What is the difference between having Radiesse vs Restylane filler for nasolabial folds? Which is better?

In my experience, all three of these products work beautifully for the nasolabial folds, also called the parentheses lines, extending between the edges of the nostrils and the corners of the mouth. The primary difference between them is that Restylane and Juvederm are have a shorter duration (~ 6-9 months) as compared with Radiesse, which can last up to 18 months or longer. I have not found a difference in duration between Restylane and Juvederm. The advantage of these hyaluronic acid (HA) fillers is that they can be dissolved with a simple injection of hyaluronidase in the unlikely event of a lump or asymmetry. Radiesse cannot be dissolved and is slightly more expensive at our center. I have not found a difference in the degree of bruising with any of these fillers. 

The volume line on nasolabial folds can be restored with the injection of fillers. There is no filler better than the other. The discussion of using Radiesse vs Restylane or Juvederm, will depend on the severity of the volume line. For this area there has been great advances and my preference is to inject Restylane Defyne or Refyne since the way they were engineered makes them more flexible which contribute to their natural look.

Hello,
Good question as both are good options.  However,we often are determining which is the best product for a patient if both are considered equally good.  This decision is based upon patient's age, condition, skin turgor, bone structure, and degree of need for correction.  For example, a patient that is over 40 with heavy laugh lines from aging  may do better with Radiesse for it's lifting/support quality.  Restylane LYFT does this as well, but we find Radiesse has a better "tug and hold" ability.  For a younger patient that only requires a mild correction, Restylane or Restylane LYFT may be appropriate.  
Referring back to your question as to durability and duration - we believe the most important factor is having enough product to reach your goals.  Oftentimes, a patient will not achieve their goals because their budget did not allow for full correction.  Be certain to discuss this with your injector so that your options are understood.

Restylane and Juvederm are both hyaluronic acid gel fillers that can provide immediate volume to the nasolabial folds, and are both commonly used for this purpose. Radiesse is a different type of filler that actually stimulates the body’s own collagen production using calcium hydroxylapatite microspheres. Radiesse is longer lasting in the nasolabial folds, but Juvederm or Restylane may be appropriate as well depending on the severity of your fold.. I would visit a board-certified dermatologist to discuss your goals and decide on the best treatment plan. 

Juvederm, restylane and radiesse are all great fillers for the nasolabial folds.  More importantly than the product, however, is the qualifications of the injector. There are more advance techniques that can be used to soften the nasolabial fold asides from directly filling them.  Also you have other options such as Sculptra or fat grafting that can also provide a nice softening of this area.

Radiesse is a calcium based product in a gel that lifts and restores volume.  Often, the nasolabial folds are secondary to flat cheeks. The cheeks hold up the face, so when there is no support the skin sags.  First ,I fill the cheeks with Radiesse.  Radiesse can also be placed in the upper nasolabial fold next to the nose.  The remainder of the fold, if it still is very visible, can then be softened with Restylane, a hyaluronic acid product.  I prefer Juvederm for this area.  The art is knowing where each product works best and injecting it in a manner that produces a natural and rejuvenated appearance. 

Dear pippin,Radiesse
is thicker and more dense than most of the HA fillers and so it is best used in
deeper folds such as the nasolabial folds. Experience
shows that Radiesse lasts a year or more in many patients. In some ways,
Radiesse is viewed as intermediate between the HA fillers (Juvederm, Restylane
and Perlane) and the volumizing filler Sculptra.Radiesse is intermediate because it provides
many of the same plumping advantages of the HA fillers while also providing the
volumizing effects of Sculptra.

These dermal fillers are the most asked for fillers in my practice. In general I use them in different areas. Radiesse is comprised of Calcium Hydroxylapatite (CaHA) microspheres suspended in an aqueous gel carrier. It starts to work immediately after being injected but continues to work by stimulating the body to produce its own collagen.  The Radiesse is absorbed, over time, and the body metabolizes the CaHA microspheres leaving behind only your own natural collagen.Restylane works immediately by adding volume to smooth away wrinkles. This product is a clear gel formulation of hyaluronic acid, and is specifically formulated to act like your body's own hyaluronic acid, and it breaks down naturally.

Juvederm and Restylane are Hyaluronic acid fillers and usually last 6-9months. Both work well for lips and fine lines. Radiesse is a very different type of filler which stimulates the production of collagen.  In my experience, it usually lasts a year or more. It can not be used within the lips but works well everywhere else. It also is more efficient for volume restoration and works well to restore cheek-bone fullness and fullness around the jaw or chin. All of the fillers work well in the nasolabial folds.

There is a difference in Radiesse VS. Restylane.  Radiesse is Calcium based filler which can last up to 18months.  Restylane is a Hauluronic Acid (H/A) Filler which can last up to 8 months.  Juvederm is an H/A as well with results lasting up to 1 year.       All 3 fillers can be used to fill nasalabial folds.  It is best to have a consultation to decide which filler is the right choice for you.   

Thanks for the great question!! Radiesse can be a great treatment for the nasolabial folds (parentheses).  In most patients, this filler lasts longer than either Restylane or Juvederm.  Radiesse is a different material than the other fillers. It is Calcium hydroxyapatite, not hyaluronic acid. The benefit is the longer duration of effect.  The downside is that, in the rare case of overcorrection or misplacement, there isn't an enzyme to dissolve Radiesse.  Best of luck!