Volume loss can soften the edges that give the face and hands definition: cheeks flatten, folds deepen around the mouth, the jawline blurs, and tendons stand out across the dorsum of the hands. Radiesse restores support in those areas with an approach that looks natural in motion and holds up in bright, Caribbean light. Below you’ll find what Radiesse is, who it suits, how we perform it at NUMED in the San Juan metro, what recovery looks like, and how to plan your visit.
Expert hands, thoughtful care
At NUMED Medical Aesthetics Center in Puerto Rico Radiesse is injected solely by board‑certified physicians. The service is led by Dr. Mary Ann Sánchez Casiano and delivered in our San Juan–metro (Carolina) clinic.
You can expect an unhurried consultation, bilingual communication, and a private suite. We map facial vectors, review hand anatomy, and set realistic goals so lift, structure, and texture all move in the same direction. Our clinic culture centers on restraint and proportion: enough product to correct, never so much that you lose the character of your features.
Structure matters
Radiesse is a biostimulatory filler that combines calcium hydroxylapatite (CaHA) microspheres with a smooth gel. The gel restores contour at placement, so you see shape before you leave the chair. The CaHA acts as a signal for your skin to build fresh collagen and elastin over the months that follow.
That new scaffold supports tone and improves texture long after the initial visit. In areas that need structure—cheeks, jawline, chin, and the backs of the hands—CaHA’s firm profile provides definition that standard hyaluronic acid fillers may not match. Radiesse can also be prepared in a hyper‑dilute form that focuses on collagen stimulation for crepey or lax skin of the neck, chest, arms, abdomen, and above the knees. Radiesse (+) contains lidocaine for comfort during placement.
Radiesse differs from hyaluronic acid (HA) fillers in two important ways. First, it gives a stronger framework, which is useful when the goal is sharper lines or support against gravity. Second, it is not dissolved with hyaluronidase, so planning and physician skill are essential. At NUMED, that planning begins with depth, plane, and cannula decisions that lower risk and produce an elegant finish.
Lift, smooth, support
A clear view of treatment
| Item | Typical Range / Notes |
| Session time | 30–60 minutes per visit |
| Comfort options | Topical anesthetic, local numbing; Radiesse(+) contains lidocaine |
| Visible timing | Shape at placement; skin quality improves over 12–24 weeks |
| Longevity | Often about a year or more, area and metabolism dependent |
| Typical use | Structure for cheeks, chin, jawline; hand volume; hyper-dilute for neck/chest/body texture |
| Social downtime | None to a few days from swelling or bruising |
| Follow-up | Refinement or layering may be planned at 3–6 months |
Face, neck, hands, body
Radiesse supports zones that benefit from structure and from collagen gains over time. In the lower face, it firms the pre‑jowl sulcus and softens marionette lines while giving the chin better projection. Along the jawline, it sharpens the angle and restores a clean border under the cheek.
The midface responds with a more lifted cheek contour that takes weight off the nasolabial fold. In the hands, Radiesse replaces missing volume so tendons and veins recede, and the skin on the back of the hand appears smoother and more even in tone. When prepared in a hyper‑dilute form, CaHA acts as a skin quality treatment across the neck, chest, upper arms, abdomen, and the area above the knees, where sun and time create fine wrinkling. Your physician will set depth and plane for each region and often use a cannula in high‑risk areas to limit bruising and improve comfort.
Right patient, right plan
Radiesse suits patients who want definition and lift rather than a soft cushion effect. It is a smart choice for midface deflation, early jowling, a weak or under‑projected chin, blurring of the jawline, and hand volume loss. Those who seek smoother, less crepey texture on the neck, chest, or body often benefit from hyper‑dilute protocols. During your consult we review health history, skin type, and prior filler use. We avoid Radiesse in lips and tear troughs, and we defer treatment during pregnancy or breastfeeding. Active skin infection, bleeding disorders, or known sensitivity to CaHA components are contraindications. A history of keloid formation or autoimmune disease prompts a deeper discussion and a cautious plan.
