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Radiesse Vs. Restylane

What is the difference between having Radiesse vs Restylane filler for nasolabial folds? Which is better? I've had it done with Juvederm but have read that the other two are longer lasting.

Asked 38 months ago by pippin in new mexico

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nasolabial folds comparison

How about a combination?

At The Institute we frequently layer products for the best results. Radiesse is great when injected in the deeper layers and it lasts longer than HA's. Restylene is better in the superficial planes and works great when layered above the Radiesse Dr Grant Stevens

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Grant Stevens, MD

Los Angeles Plastic Surgeon

ASAPS ASPS

Which filler is best for nasolabial folds?

Hyaluronic acid fillers like Juvederm Ultra Plus, Perlane and biostimulatory fillers like Radiesse and Sculptra work well for nasolabial folds. Of the hyaluronic acid fillers, Juvederm lasts longer than Restylane. The larger, more robust particles of Juvederm Ultra Plus and Perlane work better in the nasolabial folds than the smaller, more delicate particles of Juvederm Ultra or Restylane. The smaller particle fillers like Juvederm Ultra and Restylane work better for... more

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Emily Altman, MD

Short Hills Dermatologic Surgeon

Radiesse, Restylane and Juvederm all work well for nasolabial folds

In my experience, all three of these products work beautifully for the nasolabial folds, also called the parentheses lines, extending between the edges of the nostrils and the corners of the mouth. The primary difference between them is that Restylane and Juvederm are have a shorter duration (~ 6-9 months) as compared with Radiesse, which can last up to 18 months or longer. I have not found a difference in duration between Restylane and Juvederm. The advantage of these hyaluronic acid... more

Umang Mehta, MD

Bay Area Facial Plastic Surgeon

Radiesse vs. Restylane: Facial Filler Choices for Nasolabial Folds

Nasolabial augmentation with Restylane, Juvederm, or Radiesse is common. Patients have an increasing number of choices when it comes to the type of filler and the plane of injection. In our practice, we exclusively employ Radiesse for the nasolabial folds and Juvederm for the lips. It is not to say that this is the only option available, but it is the choice that our office has made based on longterm patient satisfaction. In discussing your options with a surgeon or dermatologist, ensure... more

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

What is better in the nasolabilal folds Radiesse or Restylane?

Radiesse is better in this area because it lasts longer. Juvederm ultra plus is longer lasting than Restylane and would be my second choice.

Farhad Rafizadeh, MD

Morristown Plastic Surgeon

ASAPS ASPS

Radiesse for nasolabial folds and Juvederm for the lips

I echo Dr. Raffy's comments and employ the same protocol in my offices - Radiesse for the nasolabial folds and Juvederm for the lips. Patients have been very happy and have immediate satisfaction and long term outcomes have been very satisfactory with this regimen.

Hratch Karamanoukian, MD

Buffalo General Surgeon

Radiesse probably lasts longer

In the nasolabial folds, Restylane and Juvederm last about a similar length of time, with maybe a slight advantage to Restylane in my practice. Radiesse definitely lasts longer but because of its nature, needs to be injected deeper. Please, for your sake, avoid any permanent fillers and Artefill. Over the years, I have seen patients with serious infectious problems from permanent products such as liquid silicone. Major granulomas and draining pustules have presented in Artefill patients... more

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Radiesse and Perlane last longer than restylane

I prefer to use radiesse and perlane in the nasolabial folds especially if the folds are deeper. I find that both products can last 9 months to a year and produce beautiful results. Restylane and juvederm are good for layering on top in the very fine superficial lines. Once again, go to someone who is comfortable using different types of fillers and can assess what your particular needs are.

Brenda Dintiman, MD

Fairfax Dermatologic Surgeon

Multiple filler options

There is much controversy as to which filler lasts longer. Some say Juvederm lasts longer than Restylane and vice versa. I am currently testing this in a group of patients but we are only at the six month point. I will study this for a one year period. At this time, the Restylane and Juvederm last equally. Radiesse may last slightly longer. It is a good product but is more painful than the former unless it is mixed with anesthetic by the doctor immediately prior to use. This process is an... more

Ronald Shelton, MD

Manhattan Dermatologist

It depends on whether you have a fold or a line.

To Pippin, For nasolabial LINES (that means very superficial, shallow folds), Restylane is best because it is very forgiving and can be injected superficially. For deep folds, particuarly in men, I think Juvederm Ultra Plus is great because it is very soft and can last one year. The technique (exactly how it is done) is really much more important than which filler you get, so pick an experienced plastic surgeon or dermatologist.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

See a qualified physician to see what is best for you!

There are several soft tissue fillers available treat the nasalabial folds, including Radiesse and Restylane. All soft tissue fillers have certain favorable properties and potential disadvantages. I would recommend that you see a board qualified and experienced physician, preferably a plastic surgeon, facial plastic surgeon, or dermatologist. He/she will determine what is best for you! Thanks for your question.

Stephen A. Goldstein, MD

Denver Plastic Surgeon

ASAPS ASPS

Both are good.

Radiesse and Restylane are both good for the nasolabial folds. Radiesse is going to cost more, but I would favor Radiesse for the nasolabial folds, given its longer duration - up to 1 year or longer. Incidentally, I would favor Juvederm over Restylane because Juvederm actually lasts longer (on average 9 months in the nasolabial folds) because of the cross-linking of hyaluronic acid molecules.

