Radiesse Does NOT Last on Me- Could It Be Possible That Perlane Will?

Question

Hello, I have spent several thousands on Radiesse now trying to achieve high cheekbones. Sadly, I seem to just eat right through this product! It literally lasts 3 months at MOST (even after larger quantities are placed- it just doesn't matter). My Doctor suggested that Perlane may be a better solution/I may have greater longevity in this product. Please, could someone tell me if this is true? I hope so b/c I simply can't continue with Radiesse. Thank you and I hope to find a solution...

Ron Shelton, MD · Answer

Radiesse tends to last at least nine months if not more than a year.  If yours doesn't then it might be an unusual metabolism you have for the product of it's the technique.  With the same physician, try Perlane or Juvederm UltraPlus or Perlane, which are the thicker hyaluronic acids, or fat injetions, or Sculptra.  These volumizers work differently, and I am confident that regardless of the lack of benefit you had with the Radiesse, that your doctor will find a material that will last more than six months for you. If not, then you should get a second opinion.

Harold J. Kaplan, MD · Answer

In our experience, Radiesse tends to be a better option than the hyaluronic acid dermal fillers (Perlane, Restylane, Juvederm, etc) when a patient is not maintaining expected duration.  Generally, we have not found it to be the reverse as you are asking although anything is possible.

	As other panel members suggested, technique may be an issue as well as realistic expectations as to what dermal fillers are able to achieve.  You may want to consider an evaluation/treatment with a different practitioner before resorting to cheek implants.

Kenneth Dembny, II, MD · Answer

If Radiesse is not working for you then Perlane or Juvederm Ultra Plus would be other options. My experience would dictate that neither of these products will last longer than Radiesse; hyaluronic acid fillers may last 7-9 months, compared to Radiesse which lasts 9-12 months. Product volume and injection techniques may play a role here, but I gather from your statement that you are happy after the treatment, just not with the short duration the product lasts. Other options to consider would be fat grafting or cheek implants, both of which should be performed by an experienced surgeon. Best wishes.

Toby Mayer, MD · Answer

Cheek implants are a much better choice for you rather than repeated fillers. The silicone implants last forever and the only complication in expert hands is infection, which is uncommon.

Grant Stevens, MD · Answer

Greetings~

	We use Radiesse all the time for cheek augmentation with wonderful results.  It's surprising to hear that yours is wearing away so quickly. Perlane can also be used for cheek augmentation and provide very nice results but generally I have not seen it last longer than Radiesse, though every patient is different.  If it is a permanent change you desire, I would definitely consider looking in to the idea of cheek implants and discussing the procedure with a board certified Plastic Surgeon.  Prior to going the surgery route I would give the Perlane a try, in the event that it may work very well for you and provide the correction and longevity you seek.  It's worth a try. You may also consider trying a different injector. Technique and placement can effect longevity. So again, before moving on to surgery this is another option you may consider.

	Best of luck~

	 Dr. Grant Stevens

Radiesse Does NOT Last on Me- Could It Be Possible That Perlane Will?

Answers (9)

Answer: Fillers vs. cheek implants for fuller cheeks.

Answer: Fillers vs. cheek implants for fuller cheeks.

Answer: Radiesse vs Perlane for Cheek Augmentation

Answer: Radiesse vs Perlane for Cheek Augmentation

Recommended reading

Everything you need to know about Radiesse

Our mission is to create a world where every investment in modern beauty is Worth It.

Radiesse Does NOT Last on Me- Could It Be Possible That Perlane Will?

Answers (9)

Answer: Fillers vs. cheek implants for fuller cheeks.

Answer: Fillers vs. cheek implants for fuller cheeks.

Answer: Radiesse vs Perlane for Cheek Augmentation

Answer: Radiesse vs Perlane for Cheek Augmentation

Browse related questions

Recommended reading

Everything you need to know about Radiesse

Our mission is to create a world where every investment in modern beauty is Worth It.