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Radiesse and Combination Therapies
Radiesse and combination therapies

Radiesse stands apart in the dermal filler industry due to its dual-action mechanism, among other impressive benefits. Not only does it offer immediate volume restoration, but it also promotes natural collagen production. This dual mechanism ensures that patients receive both instantaneous results and long-term benefits, making it a preferred choice among aesthetic practitioners. In this article, we’ll take a look at Radiesse – and specifically, how Radiesse can be used in conjunction with other aesthetic procedures.  But first, let’s take a look at Radiesse.

Introduction to Radiesse

The primary component of Radiesse is calcium hydroxylapatite (CaHA) microspheres, suspended in a gel carrier. Calcium hydroxylapatite is a biocompatible substance, which means it’s safely accepted by the body without causing harm. This biocompatibility ensures a minimized risk of allergic reactions or adverse responses post-injection.

Immediate Volume Restoration

The gel component of Radiesse provides immediate volume upon injection. Physicians often observe that the treatment area exhibits a noticeable enhancement right after the procedure. This instantaneous volume restoration allows patients to leave the clinic with visible improvements, increasing their satisfaction and confidence in the treatment.

Stimulation of Natural Collagen

One of the standout features of Radiesse is its ability to stimulate the body’s own collagen production. Collagen is a primary protein found in the skin, responsible for its elasticity and structure. As we age, collagen production diminishes, leading to the formation of wrinkles and loss of skin volume. By promoting collagen synthesis, Radiesse not only provides immediate benefits but also aids in the skin’s long-term rejuvenation.

Benefits Over Other Fillers

While there are numerous fillers available in the market, Radiesse boasts several advantages. Its lasting effects, typically ranging from 12 to 18 months, mean fewer visits for patients and a better return on investment. Its biocompatible nature reduces the likelihood of side effects, and its collagen-stimulating properties make it a sustainable option for long-term skin health.

Applications and Areas of Treatment

Physicians have successfully used Radiesse in various facial regions, such as the nasolabial folds, marionette lines, and cheeks. Its high viscosity makes it ideal for deeper injections, providing lift and volume in areas with significant tissue laxity. Furthermore, its use has been expanded beyond the face, notably for hand rejuvenation, addressing volume loss on the dorsal hand area.

Combining Radiesse with Other Treatments

With the increasing demand for non-surgical rejuvenation treatments, integrating Radiesse with skin tightening modalities offers a synergistic approach to achieving optimal aesthetic outcomes. The approach aligns with the objectives of many aesthetic physicians: delivering comprehensive results that are both immediate and long-lasting.

Radiesse stands out due to its unique ability to provide immediate volume while stimulating natural collagen production. It is primarily composed of calcium hydroxylapatite microspheres suspended in a water-based gel. Upon injection, it offers immediate tissue augmentation. Furthermore, as the product is gradually metabolized by the body, it leaves behind the benefits of increased collagen in the treated areas.

While the volumizing properties of Radiesse are well-documented, the inclusion of skin tightening treatments can further enhance the aesthetic outcome. Treatments such as ultrasound and radiofrequency have become increasingly popular among physicians for their ability to tighten skin without surgery. By improving skin laxity and elasticity, these modalities can complement the volume provided by Radiesse.

Benefits of Combining Radiesse and Skin Tightening

  • Enhanced Results: When used in conjunction, the two treatments can produce more noticeable improvements in facial contouring and skin texture.
  • Extended Longevity: The combined effect may lead to results that last longer than when either treatment is used alone.
  • Improved Patient Satisfaction: Delivering multiple improvements in a single treatment session can enhance the overall patient experience and satisfaction.

However, when combining treatments, it is essential to consider the timing and sequence. For example, if a physician decides to combine Radiesse with a radiofrequency treatment, it may be advisable to conduct the skin tightening session first. This allows for any potential swelling or redness from the skin tightening modality to subside before administering the filler. Such considerations help in ensuring patient comfort and minimizing potential side effects.

It’s worth noting that while the combination approach offers numerous advantages, it’s essential to assess each patient individually. Not all patients might be suitable candidates for both treatments. Proper patient evaluation, understanding their concerns and expectations, and leveraging the distinctive benefits of Radiesse and skin tightening modalities are vital for successful outcomes.

Radiesse and combination treatments

Radiesse and Microdermabrasion

Microdermabrasion is a non-invasive exfoliating procedure. It works by gently removing the upper layer of the skin, the stratum corneum, which consists of dead skin cells. The treatment enhances skin texture and tone while preparing it for subsequent treatments. Its key advantages include:

  • Minimized appearance of pores
  • Reduced fine lines and superficial wrinkles
  • Better skin texture and tone
  • Enhanced skin absorption capacity

Integration with Radiesse

When microdermabrasion prepares the skin, it enhances the absorption and adherence of dermal fillers like Radiesse. The treatment ensures that the skin is at its optimal state, free from barriers that might hinder the filler’s effects. Thus, the two combined result in a more efficient and pronounced rejuvenating outcome.

