When treatment may be suitable
Volume loss in the cheeks or chin where the anatomy is suitable
What else matters
- A wish to support contours through biostimulation
- Realistic expectations of a gradual improvement in skin quality
Skin & Regeneration · CaHA
Radiesse in Berlin Considering contour and skin quality together
Radiesse can support contours immediately while also stimulating a slower process of tissue formation. I assess whether you are primarily looking for volume, greater firmness or a more defined jawline. This determines how the material is used, which area is treated and what treatment is appropriate.
20–45 min.typical treatment durationCaHAFiller and biostimulatorOutpatientwith personal aftercare
Costsfrom €500per treatment, depending on its extentCosts in detailPersonal consultationThe findings and extent of treatment determine your individual treatment process.
Treatment at a glance
The treatment
at a glance
Key information about Radiesse treatment. These details put the duration, recovery and costs into context for your personal planning.
- Material
- Calcium hydroxylapatite
Details
CaHA microspheres in a carrier gel.
- Treatment duration
- Usually 20–45 minutes
Details
A more extensive liquid lift may take around 60 minutes.
- Effect
- Volume and biostimulation
Details
Different goals take priority depending on how the product is used.
- Anaesthesia
- Local, if needed
Details
The approach depends on the product and treatment area.
- Return to social activities
- Depends on your recovery
Details
Swelling and bruising may be noticeable for a few days.
- Development
- Over weeks to months
Details
The later tissue effect is assessed separately from the immediate volume.
- Duration of results
- Often around 12–18 months
Details
The area, amount of product and individual tissue response influence how long the effect lasts.
- Price / pricing basis
- from €500
Details
per treatment, depending on its extent. The agreed scope of services is recorded in your personal cost plan.
Timings are a guide. A personal examination clarifies what applies to you.
Understanding what changes
Two phases of action
with different goals
The carrier gel can initially provide volume. The calcium hydroxylapatite microspheres then support a collagen response. The immediate effect and biostimulation are therefore two distinct parts of the same treatment.
How the treatment works
- Assessment
Distinguishing the goals
Assessing volume loss, contour and skin firmness separately.
- Planning
Using the material appropriately
Coordinating the treatment area, placement and, where appropriate, dilution.
- Progress
Observing two phases
Monitoring early volume and later biostimulation separately.
How I plan the treatment
For the cheeks, chin and jawline, effective support that suits the anatomy is important. I assess a deeper nasolabial fold in the context of the midface. Simply filling the visible line may fail to address the cause.
With diluted or highly diluted Radiesse, also known as hyperdiluted Radiesse, the focus is more on skin quality. Applications to the neck, décolletage or other areas are explained separately, based on product guidelines and individual suitability; they are not equivalent to contour treatment.
Contour tailored to you An initial difference may be visible immediately. Swelling alters this impression at first. Collagen formation and the development of skin firmness take several weeks to months.
01 / A closer lookDark circles and lips need different approaches
The thin skin of the tear trough and the lips are not standard treatment areas for Radiesse. For dark circles, I first examine pigmentation, shadowing, swelling and skin quality before even considering an injection.
02 / A closer lookCannot be dissolved with Hylase
Calcium hydroxylapatite cannot be dissolved with hyaluronidase. This difference from hyaluronic acid must be explicitly considered in our decision before treatment. Even a biodegradable material remains medically relevant for as long as it has an effect.
Is this right for me?
Who the treatment
may be suitable for
Your wishes are the starting point. I assess whether the findings, your health and the expected benefit align.
What needs to be clarified beforehand
Significant excess skin and marked tissue displacement
What else matters
- The lips or tear trough as a general treatment target
- Unclear previous treatments, active skin inflammation or individual contraindications
Different causes need different approaches. Sometimes choosing not to have a procedure is the right decision.
Compare alternativesSculptra
Gradual collagen formation across a broader area.
Explore the optionsHyaluronic acid fillers
Other options for targeted volume support.
Explore the optionsFacelift
Surgical options for more pronounced sagging.
Explore the optionsYour treatment journey
Treatment and aftercare
with personal support
01PreparationUnderstanding your anatomy
I examine proportions, tissue quality and any existing materials, and discuss alternatives.
- Assess the chin and midface together
- Explain the risks and the fact that the material cannot be dissolved with Hylase
02TreatmentTargeted treatment
The prepared areas are treated using the agreed amount and technique.
- Local pain relief if needed
- Document the amount and treatment areas
03AftercareChecking the contours
Aftercare and follow-up assessments help to evaluate the result once early reactions have subsided.
- Follow individual advice on exercise and heat exposure
- Consider a top-up only after a further examination
Before you leave, we agree on how you can contact me directly for aftercare. General enquiries: team@dottore.caletti.de.
