Radiesse® is a calcium hydroxylapatite (CaHA) biostimulatory injectable that does something traditional hyaluronic acid fillers cannot: it provides immediate volume and contour improvement while simultaneously stimulating your body to produce new Type I collagen over the following months. At DNA Wellness and Longevity Institute in Bonita Springs, Dr. Katherine Ortiz uses both standard Radiesse® for facial volumizing and contouring and Hyperdilute Radiesse® for skin tightening and biostimulation across the neck, chest, arms, and body — customized to your anatomy and your goals.
Why patients choose us
Radiesse® has FDA approval for facial folds, hand volume, and HIV lipoatrophy
Immediate volume correction + progressive collagen stimulation — not filler alone
Serving Bonita Springs, Naples, Estero & Fort Myers

What Is Radiesse®?
Radiesse® is composed of calcium hydroxylapatite (CaHA) microspheres — a mineral compound chemically identical to the calcium found in bone and teeth — suspended in a water-based gel carrier (carboxymethylcellulose). The formulation is 30% CaHA microspheres and 70% gel, and this ratio is what gives it its dual-action clinical profile.
When injected in standard (undiluted) form, the gel carrier provides immediate 1-to-1 volume correction — one milliliter of Radiesse® produces approximately one milliliter of volume — delivering instant contour improvement in areas like the cheeks, jawline, nasolabial folds, and chin. As the gel carrier is gradually absorbed over the following weeks, the CaHA microspheres remain at the injection site, acting as a physical scaffold that fibroblasts adhere to and use as the substrate for new collagen and elastin synthesis. A 2025 study confirmed dermal thickness increases of up to 210 μm at 90 days post-injection, and light microscopy at 6 months shows CaHA microspheres surrounded by thick collagen and fibroelastic tissue — without granuloma formation, migration, or significant inflammation. Clinical effects last 12–18 months, with histological evidence of ongoing collagen production continuing beyond visible correction.
When diluted with sterile saline and lidocaine — typically in a 1:1 to 1:4 ratio — Radiesse® transforms into a different treatment modality entirely. Hyperdilute Radiesse® spreads the CaHA microspheres across a broader surface area, shifting the mechanism from volumizing to broad-field biostimulation: collagen and elastin regeneration, skin thickness restoration, improved elasticity, and skin tightening across larger anatomical areas including the neck, chest, arms, abdomen, thighs, and knees. This hyperdilute technique is the subject of an international expert consensus recommendation and represents one of the most clinically meaningful non-surgical body skin tightening options currently available.
Unlike hyaluronic acid fillers — which provide temporary volume and dissolve completely — Radiesse® cannot be reversed with hyaluronidase. This makes precise technique and thorough pre-treatment assessment essential. Dr. Ortiz conducts a detailed facial anatomy and skin quality evaluation before every Radiesse® treatment to determine the appropriate formulation, dilution, placement, and volume for your specific anatomy and goals.
How It Helps
The defining clinical advantage of Radiesse® over standard hyaluronic acid fillers is its biostimulatory mechanism — it produces two distinct phases of improvement rather than one. The immediate phase is visible the same day: volume correction in hollow or deflated areas, structural support in the midface and jawline, softened folds, and improved facial contours. The progressive phase unfolds over the following 3–6 months as CaHA microspheres stimulate fibroblasts to synthesize new Type I collagen — improving skin thickness, firmness, and elasticity from within. The result is that Radiesse® patients typically see their results continue to improve for months after treatment, rather than peaking on day one and gradually diminishing as a HA filler does. Clinical durability is 12–18 months, with histological evidence of ongoing collagen deposition beyond the period of visible correction.
Hyperdilute Radiesse® is one of the most significant advances in non-surgical body rejuvenation in the past decade. By diluting Radiesse® with saline and lidocaine to a 1:1 or greater ratio, the CaHA microspheres are distributed evenly across broad surface areas — shifting the mechanism from volumizing to collagen biostimulation. This makes Hyperdilute Radiesse® the treatment of choice for areas where skin quality, tightness, and texture are the primary concern: the neck, décolletage, upper arms (crepey skin), inner thighs, knees, and abdomen following weight loss or pregnancy. Because it focuses on dermal remodeling rather than volume, results look genuinely natural — progressive improvement in skin firmness and quality rather than an augmented appearance. Expert consensus guidelines support its use across all these anatomical areas with established dilution and injection protocols.
Radiesse® is one of the few injectables with FDA-approved indications for both the face and body — approved for moderate-to-severe facial wrinkles and folds (2006), hand volume restoration (2015), and HIV-associated lipoatrophy. In clinical practice, its standard and hyperdilute forms address the full spectrum of age-related changes across the face, neck, and body: structural volume loss, skin laxity, crepey texture, jawline softening, neck banding, and décolletage aging. Radiesse® can also be combined with PRP, microneedling, laser therapies, and Dr. Ortiz's peptide protocols for patients who want to address both the injectable and the systemic dimensions of skin aging simultaneously — particularly relevant for patients managing hormone-related collagen decline during perimenopause or menopause.
Where It Works
Step 01 — Consultation & Treatment Planning Your consultation with Dr. Ortiz begins with a detailed assessment of your facial anatomy and skin quality — evaluating volume loss, skin laxity, elasticity, and the specific areas of concern. For facial treatments, Dr. Ortiz maps injection points and determines whether standard Radiesse®, Hyperdilute Radiesse®, or a combination of both is appropriate. For body treatments, the dilution protocol and session plan are determined based on the treatment area and degree of skin laxity. Patients with prior permanent implants, lifting threads, or previous biostimulatory treatments (Sculptra® or Radiesse®) in the treatment area within the past 18 months are evaluated carefully before proceeding — overlap of biostimulatory agents in the same area requires clinical judgment.
