For patients with early signs of aging who do not want or need more aggressive facelift procedures soft tissue fillers can make a significant difference. They do so with little or no recovery time, less cost and less risk of complications than classical operative/surgical procedures. These patients can be in their 30s, 40s or 50s since each individual ages differently. The nasolabial fold or laugh line which historically was best addressed by facelift surgery is the ideal location on the body for soft tissue fillers in terms of yielding the most natural result with the least risk of complications.

In the past collagen derived from cows or pigs was the only available filler. Its drawbacks were the possibility of allergic reactions (skin tests were required before the product could be injected) and a temporary result only lasting a few months. It has been replaced by newer synthetic materials such as Restylene, Purogen, Sculptra, Radiesse etc. that last longer, have no risk of allergic reactions and do not even need refrigeration for storage.

Radiesse (formerly Radiance) is a biocompatible, non-toxic, non-allergenic filler popular for its long-lasting results, Radiesse benefits may last two years or more. It is a compound of calcium hydroxyl apatite microspheres that are suspended in a carboxymethylcellulose gel. Calcium and phosphate ions, naturally occurring in our bodies in teeth and bones, primarily make up the calcium hydroxyl apatite particles. The gel contains an organic compound of carbon, hydrogen, and oxygen, as well as glycerin and sterile water. The material is injected under the skin with a small needle. This is performed with or without local anesthetic depending on patient preference.

Photos taken prior to any injection

Photos taken 6 months after injecting 0.5cc of Radiesse into each nasolabial fold at which time a second 0.5cc was injected into each fold.

Photos taken 6 months after the second injection of Radiesse to the nasolabial folds. It is evident that the material is still present at 6 and 12 months after injection.

Read Dr. Stone's blogs about Radiesse and injectable fillers
• Injectable Fillers - Collagen, Restylane et al

Radiesse injections can enhance your appearance and your self confidence. Realistic expectations are important to be happy with any surgery. As each patient is an individual, different results can be expected in each patient.