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Hyperdilute Radiesse Treatments



A newer and highly effective use for Radiesse is the technique of hypderdilution. When diluted and injected superficially, Radiesse acts as a collagen stimulating agent. The Hyperdilute Radiesse technique combines the filler with saline and lidocaine, thinning the consistency and increasing the volume of product. The Hyperdilute Radiesse is then injected into the desired area through a thin cannula. This treatment is a favorable alternative to surgical intervention such as facelift or neck and decollete lift

What areas of the body can I treat with Hyperdilute Radiesse?

Almost any area where you have skin laxity and volume loss can be treated. All areas can be done, but some new interesting areas to consider are the decolletage (chest wall), necklines for thinning skin around the neck, cellulitic dimples of the thighs and buttocks, giving minor volume to the buttock for better shape, knee lines from lax skin with aging, stretch marks, and laxity around the arms.

The most common treatment areas are:

  • Neck and Décolleté

  • Inner Upper Arms

  • Buttocks

  • Mid to lower face

  • Abdomen

  • Above the knees


hyperdilution VS traditional radiesse

While traditional Radiesse offers incredible volumizing and contouring effects, Hyperdilute Radiesse takes a gentler approach. Through precise dilution, the concentration is strategically adjusted. This results in a finer, more fluid mixture that allows for even distribution beneath the skin’s surface. The benefits of Hyperdilute Radiesse include:

  • Enhanced Softness: The diluted formula ensures a softer, more natural feel, with results that seamlessly blend into your existing features.

  • Subtle Volume: Hyperdilute Radiesse excels at providing subtle volume enhancement, making it ideal for those seeking delicate refinements.

  • Gradual Transformation: The diluted formulation lends itself to a gradual transformation, ensuring that your results evolve naturally over time.


Radiesse was approved by the FDA as a facial filler at the end of 2006. This new use of hyperdiluted Radiesse is technically “off-label,” but because of the dilution, there isn’t any risk of reaction. There isn’t any downtime, and because Dr. Bertolino uses a cannula there typically is little to no bruising. Calcium hydroxyapatite, which is the mechanism by which Radiesse triggers collagen production, is a naturally occurring form of the mineral calcium apatite. It makes up most of our bone structure, builds tooth enamel, and exists in tiny amounts in the brain. It isn’t a foreign, manufactured substance, and it has proven to be safe.

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