Radiesse Information & Instructions

What is Radiesse®?

Radiesse is a dermal filler composed of calcium hydroxylapatite (CaHA) microspheres suspended in a gel. It provides immediate volume and stimulates collagen over time.

• Standard Radiesse® is used for contouring and volumizing.
• Hyperdilute Radiesse® is Radiesse mixed with saline/lidocaine, used to improve skin quality, texture, and elasticity in larger surface areas (e.g., neck, décolleté, etc.)

 

Pre-Treatment Instructions

To reduce the risk of side effects such as bruising or swelling:

• Avoid blood thinners for at least 3–5 days prior:
• Aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve)
• Fish oil, vitamin E, Ginkgo biloba, garlic supplements
• Alcohol
• Always consult your physician before stopping any prescribed medication.
• Start arnica (optional): Arnica tablets or gel may help reduce bruising. Begin 2 days before treatment.
• Stay hydrated.
• Avoid smoking for 24–48 hours before and after the procedure.
• Do not schedule major social events or photos within 7 days of treatment.
• Avoid dental work, vaccinations, or major procedures for 2 weeks before and after treatment.

 

Day of Treatment

• Come with a clean face (no makeup, moisturizer, or sunscreen).
• Eat a light meal beforehand to avoid dizziness.
• Inform your provider of any recent illness, cold sores, or medications.

 

Post-Treatment Instructions

 

Normal Side Effects (Lasting 1–5 Days):

• Swelling
• Bruising
• Tenderness or redness
• Lumps (may be palpable but should not be visible)

 

Care Tips:

• Ice the area (15 mins on/off for the first 24 hours).
• Sleep with head elevated the first night if treated in the face or neck.
• Avoid touching, massaging, or applying pressure unless instructed.
• Use Tylenol (acetaminophen) for discomfort. Avoid NSAIDs for 24–48 hours if possible.
• Use Arnica gel or tablets to reduce bruising.
• Avoid makeup for 24 hours.
• Do not lie flat for 4 hours post-injection if treated in the face.

 

Avoid for 24–48 Hours:

• Alcohol
• Vigorous exercise or heat exposure (e.g., saunas, hot yoga)
• Sun exposure or tanning
• Facials, massages, microneedling, lasers, or waxing in treated area
• Tight clothing if body areas (e.g., neck, arms) were treated

 

Additional Notes for Hyperdilute Radiesse®

• Results are gradual; skin tightening and textural improvements will appear over 6–12 weeks.
• Multiple sessions may be required (typically 2–3 spaced 4–6 weeks apart).
• Mild firmness or lumpiness may occur and usually resolves as product integrates.
• Do not massage the area unless specifically advised.
• Avoid direct sun exposure to the treated area for at least 7 days.

 

When to Call the Office

Contact your provider immediately if you experience:

• Severe pain or skin discoloration (white, gray, or dark blotches)
• Lumps that worsen or increase in size
• Fever, chills, or signs of infection
• Blurred vision or sudden headache after facial treatment