Restylane and Fat and fillers II

Posted on April 30, 2010


Radiesse is a filler that is made of calcium hydroxylapatite which last longer than the Hyaluronic acid products like Restylane.

Dr. Richard Clark, world class plastic surgeon

Dr. Richard Clark, world class plastic surgeon

It may actually stimulate collagen [and possibly bone] to form and may leave a permanent change. For this reason, I only use this product down deep near the cheek bone [maxilla] for a midface type cheek augmentation. I would not want to risk having a calcific nodule develope in the lip area [which I have seen] or in the lower lid tear-trough area [which I have also seen from other injector]. It does an excellent job of restoring the “apple cheek of youth” but in my experience needs to be repeated and, although may be permanent, usually lasts 6-12 months. My favorite injector for the cheek/midface hollow is to use the patients own fat. If properly harvested from the tummy or elsewhere, and properly decanted or centrifuged to separate the serum and liquid fat from the healthy cells, it can be injected in narrow tunnels and have a wonderful survival rate. It often leaves a partial correction and needs to be repeated and the second injection takes better than the first. It thereafter is probably permanent and has the holistic niceness of being your own fat and removing from an area of excess to enrichen an area of depletion: “robbing from Peter to pay Paul”.