Merz at Bar Beauty Medical Toronto
One Merz product is in this clinic: Radiesse, a calcium hydroxylapatite injectable, not a hyaluronic acid. We do not have Xeomin and we do not have Ultherapy. The difference between what Radiesse is labelled for in Canada and what it is labelled for in the United States is the most useful thing on this page. This page is about the manufacturer and the licence. What the treatment does, what a syringe costs and what the recovery looks like is on our Radiesse treatment page.
Radiesse is licensed and marketed on both sides of the border, but the two labels are not the same document. Merz Aesthetics Canada publishes a shorter indication statement than the United States one, and the difference lands exactly where the marketing is loudest. A Toronto clinic quoting a jawline approval is quoting an American one.
| Use | In Merz’s Canadian statement | In the United States |
|---|---|---|
| Moderate to severe facial wrinkles and folds, such as nasolabial folds | Yes, stated for Radiesse and Radiesse (+) | Yes |
| Hand rejuvenation | Yes, stated for Radiesse and Radiesse (+) | Yes |
| Decollete wrinkles, using the implant diluted 1:2 with sterile saline | Yes, stated as a separate diluted use | Yes |
| Jawline contour | Not in the Canadian statement | Yes, granted September 2021, for the lidocaine version only |
The Canadian column is taken from the indication statement Merz Aesthetics Canada Ltd publishes on its own Canadian patient site, reference CAN-RAD-2300061, citing the Radiesse and Radiesse (+) Instructions for Use. It is not taken from the Health Canada device licence, which contains no indications field at all. We use Radiesse in the lower face and we would rather explain that plainly than borrow an approval from another country.
About Merz
Merz was founded in Frankfurt in 1908 by Friedrich Merz, a chemist who was 24 at the time, and the company says it is still owned by the fourth generation of the Merz family. It describes itself as having reinvented itself more than once across its history, from dental products to work in Alzheimer’s disease. The dental origin is not folklore: Health Canada’s device register still carries a separate company record for Merz Dental GmbH in Lutjenburg, Germany, entirely distinct from the aesthetics business.
Three companies stand between Frankfurt and Fort York
Merz reaches a Toronto treatment room through a chain of entities, and the chain is visible in the public records rather than hidden in them. Merz Aesthetics states that its global management is now based in the United States. Accordingly, the Canadian device licences for Radiesse are held by Merz North America, Inc., at Courtney Street in Franksville, Wisconsin, company record 116080 in the Health Canada register. The company that markets to Canadian patients is Merz Aesthetics Canada Ltd. And the trademarks themselves sit with Merz Pharma GmbH & Co. KGaA in Germany, licensed down the chain, which the Canadian site states in its own footer.
None of that changes the product. It does explain why paperwork on a Merz product can name a Wisconsin address on a German company’s device, and it is worth knowing if you are the sort of patient who checks.
Merz products we use
Radiesse, and why it is not a filler in the usual sense
Radiesse is calcium hydroxylapatite, a mineral compound, suspended in a gel carrier. That single fact drives everything else about how it behaves. It is not hyaluronic acid, so hyaluronidase does not dissolve it. The gel carrier is absorbed within months, and what remains and produces the durable part of the result is collagen your own tissue has laid down in response. Merz markets it as a regenerative biostimulator rather than a volumiser, and describes the mechanism as stimulating production of collagen, elastin and other skin components.
The practical consequence for a patient choosing between products is that a hyaluronic acid gel is a decision you can reverse in an afternoon and Radiesse is not. That is not a reason to avoid it. It is a reason to be more certain before it goes in, and it is why we tend to reach for it in patients who already know how their face responds to injectables rather than in first-timers. The full treatment detail is on our Radiesse page and the hand treatment is on Radiesse hand rejuvenation.
