Benefites and Side Effects of Radiesse Vs Juvederm?

A large number of injectable fillers are now available for
the treatment of facial wrinkles and contour irregularities. These fillers are especially helpful for
treating thin lips, nasolabial folds and marionette lines. The best injectable filler is the subject of
intense debate amongst plastic surgeons. Although most surgeons have preferences regarding their filler of
choice, all agree that the choice of filler needs to be individualized based on
the patient’s needs.When
picking a filler material several variables should be considered. These include how long the fillers will last,
the amount of filler needed, the location of the injection, and the skin type
to be injected. Based on these considerations,
results can be optimized for the majority of patients by choosing the right
filler material.Several
dermal filler options are available for patients with facial wrinkles and
contour irregularities. These include
both Juvederm and Radiesse.In most
situations, hyaluronic acid fillers such as Juvederm are the treatment of
choice for facial wrinkles. These
fillers are highly effective and very safe. They can also be reversed with hyaluronidase if patients aren’t
satisfied with their results. In most
cases, they last for 6 to 9 months and may last up to a year following
injection. Because of their versatility
they are currently the gold standard for injectable fillers.Radiesse
is a synthetic filler that contains hydroxyapatite particles. It last for longer periods of time and may
actually stimulate collagen growth. It
may be associated with significant complications including inflammation,
infection, granuloma formation, and scarring. For these reasons Radiesse has limited applications for treating facial
contour issues.If
you’re considering treatment of facial wrinkles, it’s important to consult a
surgeon with experience in this area. This surgeon should be able to determine which filler is best for you.

Juvederm is a hyaluronic acid based gel filler that tends to be softer and more malleable. It can be dissolved with hyaluronidase if necessary. Radiesse is a calcium hydroxylapatite filler. While it may be thicker and more prone to lumps, if injected at the right depth, it can offer great results, but it cannot be injected into the lips or the under eye area. Radiesse is not reversible. It is always best to have a consultation in order to determine which products will best address your needs.

Both Radiesse and Juvederm are capable of producing excellent and natural looking results. The choice of filler really depends on the objective of the treatment. Juvederm is a hyaluronic acid filler which hydrates and augments tissue. It is ideal for lip enhancements as well as wrinkles.

Radiesse is made of calcium hydroxyapatite particles which allows it to provide a greater degree of firmness and support for designated treatment areas. It is ideal for filling creases and issues that require more structural support (e.g. jowls, undereye hollows and even corrections on the nose)


Side effects of Juvederm and Radiesse include slight bruising and swelling. And some patients may experience allergic reactions to hyaluronic acid. With Radiesse, there is also the potential for lumps to develop. But this really depends on the skill and experience of the practitioner.

Thank you for your question. Radiesse is not a good filler for the fine lines around the mouth. Hyaluronic acid fillers such as Restylane or Juvederm are better for this area. Also, hyaluronic acid fillers can be dissolved if you are unhappy with the results, whereas Radiesse cannot. I recommend having a consultation with an expert injector to discuss your concerns and to determine the best treatment plan for you. Best of Luck!

Radiesse
and Juvederm are both good products that we use frequently. Juvederm is thinner and does not last as
long. Radiesse is generally injected deeper and can provide a longer lasting
lift in some areas. Juvederm can easily be corrected or dissolved if a
complication occurs or the result is somehow unfavorable. See an experienced
board certified physician and talk to them about their preferences and why.

I personally much prefer Juvederm to Radiesse for facial injections.  Juvederm is easy to mold and has natural results and can last up to one year.  If you do not like an area of Juvederm you can reverse the injection easily with Hyaluronidase.  Radiesse injections cannot be reversed and often cause bumps under the skin.  For the best cosmetic results please consult a board certified dermatologist with experience with facial injections.

If a patient has had fillers before or if they are sure about what they want I will use different fillers as I feel they are best used for the specific need. I sometimes prefer Restylane and Perlane as my fillers for first timers. There is some overlap where I might use either/or and then do what the patient prefers after discussing the pros and cons. Radiesse lasts longer and is more cost effective when treating deep coarse lines or when trying to replace fairly large amount of volume. It also seems to have more substance for "tougher jobs". That being said, Perlane is a little softer and can be used for many of the same purposes and can be dissolved. I use Restylane as my favorite for lips, tear troughs and finer lines and use a lot less juvederm for this but think they are fairly equivalent in all areas other than below eyes. I do not use juvederm in eye area as I feel that there is more of a chance of it showing through the skin giving a bruise-like appearance. 

For first timers receiving a filler, I will always use Juvederm or Restylane/Perlane.  As mentioned previously, if there is any concern with the appearance, it can be treated and removed easily.  Furthermore, Juvederm and Restylane last up to 6 months, and Radiesse up to a year; I think that patients should be experienced with the appearance of fillers from a previous treatment before seeking the longer-lasting filler. 

Some say that Radiesse can cause a more stone-faced or stiff appearance, but I have had fantastic results with both types of fillers.  Also, there are areas considered off-limits to Radiesse, such as the lips and around the eyes, so if this is an area you want treated then you will have to use Juvederm or Restylane.  It is okay to use both simultaneously for different areas if need be, although this may be a more expensive route depending upon how much product you require.

DGC

Disclaimer: This posting is intended to provide information to the original poster, but it is not intended to substitute for the advice of your personal physician. An in-person consultation is recommended for all patients considering medical and cosmetic therapies.

  I use both Radiesse and Juvederm but they are not comparable IMHO.  Juvederm is thinner and meant to be injected into the layers of the skin for lip augmentation and shallow NLF's.  Radiesse and Perlane are thicker fillers that can be placed into the deeper fatty tissues for deep NLF's and facial shaping of the cheeks, chin and jaw line.  It's importnat to remember that there's no inmherent magic in any filler.  The magic must reside in the MD's ability to understand and follow the proper aesthetics of facial beauty for the creation of a naturally, more attractive face.

When comparing Radiesse to the hyaluronic acid fillers such as Juvederm, it is important to understand the difference between "stimulatory" fillers and "wrinkle" fillers”. When treating problems due to volume loss such as cheek hollows and sagging skin, I will almost always use stimulatory fillers such as Radiesse. It is injected deeper, beneath the skin, and will generate more volume to create a much better lifting effect for sagging skin. It works by stimulating your skin to produce more collagen, which is why it is so effective for problems due to volume loss, and gives longer-lasting results too. Hyaluronic acid gels like Juvederm are used as wrinkle fillers because they are injected more superficially, being injected in the skin rather than beneath it. I often use Radiesse for my first time patients if I feel it is the best, longest lasting filler to correct their problem. The video link below shows me injecting my wife with Radiesse into the lower cheeks, marionette lines, and jaw line!