Atlanta (Buckhead)
3833 Roswell Rd NE, Tuxedo Atrium, Suite 108Atlanta, GA 30342
Floor 1 of the Tuxedo Atrium
Monday to Friday 8:30 AM to 5 PM; Saturday 8:30 AM to 2:30 PM
Collagen and contouring
Radiesse in Buckhead and Cumming
Radiesse is an injectable gel of calcium hydroxylapatite particles, not a hyaluronic acid filler. The FDA has approved it for moderate to severe facial wrinkles and folds, the back of the hands and, in the lidocaine version, jawline contour, plus a diluted form for chest wrinkles. The FDA estimates effects last approximately 18 months and says fillers not made of hyaluronic acid may be difficult or impossible to remove.
- 608 Google reviews, rated 4.9 and 5.0
- Board-certified physician who treats every patient herself
Treated by Dr. PaymanBuckhead and Cumming
What it treats
What is Radiesse approved to treat?
Radiesse is FDA-approved for moderate to severe facial wrinkles and folds, such as nasolabial folds, and for correcting volume loss in the back of the hands. The lidocaine version, Radiesse (+), is also approved for moderate to severe loss of jawline contour in adults over 21. A diluted form is approved for chest wrinkles. Other uses are off-label.
Radiesse's calcium hydroxylapatite particles are suspended in a gel-like solution. A 2026 systematic review of 14 studies found that both calcium hydroxylapatite and poly-L-lactic acid improved skin elasticity, reduced wrinkles and increased facial volume, and called for more research on long-term safety. For the hands, see hand rejuvenation. Which labeled use, if any, fits you is decided at the consultation. To compare it with another collagen biostimulator, see Sculptra.
- Facial wrinkles and folds, such as nasolabial folds, and facial fat loss (lipoatrophy) in people with HIV: approved December 22, 2006.
- Hand augmentation to correct volume loss in the dorsum of the hands: approved June 4, 2015.
- Radiesse (+) Lidocaine, deep injection (subdermal and/or supraperiosteal) for moderate to severe loss of jawline contour in adults over the age of 21: approved September 1, 2021.
- Radiesse diluted 1:2 with 0.9% sterile saline for décolleté wrinkles in patients 22 years of age and older: approved March 31, 2026.
Results
How long does Radiesse last, and when do results show?
The FDA estimates that calcium hydroxylapatite effects last approximately 18 months, and a 2026 systematic review put it at 12 to 18 months. The label says the treated depression should gradually improve within several weeks, so injectors avoid overfilling. In the jawline trial, 75.6% of treated people were responders at week 12, against 8.8% of untreated people.
The evidence in detail
A responder improved by at least one point on both jawlines on a blinded evaluator's scale. Of 113 people who responded at week 12 and were seen at week 48, 67.3% still showed that response, based on observed cases. The label also states that the long-term safety of Radiesse (+) has not been investigated in clinical trials. Treat these as trial findings, not a promise.
Is it right for you?
Who is Radiesse a good fit for, and who should wait?
Radiesse suits adults with a labeled concern who understand it is hard to take back. The labeling says not to use it with severe allergies including a history of anaphylaxis, known hypersensitivity to any component, or a bleeding disorder. Radiesse (+) is also not for people allergic to lidocaine or amide-type anesthetics.
A history of herpes, including cold sores, is a caution too, because the label says injection may be associated with reactivation. Tell your injector about every medicine and supplement you take, including aspirin or warfarin, which can increase bruising or bleeding, and do not stop any on your own.
Tell Dr. Payman first if any of these apply
- Pregnant, breastfeeding or under 18 (under 22 for chest wrinkles): safety has not been established.
- Keloids or hypertrophic scarring: safety has not been studied.
- Autoimmune or granulomatous disease: safety has not been established, and the label says not to use it where there is active disease such as a tumor near the site.
- Active skin inflammation or infection near the area: treatment is deferred until it is controlled.