Step 02 — The Treatment Session Radiesse® contains lidocaine in its formulation, and additional topical numbing is applied as needed before treatment. Injections are performed using a fine needle or cannula depending on the treatment area and depth of placement. Sessions typically take 30–60 minutes for facial treatments and 45–90 minutes for body applications depending on the area covered. Standard Radiesse® is injected at the subdermal or deep dermal level for volumizing applications. Hyperdilute Radiesse® is distributed more broadly via retrograde linear threading or fanning techniques across the treatment area. Most patients experience mild redness, swelling, and bruising that resolves within 3–7 days.
Step 03 — Results Timeline The Radiesse® results timeline has four distinct phases. Immediately after treatment, visible volume and contour improvement is present from the gel carrier. At 2–4 weeks, early skin tightening and improved texture begin as the biostimulatory response initiates. At 6–12 weeks, peak collagen stimulation produces the most significant firmness and elasticity improvement — this is typically when patients see their most impressive results. Ongoing dermal remodeling continues through 3–6 months, with the full clinical durability of 9–18 months depending on treatment area, metabolism, and protocol. Hyperdilute body applications often benefit from a series of 2–3 sessions spaced 4–6 weeks apart for optimal biostimulation, followed by annual maintenance.

Questions Answered
Q1: Is Radiesse® the same as a regular dermal filler? Radiesse® is classified as both a dermal filler and a biostimulator — which makes it fundamentally different from standard hyaluronic acid fillers like Juvederm or Restylane. HA fillers add volume temporarily and dissolve completely over time; they provide no biological regeneration. Radiesse® provides immediate volume correction through its gel carrier and simultaneously stimulates your body's own fibroblasts to produce new Type I collagen — so results continue improving for months after treatment and last significantly longer than HA fillers. The key practical difference: HA fillers can be dissolved with hyaluronidase if needed; Radiesse® cannot. This makes precise technique and appropriate patient selection critical, which is why Dr. Ortiz conducts a detailed anatomical assessment before every treatment.
Q2: What is Hyperdilute Radiesse® and how is it different from standard Radiesse®? Standard Radiesse® is used in its original concentration for facial volumizing — adding structural support, restoring deflated areas, and defining contours. Hyperdilute Radiesse® is the same product diluted with sterile saline and lidocaine to a 1:1 or greater ratio, which transforms its clinical behavior entirely. The dilution spreads the CaHA microspheres across a broader surface area and reduces the immediate volumizing effect — shifting the mechanism to broad-field collagen and elastin biostimulation. This makes it ideal for skin tightening and quality improvement in the neck, chest, arms, thighs, and abdomen, where adding volume is not the goal but improving skin firmness, elasticity, and texture is. International expert consensus guidelines specifically endorse Hyperdilute CaHA for these body applications.
Q3: How does Radiesse® compare to Sculptra®? Both Radiesse® and Sculptra® are biostimulatory injectables that stimulate collagen production, but they differ in mechanism, onset, and application profile. Radiesse® (CaHA) provides immediate volumizing correction plus progressive collagen stimulation — results are visible the same day and continue improving. Sculptra® (poly-L-lactic acid, PLLA) provides minimal immediate volume but builds collagen gradually over 2–3 months across a treatment series — results are more gradual and results typically last up to 24 months after a complete series. CaHA demonstrates faster collagen onset and lower immune cell recruitment compared to PLLA in comparative studies. Radiesse® is generally preferred when both immediate correction and biostimulation are desired; Sculptra® when a gradual, longer-duration result is the priority. Dr. Ortiz will recommend the appropriate biostimulator — or combination of both — based on your anatomy, goals, and timeline.
Q4: Which areas of the body can Hyperdilute Radiesse® treat? Hyperdilute Radiesse® is approved and clinically validated for use across a broad range of body areas where skin laxity, crepey texture, and poor skin quality are the concern. At DNA Wellness, Dr. Ortiz treats the neck and lower face for skin tightening and texture improvement; the chest and décolletage for crepey skin and sun damage; the upper arms for loose and crepey skin; the inner thighs and above the knees for skin laxity; and the abdomen and flanks for patients following significant weight loss or post-pregnancy. The number of sessions and dilution protocol vary by treatment area — body areas typically require 2–3 sessions for optimal biostimulation, spaced 4–6 weeks apart.
Q5: Is Radiesse® available in Bonita Springs and Southwest Florida? Yes. DNA Wellness and Longevity Institute, located at 26800 S Tamiami Trail, Suite 380 in Bonita Springs, offers both standard Radiesse® and Hyperdilute Radiesse® under the direct supervision of Dr. Katherine Ortiz. The clinic serves patients throughout Bonita Springs, Naples, Estero, Fort Myers, and surrounding Southwest Florida communities. Call (239) 250-7930 to schedule your consultation.
Dr. Katherine Ortiz is the founder of DNA Wellness and Longevity Institute in Bonita Springs, FL. She is a board-certified Physician Associate and holds a Ph.D. in Integrative Medicine from Quantum University, with fellowship training through the American Academy of Anti-Aging Medicine (A4M) and the University of South Florida in functional and regenerative medicine.
Her practice is built on a foundational belief: that the body has an extraordinary capacity to heal and self-regulate when given the right support. Dr. Ortiz investigates root causes — hormonal imbalances, nutritional deficiencies, genetic factors — and builds individualized protocols designed to restore function and optimize long-term health.
Every protocol at DNA Wellness is ordered, reviewed, and monitored directly by Dr. Ortiz.