What Radiesse costs at Bar Beauty Medical
All figures are Canadian dollars, live in our Jane booking system, and the consultation is free and never charged.
| Treatment | What it covers | Price |
|---|---|---|
| Radiesse Rejuvenation | One syringe, about 40 minutes | $900 |
| Radiesse Hand Rejuvenation | Two syringes, about 55 minutes | $1,500 |
| Jawline Sculpting | Lower face, our booking system names Radiesse for this treatment | $750 |
Those are the Radiesse appointments bookable in Jane and they are the only Radiesse prices we publish. The full live menu is on our price list. We do not negotiate at the chair and the whole plan is written down before anything is injected.
The jawline question, answered straight
Our booking system offers Jawline Sculpting and names Radiesse in its description, and the Canadian indication statement Merz publishes does not list the jawline. Both of those things are true at once, so here is the position in full. The jawline indication exists, it was granted in the United States in September 2021, and it applies to the lidocaine version. Health Canada has not mirrored it, and the Canadian device licence record cannot mirror it because that record has no indications field to put it in. Using a licensed product for an area outside its local labelled indication is a clinical judgment made by the person holding the syringe, it is common across aesthetic medicine, and we think a patient is entitled to be told when it is happening rather than sold an approval that does not exist here.
The evidence behind that decision is real and it is the strongest jawline evidence attached to any product we carry. Moradi and colleagues, in the Journal of Drugs in Dermatology in 2021, volume 20, issue 11, pages 1231 to 1238, reported the pivotal trial: 75.6 percent of treated patients, 93 of 123, achieved at least a one-point improvement on the jawline assessment scale at week 12, against 8.8 percent, 5 of 57, untreated, a difference of 66.8 percent with a 95 percent confidence interval of 53.7 to 75.2 and a p value below 0.0001. At 48 weeks 67.3 percent were still responding. The caveat we always attach to it: the control arm was no treatment, not a sham injection, so some of that gap is the effect of having been treated at all.
What we deliberately do not carry from Merz, and why
Merz Aesthetics Canada markets five things to Canadian clinics. We have one of them. The other four turn up in patient questions often enough that they deserve naming.
We do not have Xeomin
Xeomin Cosmetic is a neuromodulator, incobotulinumtoxinA, and in Canada it is a drug rather than a device: Drug Identification Number 02383489, held by Merz Pharmaceuticals GmbH. We do not stock it. Our neuromodulators are Botox Cosmetic at $10 per unit, and Dysport and Nuceiva, both of which are consult-quoted rather than priced per unit because unit potency assays are product-specific and there is no valid conversion between them. There is a dedicated page explaining our position at Xeomin in Toronto, and a comparison at Botox vs Dysport vs Xeomin vs Nuceiva.
We do not have Ultherapy
Ultherapy is micro-focused ultrasound for skin tightening. In Canada the Ulthera System sits on device licence 79689, a Class III system licence first issued on 6 May 2009 and held by Ulthera, Inc. of Raleigh, North Carolina, a Merz company. We do not own that device and we never have. For skin tightening we use radiofrequency: Morpheus8 and Forma, both from InMode. If tightening is what you are after, that is the honest route here.
One clarification that keeps coming up. The high-frequency ultrasound in our clinic is a diagnostic imaging probe used to visualise existing filler in the skin before new injectable work. It is an assessment tool, not a treatment, and it has nothing to do with Ultherapy.
We do not have Belotero or Neocutis
Belotero is Merz’s hyaluronic acid filler range and Neocutis is its medical skincare line. Neither is on our shelf. Our hyaluronic acid gels are Stylage, Revanesse and Teosyal Redensity 1 and 2, and our skincare is on the SkinCeuticals, SkinBetter Science, NOON and Hale Derma pages.
