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Structural Rejuvenation, Not Just Volume

Facial aging goes beneath the surface, including progressive loss of collagen, elastin, and the deep support structures that define facial shape. Addressing these changes effectively requires an expert understanding of how facial tissues age, shift, and respond to load over time.

Radiesse in Scottsdale, AZ is offered at Starkman Facial Plastic Surgery only when structural support—not temporary volume—is the appropriate solution. Dr. Sidney Starkman’s background as a double board-certified facial plastic surgeon with extensive experience in deep plane facelift surgery and complex facial reconstruction directly informs how biostimulatory fillers are selected and placed.

What Is Radiesse?

Radiesse is a dermal filler composed of calcium hydroxylapatite (CaHA) microspheres suspended in a smooth gel carrier.

Upon injection, the gel provides immediate contouring and wrinkle correction. At the same time, the CaHA particles act as a scaffold that stimulates the body’s own fibroblasts to produce new collagen and elastin over time.

As the gel carrier gradually resorbs, newly formed collagen and elastin replace the initial volume, helping maintain structural support and skin firmness for a year or longer in many patients.

Benefits of Radiesse

  • Immediate improvement in facial contour and definition
  • Stimulation of collagen and elastin, improving skin quality over time
  • Long-lasting results (often one year or more)
  • Provides structural support rather than superficial fullness
  • Particularly effective in areas requiring lift and firmness

Radiesse® vs. Hyaluronic Acid (HA) Fillers

Composition and Mechanism

  • Radiesse is composed of calcium hydroxylapatite (CaHA) microspheres suspended in a gel carrier
  • In addition to providing immediate contour, CaHA acts as a scaffold that stimulates the body’s own collagen and elastin production, gradually replacing the initial volume with biologic tissue support
  • HA fillers, by contrast, are composed of cross-linked hyaluronic acid, a naturally occurring substance in the skin that binds water to provide soft, pliable volume
  • HA fillers do not directly stimulate collagen to the same degree and rely primarily on the presence of the injected material for correction

Type of Correction

  • Radiesse is best suited for structural support, contouring, and lifting, particularly in areas where firmness and projection are needed, such as the lower face or jawline
  • Its biostimulatory effect makes it advantageous for patients with skin laxity or collagen loss
  • HA fillers are ideal for soft volume replacement, contour refinement, and areas requiring flexibility or reversibility, such as the lips or tear troughs

Longevity

  • Radiesse often provides results lasting 12 months or longer in many patients, due to ongoing collagen and elastin formation even after the gel carrier is absorbed
  • HA fillers typically last 6–12 months, depending on the product, area treated, and individual metabolism

Reversibility and Planning

  • HA fillers can be enzymatically dissolved with hyaluronidase, offering flexibility if adjustment is needed
  • Radiesse cannot be dissolved and therefore requires greater precision, experience, and patient selection from the outset

Are You a Candidate for Radiesse?

You may be a good candidate if you:

  • Have age-related volume loss or skin laxity
  • Desire longer-lasting improvement beyond traditional fillers
  • Need contouring in structurally supportive facial areas (such as the lower face or jawline)
  • Prefer a biostimulatory approach to facial rejuvenation

Radiesse is not appropriate for superficial wrinkle correction or areas with high vascular risk.

Why Choose Starkman Facial Plastic Surgery?

Because our practice focuses exclusively on the face and neck, Radiesse is used as part of a long-term facial strategy. Each treatment is planned with careful attention to deep tissue planes, vector forces, and durability, supporting natural contours that remain balanced and refined well beyond the initial correction.

What to Expect Before, During, and After

Consultation

  • Your consultation includes a comprehensive facial analysis to determine whether Radiesse is appropriate for your anatomy and goals
  • We’ll also discuss your medical history to ensure safety
  • Pricing is based on treatment areas and product volume required

Procedure

  • Detailed assessment of facial structure and support zones
  • Strategic deep-plane placement of Radiesse
  • Careful contour refinement to avoid overcorrection
  • Treatment is typically completed in under 30 minutes

Recovery and Results

  • Mild swelling or tenderness for several days
  • Immediate visible contour improvement
  • Progressive collagen and elastin stimulation over months
  • Results commonly last 12 months or longer

Alternative or Related Procedures

Ready to Learn More?

Radiesse is not a universal solution, nor is it intended to be. As such, at Starkman Facial Plastic Surgery, treatment decisions are never rushed or standardized. A comprehensive consultation allows Dr. Starkman to determine whether Radiesse in Scottsdale, AZ aligns with your anatomy, goals, and long-term plan, or whether another approach would better serve you. Contact us today to book your appointment.

FAQs

How does Radiesse feel in the face after treatment?

Once initial swelling resolves, Radiesse typically feels firm but natural, integrating into the surrounding tissue rather than remaining noticeable as a distinct filler. Most patients are unaware of its presence during normal facial movement.

Does Radiesse continue to change my appearance after injection?

Yes. While contour improvement is immediate, subtle refinement continues over time as collagen and elastin production increase. These gradual changes are usually perceived as improved firmness and skin quality rather than added volume.

Can Radiesse look too stiff or unnatural?

When placed too superficially or in inappropriate areas, Radiesse can appear firm. This is why careful patient selection and deep-plane placement by an experienced facial specialist are essential to achieving natural results.

How often can Radiesse be repeated?

Most patients do not require repeat treatment for at least a year. Some may choose maintenance treatments after that time, depending on facial aging patterns and collagen response.

Is Radiesse appropriate for younger patients?

Radiesse is generally reserved for patients with established structural changes or collagen loss. In younger patients, other treatments may be more appropriate depending on anatomy and goals.

Will Radiesse migrate over time?

When placed correctly in appropriate tissue planes, Radiesse remains stable. Migration is uncommon and is typically associated with improper placement or use in unsuitable areas.

Are there risks or side effects with Radiesse?

Common side effects include temporary swelling, bruising, redness, or tenderness at injection sites. Rare risks include nodules, firmness, or vascular complications, which are minimized through expert technique and anatomical precision.

Contact Us

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480-680-8677