Bryan K. Chen, MD

San Diego Dermatologist

I suggest Restylane

Like many things in cosmetic surgery, different experts will give you different opinions. The set of answers here demonstrates that point. My suggestion is that Restylane or Juvederm is a better choice than Radiesse (even though there is certainly nothing bad about Radiesse). Restylane (and other hyalauronic acid fillers like Juvederm) are a soft gel made in a laboratory but are a natural skin substance. I feel that Restylane tends to give a more soft and natural result in the naso-labial... more

Marc Cohen, MD

Philadelphia Oculoplastic Surgeon

"It's the Filler, Not the filler" That Matters Most

Hi Pippin, Radiesse has been shown to last the longest of the "non-permanent" fillers, anywhere from 9 to 18 months. Juviderm and Restylane have similar longevity to each other, about 6 to 9 months. There are studies that show that one lasts longer than the other and vice versa, sponsored by the companies. The hyaluronic acid products Juviderm, Restylane, and Preville Silk, are softer and easier to massage. Radiesse is a thicker product that leaves a bit more initial swelling,... more

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

Radiesse vs. Restylane

Restylane and Juvederm are very similar though Juvederm is the one I would say probably lasts a bit longer. Radiesse is a wonderful product for the nasolabial folds. It lasts longer than the other 2 products, part of it gets replaced by collagen as it resorbs, and you get 50% more product in the syringe compared to the other 2. From a cost perspective, Radiesse is also a good value. Restylane and Juvederm are superior in the sense that they are thinner so can be used... more

Mike Majmundar, MD

Atlanta Facial Plastic Surgeon

Comparing Radiesse vs. Restylane

Both can give good results in this area although sometimes Radiesse may produce more swelling or inflammation following injection. Radiesse will tend to last longer than Restylane, and as others have pointed out, one consideration would be to place Radiesse deeper and Restylane more superficially. By treating in this manner you hope to avoid some of the inflammation associated with Radiesse (by placing it deeper), get a more long-term result (via use of Radiesse) and a more... more

Andrew Kaufman, MD

Los Angeles Dermatologic Surgeon

Radiesse vs. Restylane

Radiesse and Restylane are both excellent products that can be used in the nasolabial folds. Both can produce natural results. Radiesse is injected in a slightly deeper plane and usually lasts a little longer than Restylane. I also agree with the physician below who said that for deep folds, you can also layer both products for a great, natural result. There are positives and negatives with each of these fillers, and I would encourage you to see a physician who is experienced with both,... more

Ryan Greene, MD, PhD

Fort Lauderdale Facial Plastic Surgeon

Radiesse vs Restylane for cheek folds

No doubt about it, for deep nasolabial folds Radiesse is "hands down" better than Restylane or any other injectable products currently available in the US. Properly injected, it gives a much more natural looking result and lasts significantly longer than other fillers. It also comes in a larger size syringe so it is a better value than the other fillers. However, Radiesse injections are not reversible like most of the other fillers so make sure your treatment is done... more

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Mitchell Schwartz, MD

South Burlington Dermatologic Surgeon

Radiesse offers firm support in nasolabial folds

Evaluating the "best filler" to use for volume correction/wrinkle treatment always depends on the quality of the skin and sof tissues as well as the location. More "mature" clients with thinner skin may need some soft Juvederm layered immediately under the skin, with firm Radiesse supporting from below. A practitioner with a lot of injectable experience will be able to recommend the best combination for you based on a examination.

Debra Irizarry, MD

Crestone Plastic Surgeon

ASPS

Choosing the Right Filler For The Job Is The Key To Success

Happily, these days, owing to a much more sophisticated understanding of what happens to our appearance when we age, we have come to rely less on aggressive, invasive surgical procedures and more on nonsurgical approaches to facial, neck, chest, and hand rejuvenation. Along with neuromodulators, like Botox and Dysport, and resurfacing methods, like peels, fillers and volumizing materials figure prominently in this relatively recent nonsurgical rejuvenation revolution. But, as with... more

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Nelson L. Novick, MD

New York Dermatologic Surgeon

Radiesse vs. Restylane

Both Radiesse and Restylane are excellent products but are better in certain areas. Radiesse is a great thick filler which works well in patients with thicker skin, the need for more substantial volume, and in areas of thicker skin. Restylane is a silkier product but does not last as long. It can be used almost anywhere on the face. Although Radiesse has been touted to be a more "bruise prone" agent, I have not found that to be the case. more

Anil R. Shah, MD

Chicago Facial Plastic Surgeon

Radiesse vs. Restylane

Radiesse is a broader molecule so it works better for deeper nasolabial folds. For most other cases, juvederm or restylane is superior to use in the nasolabial folds as their is less risk of lumpiness. For nasolabial folds the duration varies from patient to patient. However, it is generally 6 months to a year..

Kris M. Reddy, MD

West Palm Beach Plastic Surgeon

ASAPS

Radiesse last longer than Juvederm for nasolabial folds

Radiesse and Juvederm can be used to fill in the lines around the cheek also known as the nasolabial folds. Both are FDA approved and can produce excellent results. Radiesse can last anywhere from 12-18 months, while the Juvederm usually last 6-9 months. Radiesse cannot be reversed with an injection and Juvederm can. Hope this helps.

Ankit Desai, MD

Jacksonville Plastic Surgeon

ASPS

Radiesse for nasolabial folds

Radiesse is an excellent choice for a filler in the nasolabial fold area, as well as the cheek. Restylane and Juvederm are also good choices, however they reportedly do not last as long as Radiesse-which can last up to one year or longer. Radiesse needs to be injected at the right depth to avoid any bumps under the skin which can be bothersome to some patients. Juvederm is an excellent choice for the lips whereas Radiesse is not intended for use in the lips as it is firmer in consistency... more

William Bruno, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Your physician can best determine which injectable filler is right for you

Your skin type, facial features and the result you desire, along with the depth of your nasolabial folds will best determine whether Radiesse or Restylane is right for you. Your doctor should be able to help advise you which injectable fillers will give you the best results for your skin type, thickness and location.