Many of today's cosmetic patients desire the maximum aesthetic result with the least amount of downtime and expense. Nonsurgical, minimally invasive cosmetic treatments are increasing at a substantial rate. Calcium hydroxylapatite (CaHA) was one of the first fillers to be used for "volumizing" the face as an alternative to surgical intervention. Filling the cheeks and prejowl sulcus lifts the cheeks and camouflages dependent jowls, creating a more youthful appearance. Surgical practices have appropriately begun to incorporate more filling and less aggressive pulling during facial procedures.The CaHA product Radiesse (BioForm Medical Inc, San Mateo, California) is a synthetic material approved by the US Food and Drug Administration for treating facial lines and wrinkles such as nasolabial folds. Correction and patient satisfaction can be expected for about 1 year following treatment. Some reports are now espousing persistence beyond 1 year. To determine the efficacy of CaHA, we hypothesized that complete correction of the lower one-third of the face, specifically, the nasolabial folds, prejowl sulcus, oral commissure grooves, and marionette lines, by filling with CaHA would lead to an acceptable satisfaction rate at 1 year in many patients who were seeking facial rejuvenation.
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