This is my second time with Radiesse. I use it for my nasolabial and marionette lines. I went back the second time after about 1 year and 7 months. Yes, that's how long it lasted for me! Even the doctor commented that I'm getting "a lot of bang for my buck." He gave me a dental block which made the procedure pretty much painless. Had minimal swelling that diminished the 2nd day and very minimal bruising that lasted a couple of days. I iced it for a couple of hours after the procedure and was out and about the next day. I'm very thankful that I had no problems or issues. I've been very lucky--I highly recommend Radiesse.