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Product Overview

RADIESSE®: Complete Overview

A calcium hydroxylapatite biostimulatory dermal filler from Merz Aesthetics, providing immediate structural support while stimulating the body's own collagen production.

Brand: RADIESSE®Manufacturer: Merz Aesthetics (Merz Pharma GmbH & Co. KGaA)Country of Origin: GermanyProduct Type: Calcium Hydroxylapatite (CaHA) Injectable ImplantClassification: Injectable dermal filler and collagen biostimulator
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The Basics

What Is RADIESSE®?

Unlike traditional hyaluronic acid fillers that primarily restore volume by attracting water, RADIESSE provides immediate structural support while also stimulating the body's natural collagen production over time. It's classified as both a dermal filler and a collagen biostimulator, used in aesthetic medicine for more than two decades and backed by extensive clinical research, with FDA approval in the United States for several cosmetic indications.

Calcium Hydroxylapatite (CaHA) Microspheres

30% CaHA microspheres, smooth and spherical, approximately 25–45 μm in diameter, suspended in a 70% carboxymethylcellulose (CMC) gel carrier with sterile water and glycerin. In Phase 1, the CMC gel provides immediate structural support, lifting wrinkles and restoring contour. In Phase 2, the gel gradually biodegrades over several months while fibroblasts are activated and new Type I and Type III collagen — plus elastin, and in some studies new microvasculature — is produced, gradually replacing the gel as the CaHA microspheres are naturally metabolized.

The Line-Up

Product Line

RADIESSE®

Cheek augmentation, jawline contouring, chin enhancement, nasolabial folds, marionette lines, hand rejuvenation

Hyperdiluted RADIESSE®

A physician-prepared dilution (saline + lidocaine) for skin quality improvement — neck, décolletage, upper arms, abdomen, buttocks, thighs, crepey skin — an injection technique rather than a separate commercial product

What's Inside

Composition

30% Calcium Hydroxylapatite microspheres
70% Carboxymethylcellulose gel
Sterile water
Glycerin
Where It Helps

Clinical Indications

Facial Volume Restoration

  • Cheeks
  • Chin
  • Jawline
  • Pre-jowl sulcus

Wrinkle Correction

  • Nasolabial folds
  • Marionette lines
  • Oral commissures

Hand Rejuvenation

  • FDA-approved for correcting volume loss in the dorsum of the hands

Skin Tightening (Hyperdiluted Technique)

  • Neck laxity
  • Crepey skin
  • Décolletage rejuvenation
  • Body skin tightening
Manufacturer Claims

Claimed Benefits

Immediate lifting effect
Progressive collagen stimulation
Natural-looking results
Improved skin firmness and elasticity
Enhanced skin thickness
High patient satisfaction
Long-lasting correction
Why Clinics Choose It

Advantages

Immediate volume restoration
Long-term collagen stimulation
Strong lifting capacity (high firmness)
Excellent structural support
Longer duration than many HA fillers
Suitable for both face and hands
Can be hyperdiluted for skin rejuvenation

Limitations

  • Cannot be dissolved with hyaluronidase
  • Requires experienced injectors
  • Less suitable for very superficial injections
  • Generally not recommended for lip augmentation, due to firmness and higher risk of palpable nodules
How Long It Lasts

Typical Duration

Facial volumization
12–18 months
Some patients
Up to 24 months
Hand rejuvenation
Approximately 12 months
Hyperdiluted skin treatments
12–24 months (collagen effects vary)
What To Expect

Treatment Protocol

Usually a single session, with an optional touch-up after several months if needed. Hyperdiluted treatments may require 2–3 sessions, spaced approximately 6–12 weeks apart.

Please Read

Safety

Common Side Effects

  • Swelling
  • Bruising
  • Redness
  • Tenderness
  • Temporary firmness
  • Mild discomfort

Rare But Serious Risks

  • Vascular occlusion
  • Skin necrosis
  • Blindness
  • Infection
  • Granuloma formation
  • Nodules
  • Asymmetry

Because these risks exist with any injectable or energy-based treatment, procedures should only be performed by trained, licensed medical professionals with expertise in facial anatomy.

Who Shouldn't Use It

Contraindications

Pregnancy or breastfeeding
Active skin infection
Severe allergies to formulation components
Bleeding disorders
Active inflammatory skin disease at the injection site
After Your Visit

Aftercare

Avoid strenuous exercise for 24–48 hours
Avoid alcohol for 24 hours
Avoid excessive heat — saunas, hot baths, prolonged sun exposure — for several days
Avoid unnecessary pressure or massage on the treated area unless instructed by the injector
Seek immediate medical attention for severe pain, blanching, or vision changes after injection
Approvals

Regulatory Status

RADIESSE is FDA-approved in the United States for correction of moderate to severe facial wrinkles and folds and for hand volume restoration, CE marked and marketed across Europe, and approved in many countries throughout Asia, Latin America, Australia, and the Middle East. Specific approved indications vary by country.

Is This For You?

Ideal Candidates

  • Facial contour enhancement
  • Jawline definition
  • Chin augmentation
  • Cheek volumization
  • Deep wrinkle correction
  • Hand rejuvenation
  • Non-surgical collagen stimulation
  • Skin tightening with hyperdiluted techniques
Our Take

RADIESSE is widely regarded as one of the leading collagen biostimulatory injectables in aesthetic medicine. Its combination of immediate lifting and progressive collagen stimulation distinguishes it from conventional HA fillers, with extensive clinical evidence supporting facial contouring, wrinkle correction, hand rejuvenation, and — when hyperdiluted — skin quality improvement. It generally provides stronger structural support and longer-lasting results than HA fillers, but requires greater injection expertise since it is not reversible with hyaluronidase.

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