The Canadian paper trail on Radiesse, which is longer than most people expect
Merz North America holds twelve Canadian device licences and four of them have carried a Radiesse name at some point. Read in order they show a product that has been continuously registered in Canada for two decades while changing its registration shape several times.
| Licence | Name on the register | First licensed | Status |
|---|---|---|---|
| 69052 | Radiesse Injectable Implant | 12 August 2005 | Ended 23 October 2012 |
| 77064 | Radiesse Plus Injectable Implant | 13 May 2008 | Ended 15 October 2009 |
| 78893 | Radiesse Injectable Implant Set | 23 January 2009 | Active |
| 95140 | Radiesse (+) Injectable Implant | 15 May 2015 | Active. Current device entry is Radiesse (+) |
The same material is registered in Canada under a name most patients never see
Two more Merz licences are worth knowing about, because they show what calcium hydroxylapatite is used for outside a cosmetic clinic. Licence 66956 was registered from January 2005 under the trade name Radiesse Laryngeal Augmentation Implant and was renamed Prolaryn Plus on 30 July 2019. Licence 85943 was registered from May 2011 as Radiesse Voice Gel and became Prolaryn Gel. Both are still active.
Those are the trade names on the register, not indications, and we are not quoting an indication from them. But the naming history is public and it tells you something useful: the mineral in a cosmetic syringe is the same base material a laryngologist injects into a vocal fold. It is a real implant, not a cosmetic gel with a marketing story, and it deserves to be treated with that much seriousness in a consultation.
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Ask us whether a biostimulator or a hyaluronic acid gel is the right tool for what is bothering you. We will explain the trade-off, including reversibility, and write the plan down with a total.
46 Fort York Blvd, Toronto · 416-923-1200 · Open 7 days
Other brands we partner with
Bar Beauty Medical is an authorized partner for the most-trusted names in medical aesthetics. Browse our other brand pages to see what we offer:
- Allergan, Botox Cosmetic
- Galderma, Dysport, Sculptra
- Laboratoires Vivacy, Stylage S, M, L, XL, XXL
- Prollenium, Revanesse, made in Aurora, Ontario
- Teoxane, Teosyal Redensity 1 and Redensity 2
- InMode, Morpheus 8, Forma, Body FX, Diolaze
- Aerolase, NeoSkin, NeoClear (all skin tones)
- Aptos, premium absorbable thread lifts
- Venus Concept, Venus Bliss fat reduction
- SkinPen, only FDA-cleared microneedling device
- SkinCeuticals, clinical-grade vitamin C and antioxidants
- SkinBetter Science, AlphaRet retinoid and Even Tone correctors
- NOON Aesthetics, DermShield acne, brightening, and retinaldehyde
- Hale Derma, hypochlorous acid pre and post-care spray
The number we will not quote you for Radiesse
Radiesse is the product most often quoted with a stiffness figure, and it is also the clearest example of why that figure is unusable. Lorenc, Ohrlund and Edsman, writing in the Journal of Drugs in Dermatology in 2017, measured Radiesse on a rheometer at three different frequencies and got 1407 Pa at 0.7 Hz, 1310 Pa at 1 Hz and 2782 Pa at 5 Hz. Same syringe, same laboratory, three answers, the highest more than double the lowest. Across the products they tested, results differed by a factor of 1.6 to 7.4 depending only on the instrument settings.
So when a clinic tells you Radiesse has a high elastic modulus and therefore lifts more than a hyaluronic acid gel, the first half is a number that moves with the machine and the second half does not follow from it anyway. Flegeau and colleagues, in Pharmaceutics in 2023, found that the highest-modulus product in their comparison had the worst projection index. What is supported, from Fagien and colleagues in Plastic and Reconstructive Surgery in 2019, is that firmer material placed against bone resists the compressive forces of the deep plane better than soft material does. That is a statement about where a product is put, which is the part the injector controls.
What Radiesse will not do
- It cannot be dissolved. There is no hyaluronidase equivalent for calcium hydroxylapatite. If you want the option of reversing a result, choose a hyaluronic acid gel.
- It is not for lips. Radiesse is not used in the lip, and a clinic offering it there is doing something we would not.
- It is not for the tear trough. The under-eye needs a soft, low water binding hyaluronic acid gel placed conservatively. That is Teosyal Redensity 2, not a biostimulator.
