What is Radiesse?

Radiesse, or calcium hydroxylapatite (CaHA), is a common dermal filler used in aesthetic medicine with the maximal volumizing and contouring benefits. Specifically, Radiesse is approved by the FDA to correct moderate-to-severe wrinkles and folds and soft-tissue volume loss. When CaHA is mixed with a sterile saline solution (diluted or hyperdiluted form) and injected into precise layers of the skin, CaHA promotes dermal remodeling through stimulation of collagen and elastin for a skin-tightening effect and to improve superficial wrinkles, elasticity, and skin thickness. Areas of the face/body CaHA can be injected include, the temples, mid-and lower face, neck and décolletage, upper arms, buttocks, thighs, and abdomen, and hands. Results last 12-18 months, with suggested maintenance yearly.


Hyperdiluted Radiesse would be your new best friend if you got issues with unwanted wrinkles, undesirable fine lines, worrisome skin laxity, problematic thinning skin, or jarring necklines. These particular concerns and the likes of so much more may qualify you to be a candidate for a skin rejuvenation treatment using Hyperdiluted Radiesse.


Hyperdiluted Radiesse is simply a form of Radiesse that has been diluted or thinned out, using sterile saline solution and lidocaine mixed all together. This mixture makes it an easily manageable and spreadable biostimulator capable of skin remodeling over a larger area.

When this diluted mixture gets injected into areas where collagen has been lost, it triggers the body to produce new sets of collagen and elastin. This phenomenon results in a skin rejuvenating treatment that provides a more pronounced and visible much smoother, firmer, younger-looking skin.

People benefit from Hyperdiluted Radiesse by having tightened and thickened skin and a much-reduced appearance of fine lines, wrinkles, and creepiness. In addition, treatments of the décolletage will also help reduce pigmentation caused by sun damage. Overall, there is a remarkable improvement in skin tone, texture, and elasticity.


Hyperdiluted Radiesse comprises thinned-out calcium hydroxyapatite (CaHA) gel microspheres that work their magic immediately upon injection. CaHA is composed of ions of phosphate and calcium, which gets produced naturally in the human body.

These injectable gels initially do all the work of filling in all the volume you want. As time progresses, the CaHA starts stimulating your naturally-occurring collagen, letting your skin begin creating more of its natural fillers. The gel's hydrogen, oxygen, and carbon help make a structure that copies and impressively mimic connective tissues.

Eventually, the CaHA is then absorbed back into the body, leaving all the new collagen produced in its place. Because of the fantastic science behind Hyperdiluted Radiesse, treatment results are known to last for over a year — even two years for some cases.


This is an in-office procedure injected under the skin after applying local anesthesia to the treatement area. As a result, you should only experience minimal discomfort during the procedure. Lidocaine is FDA-approved to be combined with these injections to alleviate any pain you may begin feeling during the procedure.

Hyperdiluted Radiesse sessions can take as quick as a snap or for as long as 15-20 minutes, all depending on the number of injections you'll need. You won't need to worry about spending any time for recovery in-office after. Typically, you should be back on your feet in no time and home immediately after your injections.

Common Targeted Areas

Most patients receive Hyperdiluted Radiesse injections and target them in areas of the face, particularly around the mid and lower face and below the mouth. These areas are where the skin gets much wrinkled or folded. It's used in filling laugh lines and restoring that youthful appearance to your skin. In some instances, Hyperdiluted Radiesse can also fill in deep facial scars.

Additionally, Hyperdiluted Radiesse can also fill in volume lost in the back of your hands, neck, chest, creapy under arms, thighs, lax skin in the abdomen, or in the buttock to correct stretch marks, improve cellulite, and build subtle volume.

Preparing for Procedure

Before receiving and undergoing Hyperdiluted Radiesse injections, it is always best to consult with our provider regarding any current medications. Some medications, such as aspirins, blood thinners, or warfarin, can result in excessive bleeding or unwanted bruising at the chosen treatment locations.

It is important to disclose with our provider if you have any issues with your hands, including disabilities, injuries, and diseases. Disclose to them if your skin has tendencies of scarring poorly, mainly if these scars are large or raised. Also, they should be made aware of skin peels or similar treatments you may have had.


Those who have reported side effects from Hyperdiluted Radiesse injections in their face have most often experienced:

  • bruising
  • itching
  • pain
  • redness
  • swelling

Patients before who had received Hyperdiluted Radiesse injections in their hands have reported their side effects such as:


  • difficulty with normal movement
  • itching
  • lumps and nodules
  • pain
  • redness
  • sensation loss
  • swelling

Having a history of allergic reactions or allergy to any of the ingredients in Hyperdiluted Radiesse, you should cancel this procedure immediately. Also, avoid Hyperdiluted Radiesse if you have allergic reactions toward lidocaine or any other similar medications.

People with bleeding disorders and those pregnant or breastfeeding — avoid using Hyperdiluted Radiesse now. Those with a history of having herpes might trigger an outbreak following your procedure.

Also, avoid receiving Hyperdiluted Radiesse injections when you still have an active skin infection. All injection procedures carry the potential risk of infection.

In some rare cases, nodules could form underneath the skin, which may need corticosteroid or surgical treatments. Any unusual symptoms that might appear outside of the norm or continue to become worse over time require your doctor's immediate attention.

Notify your doctor or healthcare provider if you have had an X-ray or CT imaging after your Hyperdiluted Radiesse treatment. Microspheres from the procedure are pretty visible in these scans, so let your doctor know that you received the injections.


These are some expectations you should anticipate and prepare for after undergoing Hyperdiluted Radiesse:

  • expect immediate improvement in the treated skin
  • within 4-6 weeks, you should start experiencing the full results
  • this procedure isn’t permanent, so there might be repeat treatments as often as needed
  • for others, patient’s will only require treatments every two years
  • some might need small maintenance injections in between primary treatments
  • swelling shouldn’t be severe and should go down in no more than 36 hours
  • probably some bruising and discomfort will happen, which you can alleviate using over-the-counter medicines
  • you’ll be able to return to your routine immediately
  • avoid strenuous exercise or other activities during the swelling period
  • your skin may be susceptible to sunlight and experience photosensitivity 
  • avoid direct exposure and heat from the sun for at least 24 hours or until your redness and swelling have disappeared


Hyperdiluted Radiesse can genuinely work its wonders towards that desired appearance we’ve always wanted. Best to consult everything first with your our medically trained provider before undergoing any procedure. With Hyperdiluted Radiesse, say goodbye to all your unwanted signs of aging, especially facial lines and wrinkles.


Stretch Mark Therapy

“Never Stretch the Truth”

Truth Medical Aesthetics provides a unique and promising solution for stretch marks. This combination provides 3 potential mechanisms for improving the atrophic appearance of stretch mark tissue:

 (1) mechanical stimulation of neocollagenesis and neoelastogenesis by CaHA microspheres18,19; 

(2) recruitment of immune cells and subsequent release of growth factors following damage of the skin barrier through microneedling27; 

(3) delivery of ascorbic acid to enhance collagen synthesis.35 Studies have showen that this combined treatment technique may produce better results than those obtained when each technique is performed alone. 

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