When comparing those two filler materials, I would absolutely recommend Juvéderm for the lips as Radiesse is essentially contraindicated in that location. Due to the fact that Radiesse is calcium based and relatively thick, it tends to create some irregularities in the lips and will often migrate and become visible just below the mucosa. Juvéderm, on the other hand, is very smooth. It is softer. It is more gel-like and when injected into the lips, has a very natural feel and when injected properly, can give an extremely natural appearance to the lips. With that said, I feel it is extraordinarily important to see someone with significant experience in injecting lips as improper injection techniques can lead to the complication of “duck lips” or “sausage lips” both of which are quite undesirable from an esthetic perspective. Fortunately, if someone presents in my spa or office with one of these undesirable complications of lip injection, it can be corrected with the use of an enzymatic product called hyaluronidase, which will allow the Juvéderm or other hyaluronic acid type filler to dissolve in a matter of 24 to 48 hours. Obviously prevention of the complication is much easier to deal with than the treatment. I therefore once again stress seeing someone with a significant amount of experience in injecting the lips.
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