Radiesse injections

Patients these days all come to the plastic surgeon’s office with hours of online research on procedures they are contemplating—just like you are doing now! As a result, I am always informed about a plethora of new techniques and wonder cures—and that is great.

I also hear a lot of “I read that this doctor does this this way and that that way.” So here is how this cosmetic plastic surgeon injects Radiesse! Here is some info on other fillers: Fillers

What is Radiesse?

Radiesse is a base of hyaluronic acid gel with particles of calcium hydroxy appetite that is used as a dermal skin filler to fill in the lines and wrinkles of the face. For more, see this link:

How do I inject Radiesse?

The old way of injecting Radiesse

Radiesse used to be injected directly from the syringe it came in. The material has the consistency of toothpaste—it is a little thick. Injection used to hurt, so I would give nerve blocks in the area to be injected. The nerve blocks would leave the patient numb for several hours, as if leaving a dental office .

The new way of injecting Radiesse

The current method of Radiesse injection I use involves mixing Radiesse with an equal amount of local anesthetic before injecting it into the skin. This technique in increasing the volume has several advantages:

  • Less pain because the anesthetic is already mixed in
  • Thins the Radiesse, making injection easier
  • Less bruising because there is more volume—but more swelling because there is more volume!

What to do after injecting Radiesse

  1. Place ice on the areas of the skin injected for 24-48 hours when you can.
  2. Massage the area by compressing Radiesse between your fingers or against your bones five times a day for five minutes, for 5 days.
  3. Expect the initial swelling due to anesthesia mixed with Radiesse to go away in about 48 hours and for rest of the swelling to leave in about 10 days before you see your final result, which lasts about 1-1.5 years.

Morad Tavallali, M.D., FACS

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