What it helps—at a glance
Radiesse targets concerns linked to volume loss and tissue laxity. Cheeks regain contour, which lightens the look of folds beside the nose and mouth. The jawline reads cleaner on profile and in photographs. A recessed or short chin gains projection, which improves facial balance. Hands look fuller and younger once volume hides prominent tendons and veins. With hyper‑dilute CaHA, thin, finely wrinkled skin across the neck, chest, upper arms, abdomen, and above the knees takes on a smoother look as new collagen forms.
Start with clarity
Your visit begins with high‑quality photos and a measured review of your concerns. We map vectors and mark safe zones, then outline product amounts and the order of sessions. To limit bruising, we may ask you to pause certain supplements or medications when your prescribing doctor agrees. Arrive with clean skin and plan a light schedule on treatment day. We will explain aftercare before you leave so you can plan the first 48 hours with ease.
Precise placement, elegant finish
Comfort comes first. We often use topical anesthetic or small amounts of local numbing based on the area. Many Radiesse syringes include lidocaine in the product itself.
Your physician places CaHA with a needle or a blunt‑tip cannula depending on the depth and structure required. In the face, we build support along vectors that lift and define rather than simply chase folds. In the hands, we layer product at the correct plane to avoid visibility and then smooth the surface with gentle molding. A typical session runs 30–60 minutes, and you will see improvement before you leave.
Today’s lift, tomorrow’s collagen
You will notice contour right away after Radiesse. Over the next few months, collagen and elastin build around the CaHA microspheres, improving firmness and texture. Most patients return to routine activities the same day. Swelling and mild bruising can occur. Use cool compresses the first day, keep your head elevated the first night, and avoid strenuous exercise, saunas, and alcohol for 24–48 hours. Do not press or massage the area unless your physician instructs light shaping. Makeup can usually be applied the next day if the skin is intact. We often schedule a check‑in at two weeks to confirm symmetry and plan any refinement. Many patients choose a layering visit or a hyper‑dilute pass at 3–6 months. Longevity varies by area and metabolism, with many enjoying effect for a year or longer.
Planning and transparency
Radiesse cost in San Juan varies with the number of syringes, standard versus hyper‑dilute technique, the zones treated, and physician time. Your personalized quote includes your medical exam, product, sterile supplies, numbing when used, and follow‑up. If you plan combination care—such as Morpheus8 for laxity, ADVATx for tone, or neuromodulators for lines—we provide a clear summary that shows how sessions will be staged. Cosmetic filler is not covered by insurance. We review pricing in detail at consultation so you can plan with confidence.
Physician‑led. Concierge experience.
NUMED brings a physician‑only injector model, an all‑female team, and a calm, private setting to the San Juan metro. Patients see the difference in the chair: measured dosing, steady technique, and a commitment to balance. We plan in Spanish or English, build around your calendar, and keep lines of communication open after you leave the clinic. This is careful aesthetic medicine with a clear goal—lift and structure that respect your features and look right from every angle.
Ready for a lift that looks like you—rested, defined, balanced? Call (787) 425 0606 or send a message to book your Radiesse consultation in San Juan. Our physicians will map a precise, personal plan.
Most patients report mild pressure with brief sting at entry points. Numbing and lidocaine in the syringe make sessions comfortable.
Radiesse has a long safety record in trained hands. We select the right depth and plane, and we use cannulas in higher‑risk zones.
Shape appears at once and collagen gains build for months. Many people enjoy effect for a year or longer, area dependent.
Yes. It pairs well with neuromodulators, Morpheus8, and ADVATx. We stage the plan for synergy and smart healing.
Plan for possible swelling or bruising. Most return to normal routines within a day, with gym and heat avoided for 24–48 hours.
Schedule Your Consultation Today
At Numed Medical Aesthetics Center, you can reverse the effects of time and rejuvenate your appearance, so you can look younger longer—healthy and natural in your skin. We offer a broad range of treatments to help you live optimally. We are a specialized clinic with the latest technology in platelet-rich plasma treatments, anti-aging, laser hair removal, vaginal rejuvenation, and state-of-the-art CO2 Laser Skin resurfacing, among other treatments.
Locations in Carolina & Mayaguez, Puerto Rico
