspx

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