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Abu Dhabi, United Arab Emirates

Can i have Radiesse in cheeks after Bio-Alcamid?

I had bio-alcamid in cheeks in 2008, 2 1/2 years ago. Would now like to have Radiesse in cheeks to raise the volume. I look like i have a valley below my eyes. The doctor also said with adding volume on the cheeks, it will create a lift and help with the dark circles. The doctor wouldnt put Radiesse until i find out exactly what i had in before. Just rang my previous doctor in another country where i am from, he had told me its bio-alcamid. Back then i didnt know the long term effects this product could have. In researching i have found that when there is a permanent filler in place, i cannot put radiesse or another filler as the injection may puncture the nodule of the bio-alcamid and result in infection. But my previous doctor whom i just rang, says i can use Radiesse in the same areas as the Radiesse and bio-alcamid will be in different levels of the skin. Is this true? He also said the Radiesse will go on the superficial layer. As i am looking for volume, does this mean the Radiesse needs to go in deep?

What are yr thoughts on this? SHould i consider a different filler? A hyluronic base one like Juverderm or Perlane.

Really appreciate any advise you can give. Thanks!

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Doctor/Professional Answers (1)   


Plastic surgeon
Tijuana, Mexico
View My Professional Profile
October 19, 2010 4:32 PM

Injecting Radiesse at the same place and level of BioAlcamid involves too much risk of complications not just an infection, also induration and irregular contour on the shape and surface (more)
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Member Comments (1)

Camb, MA
United States
October 10, 2010 6:05 PM

The problem really does not resolve to 'which filler?'. The problem resolves to the possibility of puncturing the bio-alamid capsule with the needle used for any filler or possibility of injecting into the ba capsule. As to the ba being in a different layer of skin, that's only true IF the new injector is able to spot where the ba is and avoid going to close to it. Your past doctor can't really predict where the new doctor is going to inject the new product. You should try to determine the confidence level of the new doctor with regard to his being confident that he/she will be able to AVOID injecting where the ba is which will require him to be able to identify where it is on the cheek area.



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