Procedure Recommendations

For best results, it is advised to start with microdermabrasion. This step ensures skin is adequately prepped, enhancing the subsequent application of Radiesse. Following are some suggested steps for practitioners:

  • Thoroughly cleanse the patient’s skin to remove any makeup or impurities.
  • Conduct the microdermabrasion procedure, focusing on areas of concern.
  • Post-microdermabrasion, ensure the skin is calm and free from any residual abrasions or redness.
  • Proceed with Radiesse injections, focusing on areas requiring volume restoration or contouring.
  • Post-treatment, advise patients on care to ensure longevity of results.

Offering patients a combination of microdermabrasion with Radiesse can provide enhanced and lasting results. Such integrated approaches cater to the increasing demand for treatments that offer both immediate and long-term benefits without extended downtimes.

Integrating Radiesse with Laser Treatments

Laser treatments in aesthetic medicine have gained significant attention due to their ability to address diverse skin concerns effectively. When combined with dermal fillers like Radiesse, the outcomes can be both enhanced and more comprehensive. This section focuses on the integration of Radiesse with various laser treatments, highlighting the benefits and procedure insights.

Laser Treatments: An Overview

Laser procedures harness light energy to target specific components within the skin, such as pigments or blood vessels. They can treat conditions like uneven skin tone, sun damage, and fine lines. Their precision ensures minimal damage to surrounding tissues, making them a preferred choice for many aesthetic procedures.

Why Combine with Radiesse?

Radiesse provides immediate volumization and promotes collagen stimulation. While laser treatments refine the skin’s surface, Radiesse addresses underlying volume loss, ensuring a multi-dimensional approach to facial rejuvenation. The combination optimizes patient outcomes by tackling skin concerns at multiple levels.

Procedure Insights

For effective results, a specific order of treatments is recommended. Begin with the laser treatment, which addresses skin surface concerns. This step ensures the skin is primed and in optimal condition. Following the laser procedure, Radiesse injections can be administered to restore volume and stimulate collagen in the targeted areas.

Benefits of the Combination

  • Comprehensive Treatment: Address both surface irregularities and volume deficiencies in one session.
  • Improved Skin Texture: Lasers promote smoother skin, which complements Radiesse’s volumizing effects.
  • Enhanced Patient Satisfaction: Achieving noticeable results in fewer sessions can lead to increased patient trust and satisfaction.

Considerations for Doctors

It’s important to evaluate the patient’s skin type, concerns, and desired outcomes before recommending a combined treatment. Not every patient will be an ideal candidate, and individualized assessment is key. Additionally, understanding the specifics of the chosen laser technology and its compatibility with Radiesse will be essential to ensure patient safety and desired outcomes.

Radiesse and Chemical Peels

Chemical peels, familiar to most aesthetic physicians, offer a method of skin rejuvenation by inducing controlled skin exfoliation. Depending on the depth and intensity, they target various skin concerns, from superficial issues like mild pigmentation to deeper concerns like wrinkles and scars. As the skin undergoes this controlled damage, it naturally regenerates, revealing a fresher and more refined skin texture.

When considering combining chemical peels with dermal fillers, the patient’s skin type, needs, and desired outcomes play a significant role in decision-making. It is advisable for the physician to assess the depth of the peel that would be most compatible with Radiesse. Superficial and medium peels are often preferable as they present minimal risks and ensure a quicker recovery time.

Here’s a potential protocol for combining Radiesse with chemical peels:

  1. Consultation: Begin with a thorough skin assessment. Understand the patient’s concerns and desired outcomes. Inform them about the benefits and potential risks of combining treatments.
  2. Chemical Peel: Perform the chemical peel first. This ensures that the skin is at its peak receptive state when Radiesse is later introduced.
  3. Recovery Period: Allow the skin to heal post-peel. The duration might vary based on the peel’s depth. This phase ensures that when Radiesse is injected, the skin is free from potential irritants, minimizing risks.
  4. Radiesse Treatment: Once the skin is adequately healed, proceed with the Radiesse injections to areas discussed during the consultation.
  5. Post-Treatment Care: Advise patients on optimal skincare. While Radiesse has its own post-care instructions, the skin might be more sensitive due to the chemical peel. Recommend gentle cleansers and moisturizers, and emphasize the importance of sun protection.

Combining Radiesse with chemical peels offers the dual advantage of enhancing skin texture while restoring lost volume. This integrated approach can result in a more harmonious and youthful appearance. It’s essential to communicate with patients and set realistic expectations. Continuous education on the latest research and best practices ensures that physicians provide the highest standard of care in the dynamic field of aesthetic medicine.


As the landscape of aesthetic medicine evolves, the value of integrating various treatments to achieve optimal patient outcomes becomes evident. Among the forefront of these combination treatments is Radiesse. Its unique ability to provide immediate volume while stimulating natural collagen production differentiates it from other fillers. When paired with other aesthetic procedures, Radiesse not only amplifies results but also often extends the longevity of treatments. For physicians aiming to deliver consistent, natural, and long-lasting results to their patients, integrating Radiesse into treatment plans offers significant advantages. It’s evident that the combination approach, with Radiesse at its core, will continue to shape the future of aesthetic treatments, setting new standards in patient care and satisfaction.

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