Article
A consensus paper was published last year that offers guidelines for how and where to use hyperdiluted CaHA as a biostimulatory agent for body, face and skin. This is a snapshot of their recommendations:
For: fine wrinkles, skin quality, skin laxity
Application options: cannula via retroinjection using 3 to 5 entrance points or needle using short linear threading technique.
Dilute: 1:2 to 1:4 (3 mL to 6mL diluent) according to patient skin type.
Neck: 1 syringe
Décolletage: .5 to 1 syringe
For: cellulite dimples, skin laxity
Application options: cannula using the fanning or asterisks technique, or needle using short linear threading technique.
Dilute: 1:1 to 1:4 (1.5 mL to 6mL diluent) for laxity; 1:1 or 1:2 for dimples.
1 syringe/buttock
For: skin laxity/flaccidity
Application options: cannula using the fanning or asterisks technique, or needle using short linear threading technique.
Dilute: 1:1 to 1:4 (1.5 mL to 6 mL diluent)
1 syringe for upper abdominals; 1 syringe for lower
For: skin laxity, fine wrinkles
Application options: Cannula via retroinjection using 2 to 4 fanning injections on inner arm.
1:2 to 1:4 (3 mL to 6 mL diluent)
.5 to 1 syringe per arm
Paper also includes recommendations for face, knees and elbows.
Reference:
De almeida AT, Figueredo V, Da cunha ALG, et al. Consensus Recommendations for the Use of Hyperdiluted Calcium Hydroxyapatite (Radiesse) as a Face and Body Biostimulatory Agent. Plast Reconstr Surg Glob Open. 2019;7(3):e2160.
https://clinicachociai.com.br/wp-content/uploads/2019/11/Radiesse-consenso.pdf