Because of its' unique complexity and intricacy, hand surgery requires consideration of the entire hand up to the shoulder as an interconnected unit. Whether treating fractures, arthritis, or deformities, a hand surgeon considers the entire hand, wrist, forearm, arm, and shoulder. Our board-certified, fellowship-trained hand specialists treat conditions involving the bones, tendons, and muscles of the hands, wrist, elbow, shoulder, arm and forearm.



RADIESSE is the first and only FDA-approved injectable dermal filler to correct volume loss in the back of the hands and reduce the visibility of tendons and veins. RADIESSE restores volume to the hands while providing smooth, natural-looking results that can be seen immediately and can last up to 1 year.

Who should NOT have RADIESSE?

  • Pregnant or breastfeeding
  • Under 26 and over 79 years old
  • Previous severe reaction or other dermal fillers
  • History of anaphylaxis
  • Allergy to lidocaine, calcium hydroxylate, glycerin, sodium carboxymethylcellulose
  • Blood thinners such as Coumadin, Jantoven (Wafarin), Xarelto (Rivaroxaban), Pradaxa (dabigatran), Eliquis (apixaban), Lovenox (enoxaparin), Plavix (clopidogrel), high dose aspirin
  • History of breast cancer or axillary lymph node removal
  • Bleeding disorders or excessive scarring (keloid)
  • Hand disorders including severe osteoarthritis, rheumatoid arthritis, Raynauds, Dupuytrens, tendon rupture, or implants
  • Infection, inflammation or open wound on the back of the hand
  • Recent cosmetic laser therapy or chemical peel of the hands

What are the side effects of RADIESSE?

  • Most side effects were reported to be mild-moderate and lasted less than 2 weeks
  • Common side effects are swelling, pain, redness, bruising, difficulty preforming activities, lumps, itching
  • Rare side effects are numbness (13%), lumps that may last up to a year (6%), blood clot (1%), infection that may require surgery for removal
  • RADIESSE spheres are visible on CT scan and Xray

What should I expect prior to the procedure?

Your first office visit will be a consult to determine if RADIESSE is right for you. If so, the RADIESSE will be ordered and you will make a follow up appointment for the procedure. This typically takes about a week. Since insurance does not cover cosmetic procedures, the cost of the procedure must be paid in full prior to the procedure.

What should I expect during the procedure?

  • Remove all jewelry before injection. Do not put on jewelry until your hands are no longer swollen
  • The hands will be washed and then cleaned with alcohol
  • An anesthetic will be mixed into RADIESSE to minimize discomfort
  • Multiple RADIESSE injections will be given with a thin needle into the top part of the skin on the back of the hand
  • The hand will be massaged to ensure even distribution

What should I expect after the procedure?

  • Use ice packs on the treatment area to reduce swelling
  • Use Naproxen or ibuprofen for pain and swelling
  • Avoid strenuous activities for 24-48 hours after the procedure to minimize swelling
  • You will have a complementary 2 week follow up appointment if needed
  • The procedure can be repeated 6 months after the original procedure
  • If you develop fever, red streaks up the arm, or drainage from the injection site, return to the clinic or emergency department immediately as these indicate an infection
  • For more information, please visit http://info.radiesse.com/radiessehands/consumer/

Brochure: Radiesse