I gave up using Radiesse and Sculptra quite a few years ago once more robust HA fillers came on the scene. Years ago the advantage of Radiesse and Sculptra had been that they lasted longer than the ordinary Restylane or plain Juvederm that were available at the time. The disadvantage was that Sculptra was expensive, required about three treatment sessions to see a response, and while Radiesse responses could typically be achieved after one treatment session, both of these products had the very serious disadvantage that if there were any adverse reactions, there was no enzyme to dissolve them. Once longer-lasting, more robust HA fillers were approved, which did have the advantage of being relatively easily dissolvable, I could no longer justify the use of either Sculptra or Radiesse. You would be wise to consult with an experienced, board certified cosmetic dermatologist. Hope this helps and best of luck.