Radiesse (Calcium Hydroxylapatite)

How it works

The gel is injected with a needle or cannula at depths suited to the area. The gel carrier gives a modest amount of immediate lift. Over the following months, the particles may encourage the body to build new collagen around them, and the carrier gel is absorbed. Doctors sometimes dilute the product with saline or lidocaine to treat broader areas of skin. The result lasts for months to a year or more, varying by person and area. Unlike hyaluronic acid filler, it cannot be dissolved with a simple enzyme injection.

Who it may suit

• Loss of support in the cheeks or jawline
• Mild to moderate skin laxity where some structure is wanted
• Skin that looks thin and crepey in areas the doctor finds suitable
• People who want both some immediate effect and gradual change

The treatment day

1. Face assessment. The doctor checks volume, skin laxity and bone structure and explains the plan.
2. Product preparation. The doctor explains whether the product is used as supplied or diluted.
3. Injection. After numbing, the gel is placed slowly at planned depths, often with checks along the way.
4. Review and advice. You see the result, receive written aftercare, and learn the signs to report.

Aftercare

• Do not press or rub the treated area unless the doctor says it is fine.
• Stay away from hard workouts, saunas and strong heat for a couple of days.
• Sleep with your head slightly raised for the first night.
• Use cold compresses gently if swelling or bruising appears.
• Report severe pain, skin color changes or any vision problems immediately.

Things to know first

• Swelling, bruising, redness and tenderness are common for several days.
• Lumps can form, and these are harder to correct than with hyaluronic acid filler.
• Vascular occlusion, where a blood vessel is blocked, is a rare but serious risk.
• It may show on some imaging as a bright area, so tell any future doctor you had it.
• Not usually advised during pregnancy or breastfeeding, or with active infection at the site. Results vary by person.

Talking through Radiesse in English

Ask whether the product will be used as supplied, for structure, or diluted, for skin quality. These are two very different goals. Say whether you want a defined jawline, lifted cheeks or smoother skin so the plan fits. Ask the doctor to point to the areas on your face and name them in English.

Ask how much will be used, at what depth, and whether it is placed with a needle or cannula. Ask who is injecting. Since this product is not easily dissolved, ask how the doctor handles problems and what the plan is for lumps. Request the product name and lot number in your notes.

Mention past fillers, keloid scars, autoimmune conditions, blood thinners and any plan for scans such as X-ray or CT. Terms you may hear: CaHA, hyperdilute, biostimulator, lift capacity and nodule. Ask about warning signs and how to reach the clinic from abroad.