Radiesse ®

Facial volume loss is the biggest factor in how you look as you age. There is a literal change from the youthful "V" shape to a more box-like shape. How do you get the "V" shape back?

Radiesse® is a high-viscosity filler with long term action, natural elasticity and collagen-stimulating power. For dermal support to improve facial shape, Radiessehas remarkable staying power.

Dr. Pilest is an Elite Provider and a member of the Medical Education Faculty for Radiesse. Elite Providers are a select group of experienced providers who have achieved an exceptional level of Radiesse experience.

Medical Education Faculty members are physician leaders in the education and practice of facial aesthetics who are expert Radiesse injectors in a variety of aesthetic applications. Dr. Pilest - exclusive Black Card Expert Physician Award

About Radiesse

Radiesse is the longest-lasting injectable non-permanent, non-surgical implant material. Because of its 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. View Physician Comments on Radiesse

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 the results are smooth and natural-looking. Prone to bruising? New techniques using smooth tipped microcannulas virtually eliminate both bruising and pain.

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.

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.

Latest Technique
Using state-of-the-art injection techniques, Dr. Pilest is performing Radiesse corrections without needles. Nasolabial folds, cheek augmentation and the previously difficult correction of under-eye hollows are now comfortably and safely made with rounded tip tiny cannulas instead of sharp needles.

Injections of your Radiesse are then painless, with no bruising 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 augmentative injections is the reduction of nasolabial folds as the skin is "lifted".

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.

What are Radiesse treatments like?

A simple out-patient procedure, it is performed with a simple injected anesthesia in the physician's office and takes about 15 minutes.

Injection pain is minimized or eliminated by use of smooth tip microcannulas. Following the procedure, patients may immediately return back to daily activities, however, treatment sights may be swollen for 1-2 days. There is also a small 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 9 to 12 months. 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 additional 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

Important Safety Information for RADIESSE® Volumizing Filler
Indication:  RADIESSE® Volumizing Filler is FDA-approved for subdermal implantation for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds.
Contraindications:  RADIESSE® Volumizing Filler should not be used in patients with bleeding disorders or in patients with severe allergies manifested by a history of anaphylaxis, with a history or presence of multiple severe allergies or with a history of hypersensitivity to the components of RADIESSE® Volumizing Filler.
Warnings:  RADIESSE® Volumizing Filler should not be injected into blood vessels.  Use of RADIESSE® Volumizing Filler in any person with active skin inflammation or infection in or near the treatment area should be deferred until the inflammatory or infectious process has been controlled.  The safety and effectiveness for use in the lips has not been established. There have been published reports of nodules associated with the use of RADIESSE® Volumizing Filler injected into the lips.
Precautions:  Safety for use during pregnancy, in breastfeeding females or in patients under 18 years has not been established.  As with all skin-injection procedures, there is a risk of infection.  Patients using medications that prolong bleeding, such as aspirin or warfarin, may, as with any injection procedure, experience increased bruising and bleeding at the injection site.  Patients should inform their physician if they are using such medications.  Patients should minimize exposure of the treated area to extensive sun or heat exposure for approximately 24 hours after treatment or until any initial swelling and redness has resolved. Safety and effectiveness in the periorbital area has not been established.  The safety of RADIESSE® Volumizing Filler in patients with a susceptibility to keloid formation and hypertrophic scarring has not been studied.  Patients with a history of previous herpetic eruption may experience reactivation of the herpes.
Adverse Events:  After injection, patients may experience redness, bruising, swelling or other local side effects.  Most side effects of treatment resolve within a few days.  More rare side effects may include swelling that lasts longer, unevenness or firmness in the area injected.
Important:  For full safety information, please visit www.Radiesse.com or call Merz Aesthetics Customer Service at 866-862-1211
Caution:  Rx Only