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Dermal filler

Radiesse®

Structure, contour and balance. A clear, evidence-aware guide to candidacy, treatment, recovery, limitations and next steps.

Evidence reviewed July 30, 2026
SettingIn-office treatment
PricingConsultation required
Provider reviewIndividualized
Confident woman in an elegant, softly lit Identity Aesthetics setting
Confidence, refined

Natural-looking results begin with an individualized plan

Your anatomy, expression and goals guide every recommendation—so the result still feels unmistakably like you.

The short answer

What is Radiesse®?

Radiesse® is a calcium hydroxylapatite injectable implant that provides immediate correction and can stimulate collagen. It may be selected to restore or refine facial volume when the product’s approved indication, tissue characteristics and your anatomy align. It is not a hyaluronic-acid filler and is not dissolved with hyaluronidase.

Concerns it may address

  • Selected lower-face folds and contours
  • Jawline definition in appropriately selected adults
  • Dorsal hand volume loss with the applicable product indication
  • Patients considering a non-HA structural or biostimulatory option
Candidacy

Who may—or may not—be a candidate

Who may be considered

Adults with moderate-to-severe facial wrinkles and folds, such as nasolabial folds, who want immediate structural correction from a non-hyaluronic-acid material. Radiesse is also labeled for restoring facial fat loss in people with HIV. It is a poor fit for anyone who wants the option of dissolving the result later, and its labeling states that safety and effectiveness in the lips have not been established.

When treatment may not be appropriate

Treatment may be postponed for active skin or dental infection, inflammation near the treatment area, pregnancy or breastfeeding, or uncontrolled medical conditions. Severe allergies, bleeding risk, immune-modifying medicines, prior filler and planned dental work must be discussed. Product-specific contraindications apply.

At a glance

Treatment facts

These are practical planning ranges, not promises. Your consultation determines the exact plan.

Treatment time
About 30–60 minutes
Comfort / anesthesia
Topical anesthetic, ice and/or lidocaine-containing product may be used
Typical downtime
Swelling or bruising is common; social downtime varies by area
When changes may appear
Volume is often visible immediately; swelling must settle before judging
How long results may last
Often about a year or longer; area, product and patient response matter
Treatments commonly considered
Often one session with reassessment; touch-up or staged treatment may be considered
Your visit

What happens during treatment

Evaluate

The provider examines the folds and contours you want treated and confirms the area is one Radiesse is labeled for. If your goal is the lips, you will be offered a different product.

Place subdermally

Radiesse is a calcium hydroxylapatite implant — particles of 25 to 45 microns suspended in a gel carrier — placed subdermally by needle or cannula. Correction is visible immediately.

Review and follow up

The area is reassessed for symmetry and circulation. You receive written aftercare and the urgent warning signs. The gel carrier resorbs over time while the collagen response continues.

Informed choice

Important risks, limitations and alternatives

Risks & limitations

Common effects include swelling, tenderness, bruising, redness, firmness, lumps or asymmetry. Rare injection into a blood vessel can cause skin injury, scarring, stroke, vision changes or blindness. Radiesse is calcium hydroxylapatite rather than a hyaluronic-acid gel, which has one consequence worth understanding before you agree to it: hyaluronidase will not dissolve it. A result you dislike is managed rather than reversed. Its labeling also states that safety and effectiveness in the lips have not been established, and that nodules have been reported in published accounts of lip injection.

Alternatives to discuss

  • No treatment or a staged observation plan
  • A different filler selected for the tissue and approved treatment area
  • A collagen biostimulator such as Sculptra or Radiesse when appropriate
  • Neurotoxin, laser, surgery or another modality when filler does not address the underlying concern
Clinical judgment

Why provider experience matters

Safe filler treatment depends on detailed knowledge of facial vessels, tissue planes and product behavior. Experienced providers use conservative planning, maintain an emergency protocol and know when not to inject—or when referral or surgery is the better option.

Identity Aesthetics approach

  • Diagnosis and anatomy before a product or device
  • Conservative planning with candid limitations
  • Licensed-provider supervision and complication readiness
  • In-office and telehealth boundaries stated clearly
Access & cost

In-office versus telehealth

Consultation and treatment are in-office. Telehealth may be used for general education, but product selection and injections require an in-person examination.

Pricing: Consultation required. Cost depends on product, treatment area, amount and whether a staged plan is safest. Exact pricing is confirmed before treatment.

Common questions

Radiesse® FAQ

Is filler reversible?
Many hyaluronic-acid fillers can be dissolved with hyaluronidase, but reversal is a medical treatment with its own risks and may not restore the exact pre-treatment appearance. Non-HA fillers are not dissolved the same way.
How much filler will I need?
There is no safe universal amount. Your anatomy, product, area, previous filler and desired endpoint determine whether treatment is conservative, staged or not recommended.
What symptoms are urgent?
Severe or unusual pain, blanching or dusky skin, a cool area, vision change, weakness, severe headache or stroke-like symptoms require immediate medical attention.

Sources & medical review

  1. FDA Patient Information — Radiesse (+)
  2. FDA — Dermal Fillers (Soft Tissue Fillers)

Medical-content evidence review: July 30, 2026. Content is written for patient education and structured from current primary regulatory, labeling and professional sources. It has not been individualized to your medical history. Product labeling and guidance can change; a licensed Identity Aesthetics provider confirms current suitability, informed consent and treatment details before care.

Your next step

Make an informed plan

Bring your goals, questions, medication list and prior treatment history. We will help you decide whether Radiesse®—or an alternative—makes sense.

Continue Exploring

Move from information to the right next step.

Explore connected treatment guidance, meet the clinical team or begin a personalized consultation.

Prepared byIdentity Aesthetics Clinical Editorial Team

Patient education developed from primary regulatory, labeling and professional sources.

Medically reviewed byDallas Alvey, MD, DDS

Chief Medical Officer – Texas · Aesthetic medicine, hormone optimization and peptide therapy.