- It is not instant collagen. The immediate change you see is the gel carrier. The durable part builds over months, and if the immediate result is exactly what you wanted, the settled result will be less than that.
- It does not replace skin quality work. It changes structure. Texture, tone and pigment are a different job.
- It is not permanent either. Real-world longevity runs roughly 12 to 18 months depending on placement, how much the area moves and your own turnover.
What the plus sign in Radiesse (+) means
Two Radiesse names circulate and the difference is small but real. Radiesse (+) is the version formulated with lidocaine for comfort during the injection. Plain Radiesse is not. The Canadian register shows how quickly that naming settled: on licence 95140 the device entry Radiesse (+) Lidocaine was first licensed on 15 May 2015 and ended on 4 June 2015, replaced the same day by Radiesse (+), which is the current entry and has no end date. Three weeks of one name, then the name it still carries.
If you have a known allergy to amide-type local anaesthetics, that distinction stops being trivia and becomes the reason a particular syringe is or is not appropriate for you. Tell us at the consultation.
Who should not have Radiesse
We screen before we book rather than after you arrive. Merz’s own Canadian patient material asks that you disclose any known allergy, particularly to sodium hyaluronate, to lidocaine hydrochloride in the lidocaine versions, or to amide-type local anaesthetics. Beyond that, an injectable implant is not appropriate if you are pregnant or breastfeeding, if there is an active infection, inflammatory skin condition or unhealed wound at or near the site, if you have an untreated bleeding or clotting disorder, or if your expectations cannot be met honestly with this product.
Merz also publishes what to expect afterwards, and we repeat it rather than soften it. Redness, bruising and swelling are common and usually settle within a few days. Less commonly, swelling can last longer, or the treated area can feel uneven or firm. As with any injection there is a risk of infection. Pre-injectable screening at this clinic, including screening for body dysmorphic disorder, runs under our Medical Director.
Frequently asked questions about Merz and Radiesse
Is Radiesse a dermal filler?
It is an injectable implant, but it is not a hyaluronic acid filler. Radiesse is calcium hydroxylapatite suspended in a gel carrier. The carrier is absorbed within months and the lasting part of the result is collagen your own tissue produces in response. Merz markets it as a regenerative biostimulator rather than a volumiser.
Can Radiesse be dissolved if I do not like it?
No. Hyaluronidase dissolves hyaluronic acid and Radiesse is not hyaluronic acid, so there is no reversal agent. This is the single most important difference between Radiesse and the other injectables on our menu, and it is why we spend longer on the consultation before using it.
Is Radiesse approved in Canada?
Radiesse is licensed for sale in Canada as a Class III medical device. Merz North America, Inc. holds licence 78893, Radiesse Injectable Implant Set, first licensed on 23 January 2009, and licence 95140, Radiesse (+) Injectable Implant, first licensed on 15 May 2015. Both were active when we checked the register in August 2026. A device licence proves lawful sale. It publishes no indication, so no Canadian indication should be quoted from one.
Is Radiesse approved for the jawline in Canada?
The jawline indication was granted in the United States in September 2021 and applies to the lidocaine version. It is not in the indication statement Merz Aesthetics Canada publishes for Canadian patients, which covers moderate to severe facial wrinkles and folds such as nasolabial folds, hand rejuvenation, and decollete wrinkles using the implant diluted with saline. We use Radiesse in the lower face on clinical judgment supported by the published pivotal trial, and we tell patients that rather than quote an American approval as though it were a Canadian one.
Do you offer Xeomin?
No. Xeomin Cosmetic is a Merz product, Drug Identification Number 02383489, and we do not stock it. Our neuromodulators are Botox Cosmetic at $10 per unit, plus Dysport and Nuceiva, which are quoted at consultation rather than per unit.
Do you offer Ultherapy?
