I tried the non surgical route with radiesse first, and all that did is make me want a more prominent, permanent result. This in and out place charged me $700 for a syringe of the stuff, and wanted me to come back in 4 weeks for more. I called two surgeons and had 2 consults. Went with the second, who is a local guy born and raised in my hometown. He's a great guy, and a great surgeon. I kept bothering him about how I wanted the biggest implant they could get! He was cool.. Anyway I'm really happy with it. I'm almost 4 weeks post op. The swelling and discomfort is now minimal. I opted not to lipo my neck and am now focused on weight loss for overall health (and to enhance my jawline).