Lecture to FACE Conference 2008 in London to show new technique of injecting the dorsum of hands with Radiesse

1. Advanced Injectors Lecture BACD Regional Meeting London June 2008

3. 1. Radiesse XL 2. Hand Volumisation

8. Calcium Hydroxylapatite Metabolisation CaHA performs as a filler initially.

9. Calcium Hydroxylapatite Metabolisation Macrophages dissolve gel carrier.

10. Calcium Hydroxylapatite Metabolisation Macrophages dissolve gel carrier & fibroblasts form new collagen.

11. Calcium Hydroxylapatite Metabolisation New resident tissue (collagen) anchors microspherules of CaHA.

12. Calcium Hydroxylapatite Metabolisation CaHA particles degrade and macrophages metabolize microspherules.

13. Where is Radiesse Injected? Mid-Dermis Deep Dermis Dermis/SQ Jx. Sub-Q Radiesse Safe Area

14. Injection technique 1 Inject retrograde in the mid-to-deep dermis near the junction of the subcutaneous tissue Miles Graivier, M.D. Roswell, GA.

15. Injection technique 2 Inject large volumes antegrade in the deep dermis to level of the subcutaneous tissue Miles Graivier, M.D. Roswell, GA.

16. Radiesse XL –a novel approach to pain free Radiesse

29. Signs of Ageing Hand Soft Tissue Atrophy Pigmentation Venous prominence Tendon Show Wrinkles

31. Presentation Content

32. Radiesse in Hands Before Immediately After 1.3 cc

33. Radiesse for Hand Volumisation Before Immediately After 1.3 cc Mike Jasin, MD Tampa, FL

34. Presentation Content