Frequently Asked Questions

RADIESSE is a specific type of dermal filler called an injectable biostimulator. RADIESSE acts directly on cells inside the skin to replenish its natural reserves of collagen and elastin.1 RADIESSE and RADIESSE (+) are FDA-approved to smooth moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth).2,3 RADIESSE is also used for correcting volume loss in the back of the hands.4

RADIESSE is injected under the skin in a quick procedure that can be done over the lunch hour.2

RADIESSE treatments are generally completed in a brief in-office visit by a trained healthcare provider.5

Restoration of volume and smoothing of the appearance of wrinkles and lines are visible immediately after a RADIESSE treatment.2,6 Over time, RADIESSE stimulates the production of collagen1,7-10 and elastin,8-11 supporting continued improvement in skin quality.9 Results have been shown to last up to 2 years.12

Yes. Rapid weight loss—especially from glucagon-like peptide-1 (GLP-1) medications—can lead to visible changes in the skin of the face, such as hollowness or sagging.13 RADIESSE helps your skin rebuild its own collagen,1,7-10 improving firmness,14 elasticity,8,9,11 and definition3 over time. Rather than simply “filling” space, it strengthens your skin’s foundation from within.1

Both RADIESSE® and Sculptra® are biostimulators, but they are formulated with different active ingredients. RADIESSE is made with calcium hydroxylapatite (CaHA), a mineral-like substance also found naturally in the body.1 RADIESSE provides immediate volume correction and also stimulates collagen and elastin production over time.6,8,9

Sculptra® contains poly-L-lactic acid (PLLA), which is designed to stimulate collagen production gradually over a series of treatments.15

References:
1. Aguilera SB, et al. Aesthet Surg J. 2023;43(10):1063-1090.​
2. Radiesse [Instructions for Use]. Franksville, WI: Merz North America, Inc; 2023. ​
3. Radiesse (+) [Instructions for Use]. Franksville, WI: Merz North America, Inc; 2023. ​
4. Radiesse for Hands [Instructions for Use]. Franksville, WI: Merz North America, Inc; 2023. ​
5. Merz North America, Inc. Patient information guide. Published April 2023. Accessed March 2026. https://radiesse.com/app/uploads/2024/07/radiesse-patient-guide-nlf.pdf
6. Tzikas TL. Dermatol Surg. 2008;34(suppl 1):S9-S15. ​
7. Yutskovskaya Y, et al. J Drugs Dermatol. 2014;13(9):1047-1052. ​
8. Yutskovskaya YA, et al. J Drugs Dermatol. 2017;16(1):68-74. ​
9. Yutskovskaya YA, et al. J Drugs Dermatol. 2020;19(4):405-411. ​
10. Nowag B, et al. CaHA microspheres: contact with fibroblasts and amount of spheres are key factors for collagen stimulation. Presented at: AMWC 2020; Monte Carlo, Monaco; April 2-4, 2020.​
11. González N, et al. Dermatol Surg. 2019;45(4):547-551. ​
12. Bass LS, et al. Aesthet Surg J. 2010;30(2):235-238.​
13. Ridha Z, et al. Aesthet Surg J. 2024;44(11):NP809-NP818.​
14. Silvers SL, et al. Plast Reconst Surg. 2006;118(3 Suppl):34S-45S.​
15. Sculptra Science. Galderma Laboratories, L.P. Accessed March 11, 2026. https://www.sculptrausa.com/sculptra-science

Woman touching her skin and smiling.
Actual patient. Individual results may vary.
Diverse set of people with healthy-looking skin.

What are RADIESSE® and RADIESSE® (+)?

RADIESSE® and RADIESSE® (+) are dermal fillers that are used for smoothing moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth). RADIESSE® is also used for correcting volume loss in the back of the hands. RADIESSE® (+) is also used for improving moderate to severe loss of jawline contour in adults over 21 years old.

