Is Radiesse Good for Lip Augmentation?

A lot of people talk about how good and are for lip augmentation, but I want something more permanent.  Is it safe/effective to get lip injections of Radiesse?

Doctor Answers 50

Radiesse Should NEVER Be Used in the Lips!

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You ask a very important question about the use of Radiesse in the lips for lip enhancement.

While some doctors advocate the use of Radiesse in the face, this product, calcium hydroxylapatite, is a chemical that once injected turns into a white, bony-appearing substance that hardens somewhat. In fact, calcium is a major component of bone.

Radiesse should not be used in the lips ever. The manufacturer of Radiesse, Bioform, strictly advises against using this product in the lips. Unfortunately, there are doctors out there who will ignore this warning and will do it anyway. In fact, we have seen patients in our practice who have had Radiesse used in their lips and they ended up with large, hard, marble-sized lumps on the upper and lower lip. One young woman who we saw was extremely depressed because her lips had been badly disfigured with Radiesse.

Some cosmetic surgeons have reported some success using steroids injected into these Radiesse lumps, but ultimately, in our experience, surgical excision is the only way to get these out. And even with surgery, you cannot ever get it all out and surgery can leave scars.

It's better not to allow anyone to inject Radiesse into your lips in the first place than risk having to undergo surgery to remove a bad result.

There are a number of safe and effective injectable products in use that, while off-label, do work well in the lips. You mention Juvederm and Restylane, which are both hyaluronic acids and quite safe, as well as bovine collagen, Cosmoderm, Cosmoplast, Zyderm and Zyplast, all safe and good products, which when used by a well-trained and highly experienced physician injector, can last quite some time and provide a very natural result.

Remember: the manufacturer of Radiesse has warned against using this product in the lips with good reason. If it could be used safely in the lips, they would like nothing better. Radiesse should never be used in the lips!!!

Beverly Hills Dermatologic Surgeon

Radiesse not recommended for lip augmentation

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Radiesse has an excellent safety profile and in many cases, such as the nasolabial folds, I believe that it is a superior product, per unit volume, to Juvederm and Restylane. However, the theoretic and physical properties of Radiesse as a stimulatory and facial filler prohibit its use in the lips.

The most effective facial filler for the lips that is available in the United States at this time is Juvederm. It has an excellent safety profile and the results are outstanding in the finely detailed anatomic subunits of the lips.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Radiesse and lip augmentation

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Thanks for the question. The maker of Radiesse, Bioform Medical Inc., strictly warns against the use of the product in the lips. There is a correlation between its use and the development of inflammatory nodules in the lips, which could lead to permanent deformation of the lips. In the United States, Radiesse is approved for the following:

  • Correction of nasolabial folds
  • HIV-associated facial lipodystrophy
  • Maxillofacial augmentation
  • Radiographic tissue marking
  • Vocal cord insufficiency

Hope this helped. Best of luck!

Glenn Vallecillos, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 30 reviews

Radiesse not in lips

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Radiesse is not a dermal filler recommended in the lips. It can cause hard bumps and unevenness in the lips. Radiesse is great for adding volume to the cheeks and Nasolabial folds. A hyaluronic acid dermal filler such as Juvederm & Restylane are great fillers in the lips. For a permanent filler you might want to look into fat injections.

Restylane is best for lips

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The lip is a soft organ and it should remain soft The best product for the lips is Restylane. It allows me to shape the lips as it stays where I put it.The effect usually lasts six months but in some people it can last for years. In general it lasts better in people with bigger lips to begin with.

Radiesse Good But Not in the Lips

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Radiesse is an excellent filler BUT not in the lips.  Radiesse is a filler made up of the same composition as bone. Radiesse is a bad filler for the lips for the following reasons:

  • Lips should be supple and soft.  Radiesse is by definition, small clumps of bone.  Works well in some places but definitely not in the lips
  • Radiesse can induce nodules in the lips
  • Radiesse is a heavy product.  The lips require a softer product

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 181 reviews

Radiesse for lip injections

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For lips you would be better off using juvederm or restylane as radiesse is too large a molecule and may lead to lumpiness.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Avoid Radiesse in lips

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Radiesse can produce lumps and knots in lips. Avoid even "diluted" or thinned Radiesse. Really there are such good products for lip enhancement that there is no reason to take a chance with Radiesse in the lips.

Radiesse is a great product but should not be used for lip augmentation.

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The risk of nodule formation is too great to justify injecting Radiesse in the lips. This risk is much lower with the hyaluronic acid fillers such as Restylane, Perlane, Juvederm, and Prevelle.

Michele DeVito, MD, FACS
Scottsdale Plastic Surgeon
4.6 out of 5 stars 11 reviews

Radiesse in the lips will give bad results

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Radiesse is not meant for lips. Just don't go there.

Radiesse is a wonderful product for deeper folds and for areas that you want to build and "mold" such as the cheeks or chin and for the nose to correct a divot or poor bone angle. Because the consistency is quite thick, it is not good for the lips which require a soft and pliable product.

Lips augmentation is best left to:

  • Juvederm
  • Restylane
  • Perlane
  • Prevelle Silk
  • CosmoDerm
  • Autologous fat transfer
  • "Possibly" silicone micro droplets but only very carefully and with your understanding that there are NO cosmetic FDA approvals for silicone injections

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.6 out of 5 stars 23 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.