Radiesse

Dr. Pilest is a Premier Provider and Medical Education Faculty for Radiesse. Premier Providers refers to a select group of experienced providers who have achieved an exceptional level of Radiesse experience and Medical Education Faculty refers to physician leaders in the education and practice of facial aesthetics who are expert Radiesse injectors in a variety of aesthetic applications.

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Dr. Pilest receives exclusive Black Card Expert Physician Award for 2007

What is Radiesse?

Radiesse ( previously known as Radiance ) is one of the longest-lasting injectable implants. Because of it's components and duration, Radiesse is more aptly referred to as an implant rather than a filler. It is used for soft tissue augmentation in the correction of deep facial folds and creases and restoration of volume loss in hollow facial areas. Radiess has also become an alternative to rhinoplasty for nose reshaping (More information).

Because it has lengthy duration and is easily shaped it is perfect injectable product for use in the nose and cheek area. An effective cheek augmentation implant-alternative, when injected orally, the results are smooth without typical bruising. Intra-Oral Radiesse

Total Dermatology Patient
Radiesse Cheeks and NasoLabial Folds
Juvederm Lip Area and Marionette Lines

The tiny microspheres provide a scaffolding into which the body's own tissue can grow and maintain the implant in place. See How Radiesse Works (This short demonstration clip from Bioform loads slowly but helps explain the process.)

Before and After Photos of Radiesse Patients (Side by Side)

Radiesse has proven to be a very versatile facial contouring product and has demonstrated durable augmentation in areas such as chin and cheek where a larger volume is required. It maintains a soft, natural feel and takes on the characteristics of the surrounding skin tissue.

View Radiesse Photos	Radiesse in the News

Dr. Pilest has found Radiesse to be particularly well-suited for long-lasting correction of deep nasolabial folds. Results typically last 1 - 2 years.

Dr. Pilest is one of only 86 physicians throughout the country who serve as a member of the Medical Education Faculty for Radiesse. As a specially selected MEF, he is responsible for training other physicians in the use of Bioform's Radiesse long-term injectible product.

Latest Technique July 2007 - Intra-Oral Bruise-Free Pain-Free Injections
Using state-of-the-art injection techniques, Dr. Pilest is perfoming Radiesse corrections intra orally. Nasolabial folds, cheek augmentation and the previously difficult correction of under-eye hollows are now invisibly made by injecting from inside the mouth.

First you will receive an oral anesthetic block (as you would from the dentist). Injections of your Radiesse are then painless, with no brusing and no surface needle marks. There are no tell-tale signs to indicate you have had a cosmetic treatment. You will simply look better and more youthful. One added plus of the cheek augmentive injections is the reduction of nasolabial folds as the skin is "lifted". Ask Dr. Pilest if intra-oral injection of Radiesse is indicated for your needs.

Radiesse was used for this patient to provide a subtle enhancement of the cheekbone, softening of the nasolabial fold and a minor "adjustment" to the prejowl area.

Dr. Pilest urges patients who are looking into the longer term filler products to be particularly vigilant in selecting a physician.

"The injection technique with this material is critically important. Respect these fillers, they do not readily forgive a mistake." Elson, M., MD Advances in Healthy Aging

I would like to thank you for the opportunity to learn more about Radiesse. Dr. Pilest was able to provide me with advanced and personalized training. I do not think I can get this type of experience in any other course. Thank you, Dr. S.Figueroa

Radiesse consists of calcium hydroxylapatite microspheres suspended in gel (carboxymethylcellulose). Because calcium hydroxylapatite is a normal constituent of bone, it should not elicit a chronic inflammatory or immune response. Additionally, Radiesse does not require allergy testing. Radiesse is an effective non-surgical treatment which provides immediate smoothing out of wrinkles and most scars.

The microspheres of CaHA have been shown to last up to seven years clinically. Radiesse should provide a long lasting correction, however individual results may vary, affected by age, skin type, lifestyle and muscle activity.

Read what physicians across the country say about Radiesse.

What are Radiesse treatments like?

A simple out-patient procedure, it is performed under local anesthesia in the physician's office and takes about 15 minutes.
Injection pain is minimized or eliminated by use of a topical cream (ELA-Max)  or pain blocks may be performed immediately before the procedure. Following the procedure, patients may immediately return back to daily activities, however, treatment sights may be swollen for 1-2 days. There is also potential for bruising at the injection sight, which may be covered with makeup.

How long will the results last?
Depending on the areas treated, most of the correction may last for many months, or even years. Dr. Pilest's patients usually see results that last between 1 to 2 years. Touch up treatments may be necessary to maintain desired correction. 

Can other filler products be used along with Radiesse?
Restylane, Juvederm, Cosmoderm or other dermal fillers may be used as layers to fill the more superficial lines and wrinkles. There is no restriction to using additonal fillers. Radiesse is not used in our office for lip augmentation to prevent the possibility of nodules which could form in the lip.
See Before and After photos here

Complementary Treatments

Botox for Relaxing Wrinkles and Smoothing Skin Surfaces
Fraxel for gentle resurfacing of aging, dull, sun damaged skin and melasma
Thermage for contouring and tightening the face, and tightening the neck, arms and abdomen
Restylane for Lip Augmentation and Wrinkles
Juvederm for Lines and Lips
Fotofacial for Sun-induced Pigmentation