No. We have never had an Ultherapy device. In Canada the Ulthera System is licensed to Ulthera, Inc., a Merz company, under device licence 79689. For skin tightening we use radiofrequency, specifically Morpheus8 and Forma from InMode.
How long does Radiesse last?
Roughly 12 to 18 months in practice. Longevity depends on where it was placed, since material set deep on bone in a static area outlasts material in tissue that moves all day, and on your own rate of turnover. Merz’s Canadian material describes results lasting up to two years in some individuals, which is a ceiling rather than an average.
How does Radiesse compare to the hyaluronic acid fillers you carry?
Different material, different behaviour, different decision. Hyaluronic acid gels such as Stylage, Revanesse and Teosyal Redensity add volume immediately and can be dissolved. Radiesse adds a smaller immediate change and then works through collagen stimulation over months, and cannot be dissolved. We choose between them on what needs to change, how sure you are, and whether reversibility matters to you.
Is Radiesse safe for darker skin tones?
Injectable risk profiles are not driven by skin phototype the way light-based device risk is. The relevant safety questions for any injectable are anatomy, injection depth, dose and the injector’s vascular knowledge. What does change with skin type is the risk of post-inflammatory pigmentation from injury at the entry point, which is a reason for careful technique and a conservative number of entry points rather than a reason to avoid the product.
Who will inject me?
Injectable treatments at Bar Beauty Medical are performed by Jasmine Saggu, RN, our Aesthetic Nurse Injector, or by Shahram Mafazi, IMG, PDD, our Aesthetic Medicine Expert, Trainer and Instructor. Both work under the medical direction of Dr. John David Henneberry-Fudge, MD, FRCPC, CPSO #95972. The team is on our team page.
How do I book, and what happens if I need to cancel?
We hold your appointment with a credit card and nothing is charged when you book. Cancel or reschedule at least 24 hours before your appointment and there is no charge. If you do not show up, we charge $100 to the card, and a first missed appointment is usually forgiven and credited toward your next treatment. The consultation itself is free and there is no obligation to treat on the day.
Sources used on this page
- Merz Aesthetics corporate history, founding in Frankfurt in 1908 by Friedrich Merz, fourth-generation family ownership and the relocation of global aesthetics management to the United States: merzaesthetics.com
- Merz Aesthetics Canada, Radiesse patient site, Canadian indication statement, mechanism description and corporate entity footer, reference CAN-RAD-2300061: merzaesthetics.ca
- Health Canada Medical Devices Active Licence Listing, companies 116080 and 128516 and licences 66956, 69052, 77064, 78893, 85943 and 95140, plus Ulthera licence 79689, read through health-products.canada.ca in August 2026
- Health Canada Drug Product Database, Xeomin Cosmetic, DIN 02383489, Merz Pharmaceuticals GmbH
- Moradi A et al. J Drugs Dermatol 2021;20(11):1231 to 1238, the pivotal jawline trial
- Lorenc ZP, Ohrlund A, Edsman K. J Drugs Dermatol 2017;16(9):876 to 882, on rheometer dependence
- Flegeau K et al. Pharmaceutics 2023;15(11):2585, on modulus and projection
- Fagien S et al. Plast Reconstr Surg 2019;143(4):707e to 720e, on firm material against bone
Booking a Radiesse consultation at Bar Beauty Medical
Radiesse is the one product on our injectable menu that cannot be undone, so the consultation matters more here than anywhere else. We assess the area, photograph a baseline, explain honestly whether a biostimulator or a reversible gel is the better fit for you, and write the plan down with a total. If you are not certain, we will tell you to start with something reversible.
Book a free Radiesse consultation
Ready to look into it properly?
Our consultation is free. We will look at your skin, give you an honest recommendation, and say so if a different treatment would suit you better.
Or call 416 923 1200 · 46 Fort York Blvd, CityPlace, Toronto
Questions about this treatment?
Ask us anything before you book. Consultations are free, and we will tell you honestly if a treatment is not right for you.