Collagen-Producing Fillers


There are many dermal filler products on the market. Yet the biggest dilemma is finding the right one which will suit your facial composition, skin elasticity and budget. Not to be confused with anti-wrinkle injectables  — protein injections that temporarily paralyse muscles that cause wrinkles and fine lines, the best option is to always go with the product that will enhance the integrity of your face but not change it.

We put the spotlight on Radiesse, the next-generation dermal filler which gives you longer-lasting results and a more radiant effect.

One of the first words of caution Dr Chang provides patients with is the importance of choosing a filler that will add subtle volume and shape to your face without compromising the integrity of your face. The second thing he advocates is the old adage; less is more as over-plumped faces do not necessarily create a more youthful effect. The third piece of advice is to choose a skilled injector such as Dr Chang, a FRACS-qualified plastic surgeon whose skill, experience and artistry in injecting soft-tissue fillers will leave you with the desired results; a vital criteria when it comes to combining cosmetic aesthetics with science.

But before you go ahead with the procedure, it is important to choose the right filler that is best suited to your unique facial makeup and what you want to achieve. Do you want to plump up lips or augment your jawline?  Or perhaps replenish lost volume to the face where the visible signs of ageing have to begin to make their mark? If the latter, Radiesse may be the best filler for you.

What happens to our face and hands over time?

As we age, the volume in our skin tissue diminishes, leaving you with facial hollowness or deep folds, sunken cheeks, wrinkles and accentuated lines [especially around the marionette lines — our smile lines]. Radiesse can compensate for the loss of volume by plumping wrinkled or folded areas of the skin.

What is Radiesse?

A calcium-based FDA approved filler that not only stimulates the body’s natural collagen production and rejuvenates areas such as facial lines and nasolabial folds, but Radiesse will also visibly improve the tell-tale signs of ageing and help you transition beautifully into middle age with a more natural and luminous effect.

Who is best suited?

Depending on your age and the thickness of your skin, Radiesse is often ideal for patients between the ages of 35 to 55 years plus — at an age when your face is beginning to look tired and the loss of volume is more prominent.

Anyone suffering from the following conditions should not undergo treatment. They include patients:

  • with severe allergies resulting in anaphylaxis
  • experiencing multiple or severe allergies
  • who are pregnant or breastfeeding
  • with a bleeding disorder or are taking blood-thinning medication

Your medical history will first be reviewed by Dr Chang at a consultation.

How does Radiesse work?

Radiesse’s composition contains microspheres of calcium hydroxylapatite, a type of natural mineral that’s found in human teeth and bones. When the calcium is used in a filler, its tiny particles are suspended in a thick gel-like solution. Once it’s injected into the soft tissue, the gel immediately replenishes lost volume and helps diminish the appearance of lines and wrinkles. Over time, the gel is absorbed and the calcium becomes metabolised, which in turn stimulates the synthesis of naturally-occurring collagen in the skin.

Patients will see immediate results, however, the full effect of the treatment will be revealed within seven to 10 days of the treatment.

What part of the face is Radiesse applied?

By way of administering injections under the skin with a tiny needle, the minimally-invasive treatments are most often given in the skin surrounding the nose and mouth. Some people who choose this procedure want to fill in wrinkled areas or where the loss of volume is most prevalent in their hands.

Can you use it to plump up lips?

No. Radiesse is only used to treat wrinkles, volume loss over cheekbones, hands and along the jawline and facial furrows such as the prominent fold that runs from the lower nose towards the corner of the mouth. For lip augmentation, hyaluronic acid-based fillers are used.

How long does Radiesse last?

As with any injectable dermal filler, the effects from Radiesse are not permanent but are longer-lasting [12-18 months] by comparison to hyaluronic acid-based fillers [6-9 months]. This is due to the calcium hydroxylapatite stimulating the natural collagen production.

Most patients also achieve their desired results within one-two treatments, leaving you with a more natural and refreshed look.

Is there any downtime?

Safe and highly-effective, mostly the downtime is minimal.

You may experience slight bruising, swelling or redness around the injection sites which typically disappears within a couple of days after your treatment.

Can I reverse the filler if I’m dissatisfied with the effect?

No. Unlike with hyaluronic acid-based fillers that have antidote known as hyaluronidase, there is no antidote to break down the calcium-based gel. However, the skill and care applied by Dr Chang will help you achieve your desired results.

Is Radiesse more expensive than other fillers?

Yes, but the difference is marginal and the results are longer lasting. The average cost of a syringe is approximately $880 by comparison to $600 for traditional fillers.

*Individual results may vary. Treatment is subject to the patient’s suitability.