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Typically Juvederm or Restylane are used for somewhat finer lines than Radiesse, although moderately deep smile folds can be treated with any of these. The very fine smile creases would not be injected by Radiesse and the deeper folds are treated with Perlane, Juvederm UltraPlus or Radiesse. Often the reason a result is not achieved is that more product was needed. You may simply need more Radiesse. These fillers, Radiesse, Juvederm and Restylane have clinically lasted for about one year in many of my patients.
At your age, you may be trying to correct something with fillers, that might be better addressed with surgery. All fillers, simply fill........ Some last longer than others and have some slight variables, but you need to be examined by a plastic surgeon who can review the full complement of options to achieve your goals.
Nevertheless you should have an evaluation by a specialist. Maybe a laser treatment or a combiantion of treatment may be more helpful. Best regards, Dr. Robert Kasten
I use fillers all the time in patients over 65. Although many would be better off combining it with surgery, some are not medically fit to undergo surgery.
In my opinion Radiesse lasts much longer than Juvederm. So be very careful if you believe the opposite, you may be very disappointed. Selphyl the PRFM regenerating filler from your own blood seems to be the best at this point. From MIAMI regards