title: Radiesse: Advanced Techniques and Applications for a Unique and Versatile Implant.
abstract: BACKGROUND
  Radiesse is a well-tolerated facial injectable with unique filling and lifting capabilities. Although initially approved for facial volumizing in HIV-related lipodystrophy patients, it quickly gained wide acceptance for aesthetic facial rejuvenation. In the USA, the Food and Drug Administration has approved several new indications for its use. This synopsis presents the experience and injection techniques currently favored by the primary author after many years of use in thousands of patients.
  
  
  METHODS
  The anecdotal practice of an experienced injector is presented along with the current Food and Drug Administration-approved standards of Radiesse injection.
  
  
  RESULTS
  Radiesse has many on- and off-label applications that can be thoughtfully incorporated into clinical practice. Its unique chemical composition allows for immediate lifting and filling with long-term collagen stimulation. The product can be reconstituted to increase its versatility and minimize adverse events. Injections can be performed in the supraperiosteal space and the subcutaneous layer and are best administered in small, calculated doses to prevent nodules or vascular occlusion. Various techniques for Radiesse injection in specific areas are discussed in detail.
  
  
  CONCLUSIONS
  Radiesse is a versatile injectable implant and a valuable tool for short- and long-term cosmetic and reconstructive treatments. In addition to various off-label uses, this injectable is often used in conjunction with botox, other injectables, collagen stimulators and tightening devices. A customized reconstitution of product increases its versatility for natural appearing and long lasting results that are both economical and effective for full facial rejuvenation.
authors.affiliation: New York, N.Y. From the Department of Aesthetic Medicine and Surgery, Chelsea Eye and Cosmetic Surgery Associates; Department of Ophthalmology, New York University; and Department of Ophthalmic Plastic and Reconstructive Surgery, Metropolitan Hospital Center.
authors.forename: Joseph
authors.initials: J
authors.lastname: Eviatar
authors.forename: Christopher
authors.initials: C
authors.lastname: Lo
authors.forename: James
authors.initials: J
authors.lastname: Kirszrot
mesh_terms: D001672:Biocompatible Materials / Q000008:administration & dosage*; D003357:Cosmetic Techniques; D017886:Durapatite / Q000008:administration & dosage*; D006801:Humans; D007279:Injections, Subcutaneous; D008863:Microspheres; D019736:Prostheses and Implants; D015595:Skin Aging / Q000187:drug effects*
chemical_list: D001672:Biocompatible Materials; D017886:Durapatite