RADIESSE® and RADIESSE® (+) IMPORTANT CONSUMER SAFETY INFORMATION

Who should not use RADIESSE® or RADIESSE® (+)?

You should not use RADIESSE® or RADIESSE® (+) if you have an allergy to any component of the product, if you have a history of severe allergies, if you have a bleeding disorder, or if you are pregnant or breastfeeding. You should not use RADIESSE® (+) if you have an allergy to lidocaine or medicines like it.

What is the most important information I should know about RADIESSE® and RADIESSE® (+)?

One of the risks with using these products is unintentional injection into a blood vessel. The chances of this happening are very small, but if it does happen, the complications can be serious, and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin. If you have changes in your vision, signs of a stroke (including sudden difficulty speaking, numbness or weakness in your face, arms, or legs, difficulty walking, face drooping, severe headache, dizziness, or confusion), white appearance of the skin, or unusual pain during or shortly after treatment, you should notify your health care practitioner immediately.

As with all procedures that involve an injection through the skin, there is a risk of infection.

Do not use RADIESSE® or RADIESSE® (+) if you have a skin infection until it has healed.

It is not known if RADIESSE® or RADIESSE® (+) is safe or effective in the lips, or in the area around the eyes.

It is not known if RADIESSE® or RADIESSE® (+) is safe or effective beyond 3 years in the face and 1 year in the hand.

Injection of RADIESSE® (+) into the jawline may temporarily alter jaw function.

The microspheres in RADIESSE® and RADIESSE® (+) can be seen in X-rays and CT Scans. It is very important that you tell your health care provider that you have had RADIESSE® or RADIESSE® (+) dermal filler.

If you have a history of herpes, you may experience a herpes breakout after receiving RADIESSE® or RADIESSE® (+).

Injection in the back of the hand may result in temporary difficulty performing activities. RADIESSE® may cause nodules, bumps or lumps in the back of the hand and can last up to 1 year.

You should minimize strenuous activity and avoid extensive sun or heat exposure for about 24 hours after treatment and until any swelling or redness has resolved.

What should I tell my doctor before using RADIESSE® or RADIESSE® (+)?

Tell your health care provider if you are taking blood thinners or medicines that can interfere with the clotting of blood, such as aspirin or warfarin. These medicines might make it more likely that you will experience bruising or bleeding at the injection site. Tell your health care provider if you have any diseases, injuries or disabilities of the hand, if you have a history forming large, raised scars or if you have had any other skin treatments such as skin peels.

What are the most common adverse events with RADIESSE® or RADIESSE® (+)?

The most common adverse events seen in clinical studies of RADIESSE® used in the hands include bruising, redness, swelling, pain, itching, nodules or bumps/lumps, difficulty performing activities, loss of sensation and other local side effects. The most common adverse events seen in clinical studies of RADIESSE® or RADIESSE® (+) used in the face include bruising, redness, swelling, pain, itching, difficulty chewing, and other local side effects.

Delayed-onset inflammation near the site of injection is one of the known adverse events associated with dermal fillers. Cases of delayed-onset inflammation have been reported to occur at the treatment site following viral or bacterial illnesses or infections, vaccinations, or dental procedures. Typically, the reported inflammation was responsive to treatment or resolved on its own.

These are not all of the possible side effects with RADIESSE® or RADIESSE® (+). Merz collects information about adverse events seen with RADIESSE® and RADIESSE® (+) outside of clinical studies. These events are included in the RADIESSE® and RADIESSE® (+) Patient Information Guide based on an assessment of seriousness and potential causal relationship to RADIESSE® or RADIESSE® (+). Please see the Patient Information Guide available at www.radiesse.com for list of these events. Tell your health care provider about any side effects that bother you or do not go away.

Important: For full safety information, please visit www.Radiesse.com or call MyMerz Solutions at 1-844-469-6379

RADIESSE® and RADIESSE® (+) are available by prescription only.