Calcium hydroxylapetite

Question 1

Radiesse compoosition

Answer 1

30% calcium hydroxylapetite suspended in 70% carboxymethocellulose gel carrier

Question 2

Radiesse MOA

Answer 2

Stimulates fibroblast to create collagen

microspheres in product integrate with soft tissue causing stimulation over 1-2 years

Question 3

Common reactions with Radiesse

Answer 3

Local swelling, erythema, itchiness, pain and lumpiness - resolves within 1-2 weeks

Question 4

Radiesse indications

Answer 4

lower face

subdermal folds - nasolabial, marionette

lipoatrophy in HIV

off-label use for scars, cheeks and hands

Question 5

Radiesse contraindications

Answer 5

BDD
Pregnancy and breastfeeding
active skin inflammation
inflammatory skin conditions
vermillion lip border
periorbital injection
superficial injection - can cause fistula, nodules, infection

Question 6

Radiesse dilution

Answer 6

2% lidocaine

dilution is off licesnse oractive

1.5ml mixed with 0.26ml of lidocaine

Question 7

Caution of radiesse in hands

Answer 7

when diluted with lidocaine can cause large amounts of swelling affecting function

Question 8

Sculptra componenets and actions

Answer 8

Poly-L-Lactic acid

PLLA particles stimulate fibroblasts

non-human/animal derived

metabolised into lactic acid monomers

Question 9

Sculptra protocol

Answer 9

3-4 injection

massage 5x a day for 5 days after injection

4-6 weeks apart, then yearly maintenance

results in 45-90 days

lasts up 2-4 years

Question 10

Sculptra reconstitution

Answer 10

5ml bacteriostatic saline and 2ml lidocaine - allow 72 hours to fully hydrate

Question 11

Sculptra indications

Answer 11

Mid face - cheek, nasolabial, submalar

lower face - marionette, pre-jowl sulcus, mandicular line

Question 12

Sculptra contraindications

Answer 12

Keloid susceptibility
Hypertrophic scarring
pregnancy
breastfeeding
immunological disease

Question 13

Sculptra adverse reactions

Answer 13

Nodules

vessel sclerosis if injected intravascularly