Radiesse for Hand Rejuvenation
Restore Volume, Reduce Visibility of Veins and Tendons
Radiesse is an FDA-approved injectable treatment specifically designed to correct volume loss in the backs of the hands. Using calcium hydroxylapatite microspheres, Radiesse restores a youthful appearance by adding volume beneath the skin while stimulating your body's natural collagen production for long-lasting results.
What It Treats:
As we age, hands lose fatty tissue and collagen, causing:
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Visible veins and tendons on the backs of hands
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Crepey, thin-looking skin
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Volume loss that makes hands look skeletal or aged
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Prominent bones and angular appearance
Radiesse addresses these concerns by restoring volume beneath the skin, creating a smoother, more youthful hand appearance.
How Radiesse Works:
Radiesse is a unique dermal filler made of calcium hydroxylapatite (CaHA) microspheres suspended in a gel carrier.
Immediate Results: The gel carrier provides instant volume correction, smoothing the appearance of hands immediately after treatment.
Long-Term Improvement: The CaHA microspheres stimulate your body's natural collagen production over time, providing gradual improvement that can last 12+ months.
Dual Action:
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Instant volume restoration fills hollow areas
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Collagen stimulation improves skin quality over time
Unlike hyaluronic acid fillers that simply add volume, Radiesse actively triggers your body to produce new collagen, meaning results improve over the weeks following treatment and last significantly longer.
What to Expect:
Consultation: We assess your hands, discuss your goals, and determine the appropriate amount of Radiesse needed (typically 1-2 syringes per hand).
Treatment:
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Radiesse is mixed with lidocaine for comfort
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Injected in small boluses (0.2-0.5cc each) beneath the skin
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Treatment takes 15-30 minutes for both hands
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Immediate massage distributes product evenly
Results:
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Immediate: Visible volume restoration right after treatment
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Progressive: Continued improvement over 4-6 weeks as collagen production increases
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Duration: Results last 12-18 months on average
Downtime: Minimal. Most patients resume normal activities immediately, though we recommend:
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Avoiding strenuous hand activities for 24-48 hours
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Removing rings before treatment (due to temporary swelling)
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Keeping hands elevated when possible for first 24 hours
Clinical Results:
In FDA clinical trials for hand augmentation:
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90% of patients showed ≥1-point improvement on hand grading scale at 3 months
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97.6% of patients rated their results as "improved" or better
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Results maintained for 12+ months in majority of patients
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No long-term effects on hand function observed
Common Side Effects:
Based on clinical studies, most side effects are mild to moderate and temporary:
Most Common (experienced by majority of patients):
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Swelling (99% of patients—typically resolves within 7-14 days)
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Pain/tenderness (92% of patients—typically resolves within 3-7 days)
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Bruising (73% of patients—typically resolves within 7-14 days)
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Redness (81% of patients—typically resolves within 3-7 days)
Less Common:
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Difficulty performing hand activities (48% of patients—typically resolves within 7-14 days)
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Itching (46% of patients)
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Nodules or bumps (6% of patients—can last up to 12 months)
Important: All adverse events in clinical trials resolved without long-term effects. Severe events were rare (experienced by only 21% of patients) and temporary.
Who Is a Candidate:
✓ Ages 22-85 (studied age range)
✓ Visible veins and tendons on backs of hands
✓ Volume loss making hands look aged or skeletal
✓ Crepey, thin-looking skin on hands
✓ Healthy individuals without bleeding disorders
✓ Not pregnant or breastfeeding
Not recommended for:
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Active skin infections or inflammation on hands
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Severe allergies or history of anaphylaxis
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Bleeding disorders
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Hypersensitivity to Radiesse components
Radiesse vs. Hyaluronic Acid Fillers
Why Radiesse for hands:
Feature | Radiesse | Hyaluronic Acid Fillers |
|---|---|---|
Hand-specific studies | Extensive clinical data | Limited data |
Volume longevity | Improves over time | Degrades over time |
Collagen stimulation | ✓ Yes (biostimulator) | ✗ No |
Duration | 12-18 months | 6-12 months |
FDA-approved for hands | ✓ Yes (specifically studied and approved) | ✗ Off-label use |
Radiesse is the only FDA-approved filler specifically indicated for hand rejuvenation, with clinical studies demonstrating safety and efficacy specifically in hands.
Pricing:
$699 per syringe
Typical treatment: 1-2 syringes per hand (2-4 syringes total for both hands)
Member pricing: PM Aesthetics members receive member discount on all filler treatments
What's included:
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Comprehensive consultation and hand assessment
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Radiesse mixed with lidocaine for comfort
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Injection treatment (both hands)
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Post-treatment massage for optimal distribution
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Follow-up assessment
Post-Treatment Protocol:
Optimize Your Recovery
We strongly recommend pharmaceutical-grade post-care to support healing, reduce inflammation, and optimize skin quality during the recovery period.
Recommended Post-Care Products:
Alastin INhance Post-Injection Serum
Formulated specifically for recovery from injectable treatments. Contains TriHex Technology to support clearance of damaged tissue and promote healthy collagen production. Apply twice daily to treatment area for 2 weeks post-procedure.
