Bolus Technique for Radiesse?

Am, Radiesse injected as a bolus is primarily reserved for hand rejuvenation. This an off FDA label use, but can be effective for plumping the hands and making them appear more youthful. The material doesn't spread as well in the face and if bolused may cause lumpiness, which is unacceptable if it is visible.

The FDA indication for Radiesse is for the nasolabial lines, which run from the nose to the mouth. There are not many different injection methods for that area, and I do not think that anyone would use a bolus technique because the injections are not deep. Radiesse is used off-label for cheek augmentation and to replace lost volume to fill out the face. In the cheeks I believe that a deeper injection is better, resulting in less swelling and minimal bruising. I do use a bolus technique... more

By bolus technique for radiesse I assume you mean you are putting in a lot at one time. I don't recommend that as radiesse causes swelling and may cause some temporary distortion. It usually settles down after 2-3 days. I usually inject smaller amounts of radiesse in 2 or 3 sessions about 4-7 days apart. David Hansen,MD