Question: I am 49 years old, male and I have very deep smile lines that remarkably are still there even when I am not smiling. I believe that I would like injections of Radiesse into these folds. Is this product permanent? Will these injections make my face appear fatter?
Answer: Restylane, Perlane, Juvederm Ultra Plus and Radiesse are all good choices. You may require a midface lift or midface augmentation with fat, fillers or implants as well. You likely need multiple syringes of a filler to improve the lines. It should not make your face “fatter” if injected well but it will add volume. I had a nurse recently tell me she injected a patient and her nose got wider. She injected the filler too far medially under the nostrils and it lifted and widened the nose. Technique is important.