Possible Causes of Lumps Long After Cosmetic Filler Application, and the Importance of Diagnosis

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A lady had Radiesse injected into her chin 13 months prior, which caused the appearance of some very big lumps. She wants to know how to remedy this situation.

New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, explaining how longer-lasting fillers like Radiesse have a tendency to become slightly lumpy soon after application, but usually smoothens out with the help of facial movement and massage, so the possibility of lumps may be caused by encapsulation of the material, or worse a biofilm infection:

0:44 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, and talks about his experience using a wide variety of fillers, as well as dealing with filler-related complications in his practice

1:50 — How injectables can sometimes feel lumpy and irregular after the initial injection

2:46 — The importance of ruling out the possibility of a biofilm or low-grade infection, as well as getting a one-on-one consultation with a qualified physician to determine the proper course of action

5:35 — How it may be possible that the lumps are a result of irregular distribution of the filler material

6:20 — Dr. Prasad explains what Radiesse is and how it works, and talks about the challenges of using Radiesse

7:10 — Dr. Prasad’s recommendation

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