Radiesse is a non-hyaluronic acid dermal filler that offers the best of both worlds from a dermal filler perspective. Radiesse offers immediate results upon injection, and then causes an internal stimulation of collagen growth, known as collagenesis. This collagen growth can drive long-term results, and in some cases, permanent results, following injection. Unlike Artefill/Bellafill, the permanent result is not because of the presence of an inert molecule. With Radiesse, the long term outcome is created by your body’s organic response to the Radiesse molecule, making the outcome as natural as possible.
Radiesse is a calcium hydroxyapatite microsphere filler consisting of 30% microspheres, and 70% carrier gel. It offers an immediate correction, and as stated before, it initiates an “internal engine” for creation of new, youthful collagen. Of all available fillers, Radiesse is the hands-down, undefeated, heavyweight champion of the world at lifting sagging tissue, especially in the cheek and midface. Radiesse has the highest degree of cohesivity, g prime, and viscosity out of all available dermal fillers. It’s g prime is DOUBLE that of Restylane-L, and Restylane Lyft, and TRIPLE that of Juvederm Voluma.
Again, the translation of this elevated g prime/cohesivity is that this molecule offers an unparalleled amount of tissue lift after injection, but will not aggressively attract water to itself. As such, this filler is best suited to lift sagging tissue rather than volumize tissue with significant volume loss. Our practice uses Radiesse Plus for patients requiring moderate to severe correction of sagging cheeks, sagging brows, and sagging jowls.
Unlike its competitor, Voluma, the action and outcome of Radiesse Plus® is completely dose independent. Translated, this means that you will get lift and longevity from Radiesse Plus® whether you inject one tube or six tubes, meaning there is no minimum requirement of injection to create lift or longevity of product. This makes Radiesse Plus® an incredibly reliable product in terms of outcome, as it allows me to judge with confidence, accuracy, and precision as to how much Radiesse Plus® is required to get your best overall result. In our experience, Radiesse Plus® will last a minimum of 1 year, and up to 2 years after injection, with an average longevity of 15 months.
Radiesse Plus® also stands out from its competitors in how it is packaged. Radiesse Plus® comes in 1.5 milliliter sized tubes, while all other fillers are sized at 1milliliter or less. This means that Radiesse Plus® injection tubes have, on average 33% more filler than their counterparts. Radiesse can be safely injected into the deep subcutaneous plane, as well as the deeper planes of the face. This means that patients commonly receive a multiplanar-type rejuvenation from Radiesse alone, especially in the midfacial, or cheek region. Upon injection, there is an immediate lift effect. Over the next 24 hours after injection, the cohesivity of the Radiesse Plus® molecule binds into the injected area, meaning that this product is incredibly resistant to migration and moving from the right position to the wrong position. Radiesse Plus® also has 0.3% lidocaine inside the gel itself. Lidocaine is a numbing agent used to reduce discomfort. Just like Restylane-L, Juvederm Ultra XC Plus, and Voluma, Radiesse Plus® can be safely injected in a comfortable fashion with minimal discomfort.
Conversely, Radiesse Plus® is absolutely never used in our practice for lip volumization, correction of the lower eyelids, or along the nasal skin. In these areas, hyaluronic acid fillers (especially Restylane-L and Restylane Silk) are both safer and offer better cosmetic results. Radiesse is offered at $700 for the initial 1.5ml tube, then reducing $50 per tube to $450. Most patients require 2-3 tubes for optimal midfacial correction. Brow correction usually requires 1-2 tubes. Lower facial correction can require 1-3 tubes depending upon how much sagging is present.
This patient received 3milliliters of Radiesse Plus® to her midface and lateral cheeks, and 40 U of Xeomin to her brows. Note the improvement in both the middle and lower 1/3 of her face. Results shown are 2 months after injection.