Radiesse vs Juvederm

hi dr. irwin, i'm 38 years old and i've been adviced by this nurse in the skin clinic i go to that i may consider getting radiesse for my nasolabial folds. they'r pretty mild, but they're noticeable especially when i'm not really smiling (know what i mean?). how is radiesse given? how will my face look after the treatment? will i be able to go back to work right away? how does radiesse differ from juvederm? what are it's side effects? do you use radiesse with your patients? are they satisfied with the results? thanks, tori

Tori – 

 Good questions.  I am not a fan of Radiesse because the higher molecular weight (translate into thicker) Juvederm Ultra Plus and Perlane (Restylane’s version) are safer and, in most people, last just as long despite the Radiesse marketing.  Also, to my eye, the Radiesse can sometimes look unnaturally stiff when the face is moving.  Having said that though, there are some great cosmetic dermatologists out there who use it and love it.

Radiesse is a completely different substance than Juvederm and Restylane which are just gel forms of hyaluronic acid which has been cross linked.  It’s closer to cartilage and is calcium hydroxyapetite.

Any time you have a needle put in your skin there is a risk of bruising and bruising can rarely last even up to 2 weeks. So, it depends on your job. With Juvederm and Restylane, my patients go right back to their activities but there is an occasional annoying, persistent bruise. Remember no aspirin or NSAIDs for 1 week before. 

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skincare advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!