Will hyperdiluted Radiesse be a good option for these fine lines and laxity issue? How many sessions? (Photo)

Question

Updated: Hello, will Hyperdiluted Radiesse be a good option for these fine lines and laxity issue ? Along with bbl hero? How many sessions of hyperdiluted Radiesse would I need for in laxity and fine lines on my face? Also would I be able to get micro needling for the acne scars without it affecting the Radiesse ?

Anna Chacon, MD, FAAD · Answer

Based on your photo and your description, I do think hyperdiluted Radiesse is a reasonable option to consider for improving mild skin laxity and fine crepey lines. The important thing to understand is that it works differently than traditional fillers.

Hyperdiluted Radiesse is primarily a biostimulator. Instead of simply adding volume, it encourages your body to produce new collagen and elastin over time. Because of that, the results develop gradually over several months rather than immediately.

For someone with concerns like yours, treatment often involves 2–3 sessions, spaced about 6–8 weeks apart. The exact number depends on:

The degree of skin laxity.
Your skin quality.
How well your body responds to collagen stimulation.

Many patients notice gradual improvement after the first treatment, with continued tightening and smoother skin over the following months.

Regarding BBL HERO, it can actually complement hyperdiluted Radiesse quite well. While Radiesse focuses on stimulating collagen and improving skin firmness, BBL HERO targets pigmentation, redness, and overall skin quality. When used together as part of a comprehensive treatment plan, they often address different aspects of skin aging.

As for microneedling for acne scars, it generally can be performed after hyperdiluted Radiesse, but I would not recommend doing both procedures on the same day. Most physicians prefer allowing the Radiesse to integrate into the tissues first before performing microneedling. Waiting a few weeks between treatments is a common approach and helps minimize unnecessary inflammation while allowing each treatment to work optimally.

One thing I would mention is that if your acne scars are more significant than your skin laxity, hyperdiluted Radiesse alone is unlikely to fully address the scars. Acne scarring often responds best to a combination of treatments such as:

Microneedling
Subcision (for tethered scars)
Fractional laser resurfacing
Biostimulators like Radiesse as an adjunct to improve overall skin quality

Looking at your photo, your laxity appears relatively mild, which is encouraging because patients with early skin laxity often respond better to collagen-stimulating treatments than those with more advanced skin sagging.

Overall, I think hyperdiluted Radiesse could be a very good option for improving skin firmness and fine lines, while microneedling can still play an important role in treating your acne scars. Combining treatments thoughtfully—rather than relying on a single procedure—is often what produces the most natural and satisfying improvement.

Nelson Lee Novick, MD · Answer

The problem with Radiesse (& Sculptra), both of which I gave up using quite a few years ago is that there is no enzyme for dissolving them if there are any undesirable results or adverse reactions. On the other HA skin boosters and biomodulators can also increase skin hydration, improve skin quality, improve fine wrinkles and crinkles, BUT, should the need arise, they can be quite easily dissolved. As to light and other energy-based gizmos, you should be aware that the hard science to support the use of these flashing lights "bells and whistles"  devices lags woefully behind the heavy maketing hype and social media buzz to promote them. So, buyer beware would be good advice when being hawked these approaches. You would be wise to make sure that you are consulting with a board certified cosmetic dermatologist filler expert. Best of luck.

Beauty Bar - Calhoun - Account Suspended · Answer

Hyperdilute Radiesse (HDR) is a biostimulator that promotes your body increase production of collagen and elastin cells in the treated area. It would be a good option for fine lines and laxity. Typically, 3 treatments are needed (about 1 month apart) and then one treatment yearly for maintenance. Another product that would likely work well for this area is SkinVive by Juvederm. It would promote hydration to the area, fading/plumping those radial cheek lines.

Leonard Grossman, MD · Answer

As the person ages, the pores coalesce and form very fine lines, and as the person loses volume in the face, these become folds. While the skin is still relatively responsive to treatments, skin, such as yours will probably benefit the most from a fractionated CO2 Laser. The results from such a treatment in the right hands, are absolutely amazing with an easy and painless recovery. I hope this helps and good luck from New York City Plastic Surgery.

Will hyperdiluted Radiesse be a good option for these fine lines and laxity issue? How many sessions? (Photo)

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