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To view more before and after cases, click here.

The techniques presented here are used by physicians and are intended for informational purposes only. BioForm Medical does not endorse any specific technique.

Points to note before injecting:

• Consult with patient and identify area(s) to be injected using the RADIESSE Treatment Planning Form.
• Obtain patient consent on appropriate form.
• Take photographs before and after injections.
• Provide some level of anesthesia (nerve block, topical anesthetic or ice). Note maximum dosing of the various injectable lidocaines.
• Use a non-permanent skin marker or white makeup pencil to mark areas to be treated (if necessary) with patient in upright position.
• Prep skin with alcohol or skin cleanser of choice.
• Open the RADIESSE foil package and note there should be a few moisture droplets inside, which is normal.
• Affix a 27 gauge needle to the RADIESSE syringe, and prime the needle; needle length is the injector’s preference (1.25” or 0.5”).
• Inject fine threads in multiple passes in a retrograde fashion into the deep dermis, or sub-dermal layers, depending on skin thickness and areas being injected; no need to remove needle between threads.
• Placement of linear threads in a “stacking” manner under creases, or a “cross-fanning” manner to bolster areas of volume loss is common.
• Apply antibiotic ointment of choice over injected areas to minimize potential for infection.
• Massage and mold injected areas to smooth over any subtle irregularities; be mindful where multiple products have been injected.
• Progressively bring patient to full correction.
• Refer to the RADIESSE Post Treatment Checklist for after treatment care.
• Discard any unused product, as sterility cannot be guaranteed once the foil package is opened.

Facial Lipoatrophy – Fanning, Linear Threading and Crosshatching

1.25” 27g Needle Recommended

• Insert needle into the dermal/subcutaneous junction or subcutaneous space.
• Inject multiple threads of material using fanning technique to augment sub-malar area.
• Layer additional threads of RADIESSE filler in a deeper plane. Use fanning technique at oblique angle to original threads to achieve desired correction.
• Expect major improvement with 1 to 2 ml per side.
• Massage and mold with thumb and forefinger as needed.

Nasolabial Folds – Linear Threading and Fanning

1.25” or 0.5” 27g Needle Recommended

• Insert needle into skin until you feel resistance in deep dermis/subdermal plane.
• Inject fine threads of RADIESSE filler while withdrawing needle (retrograde).
• Inject parallel threads medial to the original RADIESSE thread.
• If injecting a prominent crease, place material in a deeper plane to support the fold.
• Use fanning at perialar depression to bolster at dermal/subdermal junction.
• Massage and mold with thumb and forefinger as needed.

Marionette Lines – Fanning and Crosshatching

1.25” or 0.5” 27g Needle Recommended

• Insert needle medial to the Marionette Line until you feel resistance in deep dermis/subdermal plane.
• Use fanning technique with retrograde threading to fill and lift depression.
  Caution against injection of material in bolus fashion.
• Perpendicular to original threads, repeat injection resulting in crosshatching of material.
• Exercise caution in volume placed; progressively bring patient to optimal correction.
• Massage and mold with thumb and forefinger as needed.

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