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Injectable aesthetics · London

Radiesse (CaHA), lift today, collagen for a year and a half.

A biostimulator that also volumises immediately. Cheeks, temples, jawline and chin, or hyperdilute across hands, neck, décolletage and body. Done by a CaHA-trained injector in a London clinic that carries hyalase, aspirin and heparin.

A stethoscope on a clinical desk

Indicative pricing

What Radiesse costs in London.

Treatment Indicative range
Radiesse 1.5 mL (one syringe, standard volumising) £550 to £1,200
Hyperdilute Radiesse per session per area (neck, chest, arms, thighs) £850 to £1,600
Hand rejuvenation package (both hands, 1 to 2 syringes) £1,400 to £2,400
Non-surgical bum lift adjunct (Radiesse plus PLLA) £1,800 to £3,600
Consultation, mapping and photo assessment £150 to £300

Prices vary by injector seniority (aesthetic doctor versus specialist consultant), clinic postcode, and whether a single syringe or multi-area package is planned.

The journey

From first message to review, step by step.

One team through mapping, injection, aftercare and the 4 to 6 week review.

  1. 03 Before

    Consultation and mapping

    Photo mapping, facial thirds assessment, sun damage grading, and infection exclusion. Consent covers vascular occlusion risk and non-reversibility.

  2. 04 On the day

    Topical numbing and injection

    20 minutes of topical anaesthetic. Cannula preferred for temples, jawline, hands and body; needle for precise cheek and chin volumising.

  3. 05 On the day

    Immediate lift, gradual biostimulation

    30 to 60 minutes. You leave with visible volume from the CaHA gel carrier. Collagen stimulation builds gradually over 3 to 6 months.

  4. 06 After

    Review at 4 to 6 weeks

    A photo review to assess even distribution and plan any top-up. Duration usually 12 to 18 months, longer in some areas.

When it helps

Where Radiesse fits, and where HA does the job better.

  • Midface and cheek volume loss

    Loss of anterior cheek projection with age. Radiesse on periosteum lifts the midface with immediate and long-lasting effect.

  • Temple hollowing

    Deep bolus injection into temporal fossa via cannula restores the frame of the upper face and softens brow descent.

  • Jawline and chin definition

    CaHA gives structural support along the mandibular border and pogonion for a defined lower face, popular in men.

  • Hand rejuvenation

    Diluted Radiesse over the dorsum masks tendons and veins and stimulates collagen for months of skin quality gain.

  • Décolletage crepiness and neck laxity

    Hyperdilute Radiesse (1:2 to 1:6 with lidocaine and saline) as a biostimulator for skin quality on large body areas.

  • Non-surgical bum lift adjunct

    Combined with Sculptra to add mild volume and skin tightening over the buttocks and hip dips, not a BBL alternative.

  • HIV-associated facial lipoatrophy

    A licensed indication for Radiesse. Deep volume restoration in a group where change is often dramatic.

  • When Radiesse is not the answer

    Lips, tear troughs and superficial lines. Reserve those for HA fillers, which are reversible with hyaluronidase.

Techniques and alternatives

Radiesse is one tool.

How standard Radiesse, hyperdilute Radiesse, HA fillers, Sculptra and threads compare, and when they are combined.

  • Standard Radiesse (CaHA in aqueous gel)

    Immediate volumising from the gel carrier plus long-term collagen stimulation from calcium hydroxylapatite microspheres. Duration 12 to 18 months, sometimes longer.

  • Hyperdilute Radiesse

    Diluted 1:2 to 1:6 with lidocaine and saline for large-area biostimulation. Neck, chest, hands, arms, thighs. Skin quality gain rather than volume.

  • Cannula technique

    Blunt cannula through a single entry point. Preferred for temples, jawline, hands and body, and lowers vascular occlusion risk in danger zones.

  • Needle technique

    Precise supraperiosteal bolus for cheek and chin projection. Faster and more controlled for structural pillars in experienced hands.

  • How it differs from HA fillers

    HA (Juvederm, Restylane) is reversible with hyaluronidase, lasts 6 to 12 months, and suits mobile areas. Radiesse lasts longer but is not reversible if malpositioned.

  • How it differs from Sculptra (PLLA)

    Sculptra gives no immediate volume and needs three sessions across months. Radiesse gives an immediate lift plus gradual collagen, but with less body coverage per session.

  • Combination protocols

    Radiesse for structure, HA for lips and tear troughs, botulinum toxin for expression lines, threads for lift.

What to look for in a CaHA injector, volume and safety.

Aesthetic doctors, surgeons and specialist nurse prescribers working in CQC-registered clinics with hyaluronidase and adrenaline on site for vascular events.

