Is Radiesse the best solution for nasolabial folds?

Doctor Answers 10

Fillers for Nasolabial folds

While there are many fillers that can be used for improvement of deep nasolabial folds, including fat, Restylane and Radiesse. I would suggest if it is your first time that you start with Restylane. Restylane is much more forgiving and although it does not last as long as Radiesse it is less likely to give any lumpiness and if an adverse reaction were to occur it can be reversed with a dissolving enzyme injection into the area. Radiesse on the other hand is much thicker so more prone to leaving some firm lumps and can not be reversed. If you have very deep folds then a combination of Radiesse as a deep injection and Restylane layered on top more superficially can work very well. Hope this helps.


Santa Monica Dermatologist
5.0 out of 5 stars 1 review

Midface Augmentation with Dermal Fillers

Thank you for your question. Radiesse is a great, FDA approved product to treat the nasolabial folds. However, Radiesse is quite thick and is not right for every patient. I like to use Radiesse to restore lost volume in the midface for men and women with heavier tissues. Because Radiesse is composed of calcium hydroxyapatite, it cannot be dissolved in the same way that hyaluronic acid fillers can (such as Restylane and Juvederm). In my experience, the nasolabial folds develop due to loss of volume in the midface. I find that restoring this midface deficiency can greatly soften the nasolabial folds naturally. Injecting directly into the NLFs themselves can result in an unnatural and “puffy” appearance. I recommend researching experienced injectors and scheduling a consultation for a proper, in-person evaluation. Good luck!

Kian Karimi, MD, FACS
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Filler for Nasolabial Folds

Radiesse is a long lasting filler in the nasolabial folds or smile lines. It can last a year or more, but it is not reversible.  If this is your first time having filler and your folds are not deep, you may consider restylane or juvederm.  They last for 9 months and can be reversed with Hylenex injections.

Jean Keamy, MD
Westborough Ophthalmologist
5.0 out of 5 stars 5 reviews

Radiesse, Restylane and Juvederm Are All Excellent for Nasolabial Folds

All three of these dermal fillers do an excellent job of filling in the nasolabial folds, making your skin look plump and youthful again. Radiesse tends to last longer, with many patients going 12 to 18 months between sessions. Restylane and Juvederm, which are hyaluronic acid based, usually last about four to six months. If you change your mind and decide you don't like these the way the Restylane or Juvederm looks, they can be dissolved with hyaluronidase. Radiesse is composed of calcium hydroxylapitite and cannot be dissolved. See a board-certified dermatologist to learn about your options.

Nasolabial Folds filler

Thank you for your question.  Restylane and Radiesse can be used for improvement of deep nasolabial folds.  Sculptra and Radiesse are more popular and preferably used to lift and shape the face which can improve marionette lines rather than simply injecting into folds.  Seek out an experienced injector of the face who can do a complete facial analysis and explain to you what would be the best way to move forward. Good luck!

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 106 reviews

Solution for naso-labial folds.

Naso-labial folds are a result of normal aging changes of the face which includes changes in the bone, soft tissue and skin.  If a doctor is simply injecting the area of the naso-labial folds, it very difficult to improve them and still have it look natural.  We usually have to treat the support structures of the face by injecting in the mid face or cheek area to lift the folds, rather than injecting directly into the area.  Each face is different, and the treatment and fillers used are going to depend on your skin type, what other fillers you’ve had, your age and so forth. It is always best to treat the face as a full unit, and think of it that way rather than looking at specific lines, because that is a way of keeping a treatment looking very natural. I prefer to use Sculptra and Radiesse to lift and shape the face which can improve marionette lines rather than simply injecting into folds.  Seek out an experienced injector of the face who can do a complete facial analysis and explain to you what would be the best way to move forward. Best of luck.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 64 reviews

Facial Sculpting Using Fillers Like Voluma, Radiesse, Lyft, Juvederm and Sculptra and Fat

Folds need a combination of lasers, skin tightening and fillers. Please see an expert to fully evaluate your face and determine what combination is best. Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 165 reviews

Nonsurgically Augmenting The Cheeks With Volumizing Fillers Can improve The Smile Lines Without Directly Treating Them

Your question provides little information, so my remarks can only be in the most general of terms. The short answer to your question is that Radiesse is a fine volumizing filler, but that nowadays we have an ever growing number of hyaluronic acid-based injectable volumizers, such as Voluma XC and Restylane Lyft, which possess the advantage that they can be readily dissolved with hyaluronidase (a natural enzyme) should the need ever arise. Radiesse, although also a natural product, at present, does not have a comparable enzyme capable of dissolving it, although it does have the slight advantage of generally having its duration of effect lasting a bit longer than its hyaluronic acid counterparts.Having said all that, it is worth noting that nowadays, sophisticated physician injectors, no longer "chase after lines and wrinkles" the way it was does in the past. As a result of our greater understanding of facial aesthetic anatomy, we have learned that the development of nasolabial smile lines and marionette lines ("sad lines") actually results from loss of volume within the cheek fat fads and the gravitational descent of these malar remnants downward and inward with the passage of time. So, today, experienced physicians instead often turn first to replenishing the diminished volume within the cheeks, which often not only improves the cheeks, but secondarily improves the smile lines without the need for directly treating them--an approach that leads to a much more natural and youthful appearance, and one less likely to result in what has come to be known as the "simian" (i.e. monkey-like) face that often is seen when the nasolabial lines are overfilled and flattened. You would do well to to consult with a board certified aesthetic physician with expertise and experience in the use of volumizing fillers for facial recontouring. Best of luck.

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.8 out of 5 stars 23 reviews

Radiesse and nasolabial folds

there are a number of fillers available to treat the nasolabial folds and Radiesse is an excellent choice but be sure you see a board certified dermatologist or plastic surgeon to be treated

Melvin Elson, MD
Nashville Dermatologist
5.0 out of 5 stars 6 reviews

Radiesse for nasolabial folds

Radiesse can be very helpful in the folds. Depending on their depth, Restylane can also be used. Treatment should be individualized to your face.

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