HD Radiesse is a biostimulator treatment offered at Wise Aesthetics in Carmel, Indiana. It uses Radiesse®, an FDA-approved injectable, in a diluted form intended to support the skin's own collagen over time. Some uses of diluted Radiesse® are off-label, which your provider will explain at consultation. Individual results vary.
Under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.
Collagen loss shows up differently in different places. These are the areas where Radiesse is most often discussed in consultation.
As collagen declines, skin loses firmness and can become thin and finely wrinkled, often on the neck, chest, arms and above the knees. Diluted Radiesse is spread evenly beneath the skin to encourage new collagen, with the aim of improving thickness and texture over time.
The backs of the hands lose volume and skin thickness with age. Radiesse is FDA-approved, undiluted, for volume loss in the back of the hands. Your provider will explain whether an undiluted or diluted approach suits you.
In the face and neck, diluted Radiesse is used for skin quality, not for adding volume. Your provider will assess whether it fits alongside any other treatment you have had or are planning.
On the arms, abdomen, thighs and buttocks, diluted Radiesse is used to address skin laxity and texture. These are off-label uses, and your provider will discuss what is realistic for your anatomy.
Where volume has been lost, Radiesse can be used undiluted to restore it in a defined area, while the diluted form supports skin quality across a broader surface. Your provider will explain which approach suits you.
Face: lower face and cheeks, for skin quality
Neck and décolleté: fine lines and crepey texture
Hands: the backs of the hands
Arms: upper inner arms
Abdomen: skin laxity
Thighs and buttocks: skin laxity and texture
Not every area suits every client. Your provider will confirm which areas are appropriate for you.
Before, during and after your HD Radiesse Biostimulation appointment at Wise Aesthetics.
Your provider will advise whether to pause aspirin, ibuprofen, fish oil, vitamin E or other products that can increase bruising. Do not stop any prescribed medication without speaking to the prescriber.
Avoid alcohol for 24 to 48 hours beforehand to reduce the chance of bruising and swelling.
Tell us about any recent laser treatment, peel or injectable in the area so your provider can time your visit appropriately.
Tell your provider about medical conditions, allergies and anything you take regularly.
Your provider examines the area and marks where the product will be placed.
The skin is cleansed. A topical numbing cream may be applied for comfort.
The diluted product is placed beneath the skin through a small number of entry points, usually with a cannula, and spread evenly across the area.
Your provider may massage the area to help distribute the product.
Most clients describe pressure and brief stinging. The product is commonly mixed with lidocaine to make treatment more comfortable.
Swelling, tenderness and bruising are common and usually settle within a few days. A cool compress can help.
You may be asked to massage the area for several days. Do so only as directed.
Avoid strenuous exercise for the period your provider recommends.
If your thighs or buttocks were treated, your provider may ask you to limit prolonged pressure on the area for the first few days.
Contact the practice promptly about pain that is increasing, skin colour change, firm lumps or anything that concerns you.
The saline in the diluted product is absorbed within days, so any early fullness is temporary. The change this treatment is designed for comes from your own collagen and develops over the following months.
Clients typically report skin that feels firmer and looks smoother in the treated area. How much change you see, and how long it lasts, depends on the area, your skin and your age.
Individual results vary.
Your provider will recommend the number of sessions and the spacing between them after examining the area. Many clients have more than one session, and some return for maintenance. Your plan is set at consultation and reviewed as you go.
Session length and the amount of product used depend on the areas treated. Both are confirmed at your consultation.
Your provider will recommend the number of sessions and the spacing between them after examining the area.
A consultation with a licensed medical provider is required before treatment to confirm that it is appropriate for you and to give you the treatment fee. Your medical history and current health are reviewed at that visit.
Please follow the pre-treatment instructions you are given. If they have not been followed, your provider may need to reschedule your treatment.
The cost of HD Radiesse Biostimulation depends on your goals and the plan your provider recommends. Your provider will confirm your plan and its cost at consultation, before any treatment.
Radiesse is an injectable made of calcium hydroxylapatite, a mineral-based material suspended in a gel. HD stands for hyperdilute: the product is mixed with saline, and often lidocaine, before treatment. Placed in a fine layer beneath the skin, it acts as a scaffold that prompts your body's own collagen response over the following months.
Undiluted Radiesse is used to restore volume in a defined area. Hyperdilute Radiesse is used across a broader surface for skin quality: firmness, thickness and texture. We offer both, and your provider will explain which approach, if either, suits what you want to address.
Radiesse is FDA-approved for specific uses: moderate to severe facial wrinkles and folds, volume loss in the back of the hands, and, when diluted, wrinkles of the décolleté. Other uses of diluted Radiesse described on this page are off-label, which means the FDA has not reviewed the product for that particular use. Off-label use is common in aesthetic medicine and is a decision made between you and your provider. During your consultation we will tell you which applies to your plan.
Individual results vary.
Your provider reviews your medical history and discusses risks and alternatives with you before recommending treatment.
More questions? Read our full FAQs, or call or text 317-569-6448.
| Monday | 9am to 5pm |
| Tuesday to Thursday | 9am to 6pm |
| Friday | 9am to 5pm |
| Saturday and Sunday | Closed |
Carmel, Fishers, Westfield, Zionsville and the greater Indianapolis area.
Individual results vary. This page is general information and is not medical advice. Some uses described here are off-label. Treatments are provided under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.
