A question on Radiesse vs Juvederm.

Hello Dr I, Would you explain why you don't like Radiesse? and the difference between two. i tryed juvaderm loved it but lasted on only 2 months and i don't have deep lines..what is your thoughts Ty

As I’ve mentioned before, there are many good doctors who use Radiesse and love it.  In my opinion, there is just as much variability in response to Radiesse as there is with Juvederm Ultra Plus (JUP) or Perlane – i.e. it not lasting as long as expected.  Perlane and JUP are the longer lasting forms of injectible hyaluronic acid fillers.  You might want to check to see if those were used – versus Juvederm Ultra and Restylane.  Also, remember that as time goes on (just like with Botox) the product tends to last longer to a point.  It’s also possible that your face really needed two syringes to begin with.   Or, you may just be the rare person who seems to metabolize it faster. 

My main issue with Radiesse is it can’t be dissolved if there is a problem. There is an artery at the base of the nose, for example, that can rarely get blocked by a filler with possibly serious consequences, including permanent scarring.  If that happens with Juverderm or Restylane, the product can be dissolved instantly by injecting an enzyme (hyaluronidase) into the area.  There is no similiar antedote for Radiesse.  In my opinion, Juvederm and Restylane are safer. Read more about common filler mistakes.  Dr. I

Dr. Brandith Irwin, MD

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