Will repeated injections of Radiesse build volume at the mandibular angle past the 18-month mark?

Question

I do not want implants at the mandibular/gonial angle, but I would like to strengthen my jawline, ideally without repeating treatments for life. I have heard that Radiesse may stimulate collagen, but I am not certain if this effect is significant enough to give real volume at the gonial angle. Is it possible to build volume in this area just from the collagen-stimulating effects of Radiesse? If not, are there any safe, non-surgical alternatives with a lasting effect?

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question. Radiesse does naturally stimulate collagen over time as do many other fillers. Results are temporary and maintenance is necessary to keep up your desired look. Hope this helps. All the best.

Michael I. Echavez, MD · Answer

Radiesse does work well to augment the jawline, but the effect is temporary and is normally gone after a year or so. Longer lasting alternatives would be Sculptra or Bellafill, which are stimulating agents.

Leslie Pickens, MD · Answer

Radiesse will contour the jawline but 18 months or so would be about all one could expect for duration.  IN answer to your question, repeated Radiesse injections will repeatedly build volume. Bellafill is labeled the 5 year filler.  In my experience it does not last as long as advertised but should last longer than Radiesse theoretically since you are opposed to surgery.

Richard E. Moore, MD · Answer

Thank you for your question. If you are looking for a long term strengthening of the jaw line I generally recommend using Bellafill. Radiesse is an excellent choice giving a 12-18 month result with a high G' (lifting capacity) value but if you are looking for long term results that you can build on I would recommend Bellafill. While the cost upfront will be higher, the longer term investment will be less. Bellafill contains bovine collagen with PMMA particles dispersed in the collagen. Over 2-4 weeks the bovine collagen is broken down by your body as the PMMA particles begin stimulating production of your own collagen. I have patients over a decade out with a lasting effect from their Bellafill (formerly Artefill).I hope this was helpful - Dr. Moore.

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question.  Radiesse does stimulate collagen, according to the manufacturers, and does give a nice correction of the jawline, but probably doesn't last long enough to make a huge difference on its own.  Fortunately you could always do some treatments and add more or do a different procedure if you need something more robust, which is the beauty of most fillers - they give you some temporary improvement without being too much of a long term commitment or risk of aging badly around something more permanent.  Choose an experienced board certified dermatologist or plastic surgeon who is skilled in facial injections and knows the anatomy and safety precautions well, and you will have your best outcome.   Good luck!

David A. Schlessinger, MD · Answer

Radiesse is an excellent choice as a filler for the Jaw line. It has a very high G-Prime (stiffness) and it can help create a more defined jaw line and chin. In general the treatment lasts 12-18 months. It does have some mild collagen stimulating effect so with repeat treatments there can be some permanent change. Sculptra is a better collagen stimulating injectable treatment but it takes several treatments to obtain the desired result.

Nicole Kafka, MD · Answer

While Radiesse does produce some collagen stimulation, the effect is not permanent and is usually quite mild. The primary effects of Radiesse are through its direct addition of volume. Radiesse is an excellent product for use in mandibular contour modifications, but it does need to be injected every year or two in most people. Alternative fillers include Voluma, Restylane Lyft (both hyaluronic acid fillers) and Bellafill (which contains polymethylmethacrylate microspheres and last up to 5 years). PLLA and PDO threads, which also stimulate collagen, have been used, as well, but the effects are gone within a couple years.

Anita Saluja, MD · Answer

Yes, using Radiesse to strengthen your jawline is a great option. It may require maintenance treatments that can be every 1-2 years. Bellafill is a 5-7 year/ often permanent filler that may be an additional filler to explore. Both Radiesse and Bellafill do stimulate collagen - that amount and effect varies between patients. I recommend consulting with an experienced injecting physician to start your journey!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,Likely that is about the longevity. However if you like the results and the product keep on a schedule that your provider suggests to maintain the results.Best of luck..

Will repeated injections of Radiesse build volume at the mandibular angle past the 18-month mark?

Answers (9)

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