Radiesse CaHA filler with/without lidocaine | dermal-filler.dk
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Radiesse

Radiesse: calcium hydroxylapatite (CaHA) filler

Radiesse is an injectable implant based on synthetic calcium hydroxylapatite in a carrier gel. In this selection: Radiesse with lidocaine and Radiesse without lidocaine (both 1×1.5 ml). Choose based on the presence of lidocaine; see product information for indications. Radiesse is not a classic filler based on hyaluronic acid.

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Composition according to the manufacturer

According to the instructions for use from Merz/Radiesse, Radiesse is composed of synthetic calcium hydroxyapatite (CaHA) (particle size approximately 25–45 µm) in a gel with sterile water, glycerin, and sodium carboxymethylcellulose. The variant with lidocaine also contains lidocaine hydrochloride (amide anesthetic). CaHA is radiopaque and may be visible in imaging studies – mentioned in the product information.

Indications and lips

The IFU mentions, among others, the correction of moderate to severe facial wrinkles (such as nasolabial wrinkles). For Radiesse (+) with lidocaine, soft tissue augmentation for jawline contouring is also mentioned (adults >21, according to this IFU). Important: Safety and efficacy in the lips have not been established; there are publications about nodules after lip injections. Therefore, Radiesse is not a choice for an alternative to "lip filler" based on this category.

Variant in the shop Pack Difference
Radiesse with lidocaine 1×1.5 ml CaHA gel + lidocaine
Radiesse without lidocaine 1×1.5 ml CaHA gel without lidocaine

Selection criteria

Within this range of brands, the main difference is with or without lidocaine. For lip products of HA, refer to Lips; for other collagen stimulators, refer to Collagen Stimulators.

CaHA versus hyaluronic acid in practice

Those seeking volume with a reversible HA filler should opt for brands like Restylane or Belotero. Radiesse is chosen when calcium hydroxyapatite is desired, according to the product information. The difference between with/without lidocaine does not alter the base material CaHA, only the presence of the anesthetic in the gel.

For correction of the jawline or wrinkles, follow the IFU of the chosen variant. Radiesse is not a universal filler for all areas of the face. Indications and limitations are in the IFU of the chosen variant.

Choose with or without lidocaine according to protocol preference and follow the product information of the chosen variant.

FAQ – Frequently Asked Questions

Is Radiesse a hyaluronic acid filler?
No. The main component is calcium hydroxyapatite in a carrier gel, not cross-linked HA as in many volumetric fillers.
What is the difference between with and without lidocaine?
The same base of CaHA; the variant with lidocaine also contains lidocaine hydrochloride for local comfort. Pack size in this shop: 1×1.5 ml.
Is Radiesse suitable for the lips?
Not as a standard choice: the manufacturer states that safety and efficacy in the lips have not been established; there are reports of nodules. Opt for HA lip products for lip volume.
What is Radiesse mentioned for?
Among others, for moderate to severe facial wrinkles (e.g., nasolabial wrinkles); refer to the current IFU of the chosen variant for the complete list of indications.
What does "radiopaque" mean?
CaHA may be visible on X-rays/CT. Patients should inform their care providers about this, according to the product information.
How does Radiesse compare to Ellansé?
Both are not classic HA fillers, but differ materially: Radiesse = CaHA; Ellansé = PCL in CMC gel. Compare material and product information, not just "stimulant".

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