  • Aesthetic doctors, surgeons and specialist nurse prescribers with high CaHA case volumes

  • CQC-registered clinics with hyaluronidase and adrenaline on site for vascular events

  • Cannula-first protocols for temples, jawline, hands and body

  • Access to Sculptra, HA fillers and thread lifts so the advice is balanced

Cadogan ClinicEF MEDISPAWaterhouse YoungPHI ClinicDr Rita RakusDr Wassim TaktoukCranley ClinicCadogan ClinicEF MEDISPAWaterhouse YoungPHI ClinicDr Rita RakusDr Wassim TaktoukCranley ClinicCadogan ClinicEF MEDISPAWaterhouse YoungPHI ClinicDr Rita RakusDr Wassim TaktoukCranley Clinic

Safety and aftercare

The things worth knowing honestly, before you consent.

CaHA is a well-established injectable. The specific things worth planning are vascular occlusion cover, non-reversibility, and the first 72 hours.

  • Vascular occlusion is the serious risk

    CaHA carries the highest occlusion risk of common fillers and is potentially harder to reverse than HA. Cannula in danger zones and early recognition matter most.

  • Occlusion management if it happens

    Warm compresses, aspirin, low molecular weight heparin, and hyaluronidase as an adjunct despite Radiesse being non-HA. Case reports describe skin necrosis when treatment is delayed.

  • Not reversible if malpositioned

    Unlike HA, there is no enzyme that fully dissolves CaHA. Poor placement usually has to be waited out, sometimes with steroid or 5-FU for nodules.

  • Bruising and swelling

    Common in the first 48 to 72 hours, especially with needle technique. Avoid aspirin, alcohol and vigorous exercise for 24 hours before and after.

  • Nodules and lumps

    Palpable nodules occur in a small percentage, more common in dynamic areas or the lips (where Radiesse should not be used). Managed with massage, dilution or steroid.

  • Longer duration is a feature, not a guarantee

    Most people see 12 to 18 months from a session. Metabolism, injection depth and technique all affect longevity.

  • Post-treatment care

    No makeup for 12 hours, no strenuous exercise or heat (sauna, sunbed) for 48 hours, sleep on your back for two nights, gentle massage only if instructed.

  • Red flags after treatment

    Blanching, mottled skin, disproportionate pain, vision change or one-sided weakness. Call the clinic or go to A&E the same day.

Frequently asked

Common questions about Radiesse.

Quick answers on cost, safety, reversibility and duration.

  • What is Radiesse and how is it different from HA fillers?

    Radiesse is a Merz Aesthetics injectable made of calcium hydroxylapatite (CaHA) microspheres suspended in an aqueous carboxymethylcellulose gel. It works as a biostimulator plus an immediate volumiser: the gel gives an instant lift, and the CaHA microspheres trigger collagen and elastin production over 3 to 6 months. Unlike hyaluronic acid fillers, it typically lasts 12 to 18 months and is not reversible with hyaluronidase.

  • What is hyperdilute Radiesse and where is it used?

    Hyperdilute Radiesse is standard Radiesse mixed with lidocaine and saline in ratios from 1:2 to 1:6, then injected subdermally as a biostimulator across large areas. It gives skin quality gain (thickness, texture, elasticity) rather than volume, and is commonly used for the neck, décolletage, hands, upper arms, inner thighs and abdomen.

  • How much does Radiesse cost in London?

    A single 1.5 mL syringe of standard Radiesse ranges from £550 to £1,200 depending on injector and clinic. Hyperdilute Radiesse for a large body area is £850 to £1,600 per session, and a two-hand rejuvenation package sits at £1,400 to £2,400.

  • Is Radiesse safer or riskier than HA filler?

    It is a well-established product with decades of data, but the specific concern is that CaHA carries a higher vascular occlusion risk profile than most HA fillers, and it cannot be fully reversed. Cannula-first technique in danger zones, an experienced injector, and a clinic that carries hyalase, aspirin and heparin for immediate management are what matter.

  • Can Radiesse be dissolved if I do not like the result?

    Not in the same way as HA. There is no enzyme that fully breaks down calcium hydroxylapatite. If a nodule forms, options include massage, saline dilution, intralesional steroid or 5-FU. Malposition usually has to be waited out over the 12 to 18 month duration, which is why case selection and injector choice matter more with CaHA than with HA.

  • When will I see results and how long do they last?

    You leave with immediate volume from the gel carrier. Over 3 to 6 months the gel resorbs and neocollagenesis takes over, giving a more natural lift. Duration is typically 12 to 18 months per session, and many patients notice residual skin quality benefit beyond that from the collagen stimulated during treatment.