Neocutis Bio-Serum Intensive Treatment
Growth factor-enriched serum to support tissue repair and reduce inflammatory response. Apply morning and evening during active recovery phase.
These products are not mandatory, but clinical outcomes consistently show faster resolution of swelling and improved skin quality when pharmaceutical-grade aftercare is used.
Who Is NOT a Candidate for Kybella
We will refuse treatment if:
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You have an active infection in the treatment area
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You are pregnant or breastfeeding
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You have difficulty swallowing (dysphagia)
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You have bleeding disorders or take anticoagulants we cannot safely pause
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You have unrealistic expectations about downtime or results
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You have an important event within 2 weeks of proposed treatment
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You are seeking "instant results" without commitment to the recovery process
This is medicine, not customer service. If Kybella is not the right treatment for your anatomy, timeline, or expectations, we will tell you.
The Bottom Line: Is Kybella Right for You?
Kybella works. It's permanent. It's uncomfortable. It requires commitment to recovery.
If you want to eliminate submental fat without surgery, can tolerate 7-10 days of significant facial swelling, and are willing to complete the full treatment series, Kybella is the most effective non-surgical option available.
If you're looking for a "quick fix" with no downtime, Kybella is not for you. We won't sell you something that doesn't match your lifestyle or expectations.
This is structural fat reduction. It's medicine, not magic.
FREQUENTLY ASKED QUESTIONS
Most patients need 1-2 syringes per hand depending on severity of volume loss. Mild to moderate loss typically requires 1 syringe per hand; severe loss may require 2 syringes per hand. We assess during consultation and recommend appropriate amount.
Radiesse is mixed with lidocaine (local anesthetic) for comfort during injection. Most patients report mild discomfort during injection but tolerate treatment well. Pain typically resolves within 3-7 days.
15-30 minutes for both hands, including post-injection massage.
Immediately after treatment, though initial swelling may obscure final results. Optimal results visible at 2-4 weeks once swelling resolves and collagen production begins.
12-18 months on average. Some patients see results beyond 18 months due to continued collagen stimulation.
Yes, though hands may be swollen and tender for several days. Most patients resume normal activities immediately but avoid strenuous hand activities for 24-48 hours.
48% of patients in clinical trials reported temporary difficulty performing hand activities, typically lasting less than 14 days. This is more common in darker skin tones (Fitzpatrick IV-VI: 68% reported this).
Yes, Radiesse is safe for all skin types (Fitzpatrick I-VI). However, darker skin tones may have slightly higher incidence of temporary difficulty performing hand activities.
Unlike hyaluronic acid fillers, Radiesse cannot be dissolved. However, clinical trials showed 97.6% patient satisfaction, and all adverse events resolved over time without intervention.
PRE-TREATMENT INSTRUCTIONS
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Avoid blood thinners (aspirin, ibuprofen, fish oil, vitamin E) for 7-10 days if medically safe
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Avoid alcohol 24 hours before treatment
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Remove all rings and hand jewelry before appointment
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Arrive with clean hands (we'll provide additional antiseptic prep)
POST-TREATMENT INSTRUCTIONS
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Keep hands elevated when possible for first 24 hours
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Avoid strenuous hand activities for 24-48 hours
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Avoid heat exposure (hot tubs, saunas) for 24-48 hours
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Do not wear rings until swelling resolves (typically 7-14 days)
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Gentle hand use is fine, typing, light housework, eating
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Ice packs can reduce swelling if needed
Follow-up: We schedule follow-up assessment at 2-4 weeks to evaluate results and determine if additional product is needed.
Why Choose PM Aesthetics for
Radiesse Hand Rejuvenation:
✓ Medical expertise: Performed by experienced medical providers, not aestheticians
✓ Conservative approach: We use appropriate amounts, not excessive product
✓ Realistic expectations: We explain what Radiesse can and cannot achieve
✓ Comprehensive consultation: We assess your hands and create personalized treatment plan
✓ Quality products: Only FDA-approved, authentic Radiesse (never counterfeit or expired)
✓ Transparent pricing: $699/syringe, clearly listed, no surprises
✓ Member benefits: Members receive discounted pricing on all fillers
Important Safety Information:
Radiesse is contraindicated in patients with:
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Severe allergies or history of anaphylaxis
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Known hypersensitivity to Radiesse components
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Bleeding disorders
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Active skin inflammation or infection in treatment area
Radiesse contains calcium hydroxylapatite, which is radiopaque (visible on X-rays and CT scans). Inform your healthcare providers and radiologists if you have Radiesse in your hands.
Not recommended during pregnancy or breastfeeding (safety not established).
Consult with qualified medical provider to determine if Radiesse is appropriate for you.

Join Us on Your Aesthetic Journey
Every PM Aesthetics consultation begins with lifestyle assessment, not treatment sales. We evaluate sun protection, nutrition, sleep, stress, exercise, and other factors that determine 70-80% of aging outcomes. If your lifestyle foundation needs attention, we'll tell you, even if it means less treatment revenue for us. Medicine first, always.
