Name of the Procedure:

Common name(s): Radiesse Injection
Technical or medical term: Injection, Radiesse, 0.1 ml (HCPCS code Q2026)

Summary

Radiesse injections involve the administration of a dermal filler to add volume and smooth out wrinkles or folds in the skin. Typically, Radiesse is composed of calcium hydroxylapatite microspheres suspended in a gel carrier.

Purpose

The primary purpose of Radiesse injections is to address cosmetic concerns such as nasolabial folds, marionette lines, and volume loss in the face. The goal is to restore a more youthful appearance by adding volume and smoothing out wrinkles.

Indications

• Deep nasolabial folds (lines from the nose to the corners of the mouth)
• Marionette lines (lines from the corners of the mouth downward)
• Volume loss in the cheeks, chin, jawline, or hands
• Patients seeking non-surgical options for facial rejuvenation
• Individuals aged 21 and older in good general health

Preparation

• Avoid blood-thinning medications (e.g., aspirin, ibuprofen) for about a week prior to the procedure to minimize bruising.
• Refrain from consuming alcohol 24 hours before the treatment.
• Ensure the treatment area is free from infections or skin conditions.
• A consultation to assess facial structure and discuss expectations and medical history.

Procedure Description

1. The area to be treated is cleaned and sanitized.
2. A topical anesthetic or a local anesthetic is applied to minimize discomfort.
3. Using a fine needle, Radiesse is injected into specified areas of the face or hands.
4. The healthcare provider may massage the area to ensure even distribution.

Tools used: Fine needle, syringes pre-filled with Radiesse, topical/local anesthetic.

Duration

The procedure typically takes between 30 to 60 minutes.

Setting

Radiesse injections are performed in an outpatient setting such as a dermatologist's office, cosmetic surgery clinic, or medical spa.

Personnel

• Certified dermatologists or plastic surgeons
• Licensed nurses or medical assistants may assist

Risks and Complications

Common risks:

• Redness, swelling, or bruising at the injection site
• Temporary pain or discomfort
• Itching or rash

Rare complications:

• Infection
• Lumps or nodules under the skin
• Migration of the filler to an unintended area
• Allergic reaction to the filler components

Management of complications often involves follow-up consultations and, in serious cases, medical or surgical intervention.

Benefits

• Immediate improvement in facial volume and wrinkle reduction
• Long-lasting results for up to 12 to 18 months
• Minimal downtime, allowing quick return to normal activities

Recovery

• Post-procedure care includes avoiding strenuous activities and excessive sun or heat exposure for 24 to 48 hours.
• Apply ice packs to reduce swelling.
• Avoid touching or massaging the treated area for a few hours after the procedure.
• Follow-up appointment as recommended by the healthcare provider to monitor results and address any concerns.

Alternatives

• Other dermal fillers such as hyaluronic acid-based products (e.g., Restylane, Juvederm)
• Botox injections for dynamic wrinkles
• Surgical options like facelifts or cheek implants
• Pros of alternatives: Different duration of effectiveness, cost variations, targeting different types of wrinkles.
• Cons of alternatives: More invasive procedures might require longer recovery, different risk profiles.

Patient Experience

During the procedure, patients may feel a slight pinch or stinging sensation from the needle insertion. The use of an anesthetic helps minimize pain. Post-procedure, there might be mild discomfort, swelling, or bruising, which typically subsides within a few days. Pain management includes over-the-counter pain relievers and cold compresses.