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Dr. Rivkin-Radiesse advice-help!

Ask Dr. Rivkin questions on all non-surgical cosmetic procedures, laser treatments, and injection fillers, including Botox, Juvederm, Restylane, Radiesss, Sculptra, IPL, Fraxel, Thermage, Mesotherapy, Non-surgical nose job, chin/cheek augmentation, and many other procedures.

Postby natasha1 » Mon May 04, 2009 3:26 pm

I am in no way any doctor and do not want to hijack this thread but if you see my post down below which was not answered ( I guess Dr is very busy) I had the same story and beleive me, I am a veteran of Radiesse, I started having it right before it was FDA approved. Same story happened to me (see "Radiesse:Formula changed???").It did migrate and it does not last as it used to. To avoid another question, I use the same injector for these almost 3 years and she is the best.Did you have your injections with the "new" anesthetic incorporated in it?
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Postby natasha1 » Wed May 06, 2009 7:18 am

Hi Sterling !
It is official !I am so disappointed that they do whatever they pleased to do probably to increase their botom line. Here is an excert from e-mail I got yesterday from Bioform, Doctor Naderi was actually right about it.

"Radiesse does not currently contain any anesthesia. Many physicians have begun mixing Radiesse with an anesthesia prior to injection, for a less painful injection. It does not come supplied with Radiesse, so the physician would have to supply the brand, concentration, amount, etc on his/her own. Again, a physician may use our product in a manner that would be beneficial to the patient, and providing a pain-free injection is an option your injector may choose.

If there was some layering remaining from your previous injection, or that you had not returned to your base folds prior to this November injection, they may not have used as much Radiesse as well. These questions would have to be confirmed with your physician."


Becky Kron
Senior Compliance Specialist
BioForm Medical, Inc.
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Postby AlexanderRivkinM.D. » Tue May 12, 2009 4:47 pm

sorry - i've been away for a little while and i've neglected this board.
the site was saying they were shutting it down.
i haven't seen too much of this problem with my patients - at least no-one has said that they notice a difference. i mix a little lidocaine into my radiesse syringe, but i use very little - about 0.15 cc to a 1.5 cc syringe.
it makes the injection much more tolerable, and i have not seen it migrate or get lumpy.
i have been using radiesse for about 5 years now, and you have to be careful as an injector. it has to be injected into the right depth and you have to be careful not to put too much in there. i often have patients come back for a follow-up 2 weeks later just to check.
i use radiesse for deep lines only. if i can, i like to use juvederm because it is somewhat smoother.
hope that helps.
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
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