Radiesse
Radiesse in Estonia: €400–600 per syringe, jawline contouring and hand rejuvenation with results lasting 12–18 months. Clinics in Tallinn and Tartu.
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Radiesse is an aesthetic medicine product from the US company Merz, containing calcium hydroxylapatite (CaHA) microspheres suspended in a carboxymethylcellulose gel. The difference from classic hyaluronic acid fillers is that Radiesse is a biostimulator — it does not only add volume, it also stimulates the skin's own collagen synthesis. The result lasts longer (12–18 months) and it is particularly well suited to the jawline contour, marionette lines and ageing hands. In Estonia, Radiesse injections must be performed by a doctor at a beauty clinic licensed by the Health Board (Terviseamet). Below we explain what the procedure involves, what it costs and how to choose an experienced practitioner.
What is Radiesse?
Radiesse is a biostimulating filler — a product made of calcium hydroxylapatite (CaHA) microspheres in a gel. After injection it works in two ways: immediate mechanical volume (the gel) and long-term collagen stimulation (the CaHA microspheres). Over 3–6 months the gel is absorbed and collagen takes its place.
Suitable treatment areas for Radiesse are the jawline contour, marionette lines, thinning hands, the décolletage and sometimes reshaping of the nose (non-surgical rhinoplasty). It is not suitable for the lips (the gel is too firm) or for very delicate areas (around the eyes, where a softer HA-based product is used instead).
In Estonia the use of Radiesse is regulated — it is registered with the Health Board and only product sourced through Merz or a certified distributor may be used. The genuine product is packaged in Germany and Switzerland.
Radiesse prices in Estonia and how a session goes
One syringe of Radiesse (1.5 ml) costs €400–600 in Estonia. A typical treatment (jawline contour or marionette lines) needs 1–2 syringes, for a total of €400–1100. Treating the hands (both hands) typically takes 1–2 syringes. A consultation costs €30–80 separately.
At the consultation the doctor assesses the degree of skin laxity, whether you are a suitable candidate, and draws up a plan. The session itself takes 30–60 minutes. Local anaesthesia is used at the injection site (the Radiesse product already contains lidocaine, which helps reduce pain). Injections are given with a small blunt-tipped cannula or a fine needle.
After the session there may be swelling for 24–72 hours and minor bruising for 5–10 days. The result is visible immediately (the mechanical gel volume), but the final result develops over 8–12 weeks as collagen stimulation builds the shape. Social downtime is usually 24–48 hours.
How to choose a beauty clinic for Radiesse injections?
The first criterion is a Health Board licence and a doctor who has completed specific Radiesse training from Merz Aesthetics. Injecting Radiesse takes experience — incorrect placement can cause visible irregularity or a granuloma (rare, but harder to treat than with HA-based fillers, because Radiesse cannot be dissolved with hyaluronidase).
Browse the list of Estonian beauty clinics on our /kliinikud page. Read reviews of the specific doctor — an experienced practitioner knows the anatomy (blood vessels, nerves) and knows how to place Radiesse in the deeper layer where its stimulating effect is strongest.
Price differences between clinics usually reflect the doctor's level of experience and also the syringe size. Lower-priced "Radiesse" may be a questionable import or a diluted product — check that an authentic Merz syringe in its original packaging is being used.
Risks, side effects and contraindications
Typical side effects are swelling for 24–72 hours, small bruises at the injection points and mild tenderness for 1 week. More serious and rare ones: granuloma, infection, vascular compromise (rare, requires immediate medical intervention) and visible irregularity.
Because Radiesse is not HA-based, it cannot be dissolved with hyaluronidase if the result is unsatisfactory. Pay close attention at the consultation — choose an experienced doctor who explains how potential complications would be managed.
Contraindications: pregnancy, breastfeeding, autoimmune diseases, blood clotting disorders, active skin inflammation or infection in the treatment area, and allergy to any of the product's ingredients. Be open at the consultation about all medications and your medical history.
Radiesse in Estonia's larger cities
Radiesse injections are offered mainly by aesthetic medicine clinics in Tallinn and Tartu, where doctors have completed specific Merz training. Pärnu also has a few qualified doctors. The number of doctors specialising in Radiesse in Estonia is relatively small, as the product sits in a higher price bracket.
If you are planning Radiesse treatment, it may be worth choosing a clinic with specialised experience, since the product is long-lasting (12–18 months) — correct placement at the outset saves the need for correction later. See the full list on our /kliinikud page.
Frequently asked questions
How much does Radiesse cost in Estonia?
One syringe of Radiesse (1.5 ml) costs €400–600 in Estonia. A typical treatment (for example the jawline contour) needs 1–2 syringes, for a total of €400–1100. A consultation costs €30–80 separately. The price depends on the clinic and the doctor's experience.
How long does a Radiesse result last?
A Radiesse result usually lasts 12–18 months, and in some patients up to 24 months. That is longer than the result from classic hyaluronic acid fillers (6–12 months), because Radiesse additionally stimulates the body's own collagen synthesis.
Is Radiesse painful?
The Radiesse product contains lidocaine, which reduces pain during injection. Numbing cream is also applied beforehand. Patients describe it as a moderately uncomfortable injection. Afterwards the area stays tender for 24–48 hours.
When will I see the Radiesse result?
The immediate mechanical result is visible straight after the injection. The full result of collagen stimulation develops over 8–12 weeks. In between, the appearance can look "natural" as the gel is absorbed and collagen builds up.
Can I have Radiesse while pregnant?
No. Pregnancy and breastfeeding are absolute contraindications, because the product's safety for the foetus has not been sufficiently studied. Wait until you have finished breastfeeding and then consult a doctor.
Who is allowed to give Radiesse injections in Estonia?
Radiesse injections must be given by a doctor (preferably a cosmetic surgeon, dermatologist or aesthetic medicine doctor) at a beauty clinic licensed by the Health Board. The practitioner must have completed training from Merz Aesthetics. A beautician or a nurse without a doctor's supervision may not give the injections.
Radiesse vs a hyaluronic acid filler — what is the difference?
Hyaluronic acid (HA) fillers add volume and last 6–12 months, are hydrophilic and can be dissolved with hyaluronidase. Radiesse is a biostimulator, lasts 12–18 months and stimulates collagen synthesis, but cannot be dissolved — the placement has to be right the first time.
Is Radiesse suitable for the lips?
No. Radiesse is too firm and too stiff for the delicate structure of the lips — it is used on the jawline contour, marionette lines, hands and other larger areas. For lips, special softer HA-based fillers are suitable (for example Restylane Kysse, Juvéderm Volbella).