- Lips or around the eyes: safety and effectiveness have not been established, and nodules were reported in the lips.
- Chest treatment: safety has not been established after breast cancer, a family history of breast cancer or radiation to the area, and it must not be injected over breast tissue.
608
Google reviews across both officesWho treats you
Arshia Payman, MD
Board-certified physician with 13+ years in aesthetic medicine. Dr. Payman is the only provider at Derm Clinic MD, and she personally treats every patient. Every plan starts with a consultation, so it is made around your face and your goals.
- Medical schoolGeorge Washington University, Washington, D.C., where she also earned her undergraduate degree summa cum laude and was accepted to the early selection medical program in her sophomore year
- Hospital trainingFour hospitals in the Washington, D.C. area, including the National Institutes of Health and George Washington University Hospital
- ResidencyCompleted in 2008 at George Washington University
- Academic medicineOutpatient internal medicine at Emory University in Atlanta, as an instructor in clinical medicine who taught medical students
Georgia medical license 61513 (NPI registry).
Read Dr. Payman's full bioYour visit
What happens at a Radiesse visit?
A Radiesse visit starts with an in-person consultation, then photos, consent and treatment. You receive written aftercare and a plan for checking the result. In the jawline trial, a touch-up was permitted four weeks after the first treatment if needed, so ask when your injector expects to review how the area has settled.
- ConsultationDr. Payman examines the area, reviews your history and goals, and tells you whether Radiesse, hyaluronic acid filler or another plan fits.
- Photos and consentYou review the risks, including lumps and the fact that Radiesse shows on scans.
- TreatmentDr. Payman treats the planned area. After jawline treatment, the label notes that jaw function may be temporarily altered.
- AftercareThe label asks you to limit extensive sun or heat for about 24 hours or until early swelling and redness settle. Follow your written instructions.
- Follow-upDr. Payman reviews the result over the following weeks and tells you whether a touch-up makes sense.
Cost
How much does Radiesse cost at Derm Clinic MD?
Derm Clinic MD quotes your Radiesse cost at the consultation, after the plan is made, because the amount of product depends on the area and your goals. Ask what a touch-up would add and whether the quote covers a repeat treatment later. This page lists no dollar range.
The American Society of Plastic Surgeons lists Radiesse among non-hyaluronic acid dermal fillers, notes that costs vary with the expertise of the person treating and the geographic location, and says health insurance does not cover dermal fillers. See pricing, ask whether Gold membership ($99 a month, with 10% off other services and skincare) applies, and book a consultation at either office.
Gold membership
$99 a month, saved toward Botox, Jeuveau or dermal fillers
- Jeuveau at $10 per unit, Botox at $11 per unit
- A vitamin B12 injection each month
- A chemical peel in your birthday month
- 10% off other services and skincare
Six-month minimum, then month to month. A $99 fee applies if you cancel before six months.
Compare
How does Radiesse compare with Sculptra and hyaluronic acid filler?
Radiesse is calcium hydroxylapatite particles in a gel. Sculptra is poly-L-lactic acid, and hyaluronic acid fillers are a sugar-based gel. A 2020 FDA overview estimates approximately 18 months for Radiesse's material, up to 2 years for Sculptra's and approximately 6 to 12 months for hyaluronic acid, and the materials carry different labeled uses.
Radiesse has labeled uses for the jawline, hands and chest that Sculptra does not, and Sculptra has a cheek-wrinkle use that Radiesse does not. The table on the Sculptra page lays this out. Hyaluronic acid filler is a separate family, explained under dermal fillers; individual products differ, so ask about the exact product planned for you. Because fillers not made of hyaluronic acid may be difficult or impossible to remove, your consultation weighs the area, your skin and how settled your goals are before choosing one.
Safety
What are the risks and side effects of Radiesse?
