Face contour treatment with Radiesse +: A new technique

Abstract

With facial aging, lower face suffers gravitational changes due to loss of skin elasticity and bone and cartilaginous tissues remodeling. If skin excess and sagging is not high enough to justify the surgical approach, the intervention with calcium hydroxyapatite is justifiable. The article describes a technique using calcium hydroxyapatite with lidocaine (CaHA; Radiesse+, Merz North America, Inc., Raleigh, NC, USA) injection in mandibula and chin to restore facial contour that was lost in aging. This case series included men and women who underwent Radiesse+ injection in the mandible and chin at a private clinic from June 2019 to January 2022. The sagging tissues in the jowls were repositioned, starting from an access in the jowl, with vectors directed to the mandible angle and chin. The product was deposited in the subcutaneous flat, in the form of a bolus and retro injection, along the mandible and chin region. The volume of product initially used was individualized based on individual needs, but due to local edema caused on the first day, patients were reassessed after 7-15 days, in order to obtain a satisfactory result, if necessary, more volume was applied. Results: Eighty-six patients were included. Mean scores on the Global Aesthetic Improvement Scale taken by patients 3 months after treatment indicated "much improved". The procedure was well tolerated, with no adverse events. Restoring facial contour with collagen stimulation using a biostimulator such as Radiesse+, allows a natural and lasting result with a high degree of patient’s satisfaction and few adverse events.