Radiesse Is Now Approved for the Chest (Décolleté)
Radiesse has been approved for the treatment of wrinkles in the chest (décolleté).
While the chest has long been treated in aesthetic medicine, this approval specifically targets wrinkles using a biostimulating filler.
What is a biostimulating filler? Read related article The ABCs of Cosmetic Fillers
Why the Chest Shows Wrinkles Differently
The chest doesn’t behave the same way as the face. The skin is thinner, more exposed to sun, and more prone to compression from movement and sleep. Over time, this shows up as fine lines and creasing, with skin that looks less resilient than the face.
One patient shares:
“I’ve been focused on my face, but my chest is the part that’s starting to give it away.”
How Radiesse Works for the chest
Radiesse works beneath the skin as a biostimulating filler. It supports the tissue while stimulating your body’s own collagen and elastin over time.
In the chest, this can help:
Improve skin thickness
Soften the appearance of wrinkles
Support smoother, more even looking skin
There is often an immediate improvement, with the skin looking smoother right after treatment. Over time, as collagen and elastin production increases, the skin becomes more supported and less prone to creasing, with changes continuing over several weeks to months.
How Radiesse Compares to Other Treatments
Topical skincare - Works at the surface. Helps with hydration and texture, but does not change how the skin is structured.
Neuromodulators (Botox) - Reduces movement that causes creasing. Does not improve the skin itself.
Dermal fillers - Placed into specific lines to soften them. Best for targeted correction, not overall skin quality.
Energy based treatments (RF microneedling, lasers) - Stimulate collagen by creating controlled injury in the skin. Helpful for texture, usually requires multiple sessions.
Thread lift - Threads are placed under the skin to create support and reduce creasing through tension. This approach is more mechanical, physically repositioning and supporting the tissue.
Is Radiesse the Best Approach?
We ask Dr. Godley, is Radiesse the best approach? Not always.
Chest wrinkles don’t all form the same way. Some are more related to skin quality, others to movement, and others to how the tissue is supported.
Dr. Godley uses a range of treatments including biostimulators like Radiesse, thread lifts, RF microneedling, neuromodulators, and targeted filler when appropriate. In many cases, the best results come from layering approaches to produce what Dr. Godley describes as an amplifying effect: “It’s not one plus one equals two. Each treatment builds on the other, so the result multiplies.”
If you’d like to learn more about Radiesse for the chest, book your consultation with Dr. Godley at Godley Clinic in Vancouver or Abbotsford to discuss whether it’s the right approach for you.
Radiesse for the Chest: FAQs
How many treatments are needed?
This depends on the condition of the skin and the degree of wrinkling. Some may benefit from a single session, while others may require a series over time.
How long do results last?
Dr. Godley generally advises that results last an average of 1.5 to 2. You may wonder why the range is broad — this is because the return of skin laxity and collagen loss varies from person to person.
Several factors influence this, including hormone balance, sun exposure, diet, smoking or alcohol use, and weight fluctuations. If you are in good overall health, maintain hormone balance, avoid major weight fluctuations, and follow a healthy lifestyle, it is quite possible to experience results at the longer end of that scale
Is there downtime?
Most patients experience minimal downtime. Some swelling or bruising can occur and usually resolves within a few days.
Can Radiesse be combined with other treatments?
Yes. Radiesse is often combined with treatments like RF microneedling, thread lifts, or neuromodulators, depending on how the chest is changing.
Is it suitable for everyone?
Not always. The best approach depends on whether the concern is related to skin quality, movement, or structural support. A consultation helps determine what is appropriate.