Bruising, redness and swelling are expected, and the label says they are mainly short term, under 7 days. Rarer risks include lumps (nodules), infection that may need attempted surgical removal, and injection into a blood vessel, which can cause vision loss, stroke or skin death. The material shows on CT scans and x-rays, and jawline treatment may temporarily alter jaw function.
Full safety details
In the label's jawline trial of 175 treated people, 26.3% had at least one adverse event judged related to the procedure or the product. The most frequent adverse events were injection site mass (10.9%), bruising (6.9%) and pain (6.9%). Most treatment-related events were mild and lasted under 15 days, but 10.9% of treated people had one lasting longer than 28 days. No vascular occlusion events were reported, though a study this size cannot rule out rare ones.
Call the office for a lump, signs of infection or worsening swelling, and seek emergency care for changes in vision, signs of a stroke, white skin or unusual pain during or soon after treatment. The label's postmarket list also includes granuloma, product migration, allergic reaction, vascular occlusion, blindness and facial muscle paralysis, and it notes delayed-onset inflammation near filler after viral or bacterial illness, vaccination or dental procedures, which typically responded to treatment or resolved on its own. A 2026 systematic review reported one serious case of compression necrosis with calcium hydroxylapatite across 14 studies.
Patient reviews
In patients’ words
“Once I met with Dr Arshia Paymen I never felt rushed, she took the time to listen to all my concerns and explained it all in a way that was easy to understand.”
“Dr. Payman was very friendly and explained everything thoroughly.”
“She takes time to truly listen to you and explains her treatment plan with great clarity.”
Excerpts are quoted word for word from public Google reviews of Derm Clinic MD. Individual results vary.
Questions
Questions patients ask about Radiesse
Short answers here. Your own plan, product and cost are set with Dr. Payman at your consultation.
Ask at a consultationCan Radiesse be dissolved?
Not with the enzyme used on hyaluronic acid filler. Hyaluronidase breaks down hyaluronic acid, and a 2024 review lists calcium hydroxylapatite among fillers it cannot dissolve. The FDA says it may be difficult or impossible to remove fillers not made of hyaluronic acid, and the Radiesse label notes that an infection may necessitate attempted surgical removal. Dissolving filler is a service this office offers for hyaluronic acid filler.
Does Radiesse show up on X-rays or CT scans?
Yes. The FDA says calcium hydroxylapatite will be visible in x-rays and may obscure underlying features, and the Radiesse label says the particles are clearly visible on CT scans. In a radiographic study of 58 patients, there was no indication it masked abnormal tissue or was read as a tumor. Tell your primary care clinician and any radiologist that you have had Radiesse.
Can Radiesse be used in the lips or under the eyes?
Not as a labeled use. The label says its safety and effectiveness in the lips have not been established, and it notes published reports of nodules after injection into the lips. Safety and effectiveness around the eyes have not been established either. For fuller lips, see lip filler.
Is Radiesse used for the cheeks or neck?
Those are not labeled uses. Radiesse's labeled uses are facial wrinkles and folds such as nasolabial folds, jawline contour for Radiesse (+), the back of the hands, chest wrinkles in diluted form and facial fat loss in people with HIV. Anything else is off-label, so ask why a product is or is not recommended for you. For cheek volume, compare cheek filler.
How long do swelling and lumps last after Radiesse?
In the jawline trial's diaries, most people's reactions lasted 14 days or less, and 16.6% had a reaction lasting 15 to 28 days. Lumps or bumps lasted 15 to 28 days in 9.1%. Call the office if a lump persists, grows or becomes painful.
Can Radiesse treat the hands?
Yes, hand augmentation to correct volume loss in the back of the hands is a labeled use. The hand label warns of significant swelling, so rings come off before treatment; temporary difficulty performing activities (48% of study patients, and 68% in Fitzpatrick types IV to VI); nodules, bumps or lumps (12%) that can last up to a year; and tendon weakening or rupture if product is injected into a tendon. See hand rejuvenation for how the office approaches it.