Your return to everyday life
Recovery and aftercare
with personal support
First few daysAllowing for swelling
A feeling of pressure, redness and minor bruising are possible. Allow some time before important appointments.
Following weeksObserving contour and structure
The immediate filling effect may change as biostimulation develops.
Over timeReassessing your needs
Repeat treatment depends on your current findings and goals. There is no mandatory top-up schedule.
These timescales are a guide, not a firm promise. Your individual progress may differ.
Talking openly about risks
Risks and limitations
considered together
Even an outpatient treatment can have unwanted effects. Individual risks, a sound indication for treatment and an achievable goal are all part of the decision.
Typical effects and reactions
- Redness, swelling, a feeling of pressure and bruising
Possible complications
- Persistent swelling, infection, nodules or uneven contours
- Rare vascular occlusions with tissue damage; in the face, visual disturbances up to and including loss of vision are also possible
Important advice after treatment
Severe or increasing pain, unusually pale or mottled skin, and visual disturbances require immediate medical attention. Call 112 if you experience visual disturbances or acute, severe symptoms. Have persistent swelling or signs of inflammation checked promptly.
Understand the costs and take time to decide
Treatment costs
your individual plan
The area, amount of product and extent of any liquid lift determine the price. Following an examination and discussion, you will receive a personal cost plan.
RadiesseDiscuss costs in person
Starting price
from €500
per treatment, depending on its extent
The agreed scope of services is recorded in your personal cost plan.
The price reflects your treatment plan
What affects the cost
Area
A single contour area or several areas treated as part of a coordinated plan.
Material
The amount of product needed and the chosen application.
Follow-up
Discussing check-ups, further sessions and top-ups in advance.
Services covered by your cost planWe clarify these points in advance
- Medical consultation and examination of the treatment area
- The agreed procedure with a defined scope of materials and services
- Local pain relief where required
- Planned check-ups and personal aftercare advice
We record which services are included in the total amount in your individual quotation.
Additional costs & possible reimbursementConsidering follow-up appointments too
A course of treatment or a later top-up is not automatically included in the price of one session. Additional diagnostic tests or corrections are also discussed separately. Clarify any possible reimbursement with your insurer before treatment begins; aesthetic treatments are usually self-funded.
An examination and shared planning help you understand the costs. You will receive your personal cost plan before deciding whether to proceed with treatment.
The specialist personally responsible for your care
Dottore Andrea Caletti
Specialist in Plastic and Aesthetic Surgery
Get to know meGood to know
Frequently asked questions:
Radiesse
A website can offer guidance. We will discuss your personal situation during a medical consultation.
Ask your question01What is the difference between Radiesse and Sculptra?
Radiesse combines volume from a carrier gel with CaHA biostimulation. Sculptra relies on gradual collagen formation stimulated by poly-L-lactic acid. The choice depends on the findings.
02When will the full effect be visible?
Initial changes in contour may appear immediately. We assess the later tissue effect over several weeks to months. Early swelling is not the final result.
03Is Radiesse suitable for dark circles under the eyes?
The tear trough is not a standard treatment area for Radiesse. With thin skin, a tendency to swell or pigmentation, other approaches or avoiding an injection are more appropriate.
04Can Radiesse replace a facelift?
A liquid lift can support contours. It does not remove excess skin and cannot replace surgery where there is significant tissue displacement.
05How long does Radiesse last?
A duration of around twelve to eighteen months is often described. This is a guide; the area, amount of material and your tissue response affect how long it lasts.
06How much does Radiesse cost in Berlin?
The area, amount of product and extent of any liquid lift determine the price. Following an examination and discussion, you will receive a personal cost plan. Pricing basis: an individual treatment plan. The scope of treatment and any potential additional costs are set out in writing before you decide.
Sources & clinical background
Further clinical information on the procedures described, their limitations and risks.
- FDA: Filler materials (in English)
Properties and changes over time of hyaluronic acid, calcium hydroxylapatite and poly-L-lactic acid. The approvals listed apply to the USA.
- J Drugs Dermatol: Diluted calcium hydroxylapatite for the neck and décolletage (2017, in English)
Pilot study on skin structure and collagen formation; limited evidence, with no proof of a surgical tightening effect or suitability for every area of the body.
- FDA: Fillers – limitations and safety information (in English)
Risks depending on the material and treatment area, particularly vascular occlusion, nodules and swelling. Approval information from this authority relates to the USA.
Contact & Directions
Any questions
before your visit?
My team will be happy to help with questions about your appointment and how to get here.
Let's begin with a conversation
Personal consultation
about your wishes
Tell me what matters to you.
I will take time for your questions.