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.