Is Radiesse used on the chest, and what should I know first?
A diluted form (1:2 with saline) was FDA-approved in 2026 for chest (décolleté) wrinkles in people 22 and older. The chest label says not to inject over breast tissue and that safety has not been established after breast cancer or radiation to the area. It also says it is unknown whether the material shows on chest imaging or affects cancer screening there. A study of 75 patients found no interference with mammograms or breast ultrasound. Safety beyond 84 weeks has not been studied. Whether this office offers chest treatment is a question for the consultation.
Two offices
Two offices. One physician.
Atlanta, GA 30342
Floor 1 of the Tuxedo Atrium
Cumming
425 Peachtree Parkway, Suite 345Cumming, GA 30041
In The Shoppes at Brannon Crossing
Monday to Friday 8:30 AM to 5 PM; Saturday 8:30 AM to 2:30 PM
Maps © OpenStreetMap contributors.
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Book a consultation in Buckhead or Cumming and leave with a plan that fits your face, your goals and your budget.
Sources (11)
- RADIESSE (+) Lidocaine Injectable Implant Instructions for Use. Merz North America, FDA-approved labeling, document IN00195-01, April 2023. https://radiesse.com/wp-content/uploads/2025/12/instructions-for-use-radiesse-plus-lidocaine.pdf
- RADIESSE Injectable Implant Instructions for Use for the Dorsum of the Hand. Merz North America, FDA-approved labeling, document IN00237-01, April 2023. https://radiesse.com/wp-content/uploads/2025/12/instructions-for-use-radiesse-volume.pdf
- RADIESSE Injectable Implant Instructions for Use (facial wrinkles, HIV facial fat loss and diluted use for décolleté wrinkles). Merz North America, FDA-approved labeling, document IN00244-00, April 2026. https://radiesse.com/wp-content/uploads/2026/04/instructions-for-use-radiesse-decollete.pdf
- Summary of Safety and Effectiveness Data: RADIESSE Injectable Implant, P050052/S162. U.S. Food and Drug Administration, 2026. https://www.accessdata.fda.gov/cdrh_docs/pdf5/P050052S162B.pdf
- Summary of Safety and Effectiveness Data: RADIESSE (+) Lidocaine injectable implant, P050052/S129. U.S. Food and Drug Administration, 2021. https://www.accessdata.fda.gov/cdrh_docs/pdf5/P050052S129B.pdf
- FDA-Approved Dermal Fillers. U.S. Food and Drug Administration, 2020. https://www.fda.gov/medical-devices/aesthetic-cosmetic-devices/fda-approved-dermal-fillers
- Dermal Fillers (Soft Tissue Fillers). U.S. Food and Drug Administration, 2023. https://www.fda.gov/medical-devices/aesthetic-cosmetic-devices/dermal-fillers-soft-tissue-fillers
- Efficacy, Durability, and Safety of Collagen Biostimulators Based on PLLA and CaHA in the Face: A Systematic Review. Aesthetic Plastic Surgery, 2026. https://pubmed.ncbi.nlm.nih.gov/41184662/
- 2025 Plastic Surgery Statistics Report. American Society of Plastic Surgeons, 2026. https://www.plasticsurgery.org/documents/news/statistics/2025/plastic-surgery-statistics-report-2025.pdf
- Dermal Fillers Cost. American Society of Plastic Surgeons, accessed 2026. https://www.plasticsurgery.org/cosmetic-procedures/dermal-fillers/cost
- Hyaluronidase for Dermal Filler Complications: Review of Applications and Dosage Recommendations. JMIR Dermatology, 2024. https://pmc.ncbi.nlm.nih.gov/articles/PMC10836581/
This page is general education and is not medical advice. It does not replace an in-person consultation. Whether a treatment suits you, and what result is realistic, depends on your health history and an examination. Results vary from person to person.
Derm Clinic MD · Last updated October 2026.