Total Dermatology
Radiesse Dermal Filler2019-04-19T02:51:55-08:00



Instant volume for cheeks, chin and pre jowl area

Facial volume loss is the biggest factor in how you look as you age. There is a literal change from the youthful “V” shape to a more box-like shape. Radiesse is designed to create a 3D lift effect and more definitive contouring. How do you get the “V” shape back?

What makes Radiesse different?

Radiesse® is a high-viscosity filler with longer term action than Hyaluronic gels, natural elasticity and collagen-stimulating power. For dermal support to improve facial shape, Radiesse has remarkable staying power. The tiny microspheres – made of a calcium-based material – provide a scaffolding into which your body’s own tissue can grow and maintain the microspheres in place

Because of the density of Radiesse, it is used often to alter the shape the nose, augment the chin or cheekbone area and is used to provide a more masculine jawline for men. Once injected, it feels perfectly natural and no one would suspect you have had filler injected.

Radiesse “degrades” much more slowly than hyaluronic gel fillers and thus can provide improvements up to 18 months.

Choosing a Radiesse physician

Radiesse elite providerDr. Pilest is an Elite Provider and a member of the Medical Education Faculty for Radiesse. Elite Providers are a select group of experienced providers who have achieved an exceptional level of Radiesse experience.

Medical Education Faculty members are physician leaders in the education and practice of facial aesthetics who are expert Radiesse injectors in a variety of aesthetic applications. Dr. Pilest has obtained the exclusive Black Card Expert Physician Award.

Using state-of-the-art injection techniques, Dr. Pilest is performing Radiesse corrections with micro cannula, eliminating the need for repeated needle sticks. Cannulas are tiny needle-like devices that have a round tip.

What makes Radiesse last so long?

Radiesse consists of calcium hydroxylapatite microspheres suspended in gel (carboxymethylcellulose). Because calcium hydroxylapatite is a normal constituent of bone, it should not elicit a chronic inflammatory or immune response. The microspheres of CaHA have been shown to last up to seven years clinically. Radiesse should provide a long lasting correction, however individual results may vary, affected by age, skin type, lifestyle and muscle activity.

What areas respond best to Radiesse treatments?

  • Back of hands to obscure veins and bones
  • Nasolabial Folds ( Laugh lines )
  • Marionette Lines
  • Chin & Cheek augmentation
  • Restore bulk to aging tissues

What are Radiesse treatments like?

Radiesse is injected as most other fillers but for some areas can be injected more deeply for structural support. Injection pain is minimized or eliminated by use of smooth tip microcannulas and an integrated anesthetic. Following the procedure, patients may immediately return back to daily activities, however, treatment sights may be swollen for 1-2 days. There is also a small potential for bruising at the injection site, which may be covered with makeup.

How long will the results last?

Depending on the areas treated, most of the correction may last for many months, or even years. Dr. Pilest’s patients usually see results that last between 9 to 12 months. Touch up treatments may be necessary to maintain desired correction.

Can other filler products be used along with Radiesse?

Restylane, Juvederm, Belotero or other dermal fillers may be used as layers to fill the more superficial lines and wrinkles. There is no restriction to using additional fillers. Radiesse is not used in our office for lip augmentation to prevent the possibility of nodules which could form in the lip.

Important Safety Information for RADIESSE® Volumizing Filler

Physician’s Coalition forInjectable Safety

Alternate Treatments

Voluma a 2 year hyaluronic gel  for cheekbones, chin and nasolabial folds
Sculptra for bio-stimulation of collagen
Juvederm Vollure for multiple applications in lines, folds, wrinkling

Expert Injector Dr. Nissan PilestDr. Nissan Pilest is a member of the distinguished Expert Injector collaboration and holds the Circle of Excellence in Soft Tissue Fillers through the American Society of Dermatologic Surgeons. Dr. Pilest performs all injections for dermal fillers and neuromodulators at Total Dermatology. About Dr. Pilest


If you would like to learn more about Radiesse Dermal Filler, please call our office at 949-727-3800 today to schedule a consultation or fill out the form on this page and one of our trusted staff members will reach out to you promptly.

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