ANESTHETIC / NUMBING

An anesthetic and/or lidocaine within the Radiesse is used to keep you comfortable during treatment. Sensation will gradually return over the next 1–2 hours, and some areas may regain feeling sooner than others—this is normal.

SWELLING

Swelling and firmness are expected and are typically most noticeable within the first 24–48 hours. This early inflammatory response is intentional and plays an important role in signaling your body to begin collagen production. Depending on the treatment area, results may temporarily appear fuller or slightly uneven as tissues heal. Mild firmness or the sensation of “feeling the filler” is normal during this phase and will gradually soften as inflammation resolves and the product integrates.

Sleeping on your back with your head elevated for the first few nights may help minimize swelling. If swelling feels uncomfortable, an oral antihistamine (such as Benadryl at night or a non-drowsy option during the day) may be helpful.

BRUISING

Bruising may appear immediately or develop over the next several days, lasting up to a week or longer. Arnica gel or Arnica tablets may help reduce discoloration. Arnica tablets are available for purchase at the clinic for $14.

ACTIVITY

For the first 24 hours, avoid strenuous exercise, swimming, excess heat, saunas, hot yoga, and activities that increase facial pressure (such as face-down massage or tight goggles). Avoid touching, massaging, or manipulating the treated areas unless instructed otherwise. You may resume normal skincare and makeup the following day unless directed differently.

PAIN

Mild soreness or tenderness is normal over the first few days, and ice can provide relief. However, sharp, intense, or severe worsening pain that does not improve is not normal and may signal a more serious complication.

ASYMMETRY

Temporary asymmetry is common in the early healing phase. Swelling, fluid shifts, and differences in tissue response can make one side appear more swollen or full than the other. Thoughtful injection technique is always used to ensure balanced placement, but the healing process can create short-term irregularities. These usually resolve as swelling settles and the filler integrates.

MEDICATIONS & SUPPLEMENTS

You may take Tylenol (Acetaminophen) as needed for discomfort. Avoid NSAIDs such as Ibuprofen, Motrin, Aleve, and aspirin for 24 hours, as they may increase bruising. Avoid excessive alcohol or blood-thinning supplements (garlic, fish oil, vitamin E) for the first day if possible.

HEALING EXPECTATIONS

Radiesse takes approximately 2–4 weeks to fully settle. Temporary lumpiness, firmness, or mild irregularities are normal as the product integrates and collagen stimulation begins. Final results should be assessed after 6 months. While Radiesse is not permanent, many patients enjoy results lasting 12–18 months or longer, depending on the treatment area and individual metabolism.

WHEN TO CONTACT US

Please contact the clinic immediately if you experience severe or increasing pain, blanching or whitening of the skin, vision changes, unusual discoloration, spreading redness, severe bruising, or any symptoms that feel concerning or out of the ordinary.