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Remedy Protocol

The mesotherapy for hydration protocol is composed of 4 classes. Those 4 classes are performed weekly or fortnightly relying at the availability of the affected person. To verify efficacy or even supply of product to the surface, the remedy is carried out with an automatic mesogun, making sure that every particular person injection perforates the surface on the similar intensity and with an identical quantity of product.

Consultation 1

Each and every consultation utilises the similar protocol of goods – in my observe I take advantage of a cocktail of goods to give a boost to otherfacets of the surface. For pores and skin hydration I take advantage of the next merchandise and substances proven in Desk 1. This protocol may also be in my view adapted relying on the requirement of the affected person and their age. Typically, the mesolift cocktail may also be modifiedfor different cocktails, reminiscent of an anti-ageing cocktail or a toning cocktail. As an example, you probably have an older affected person you’ll be able to alternate the mesolift cocktail for the regeneration cocktail, which is best fitted to older pores and skin. The kind of cocktail that I deploy for this impact comprises centella asiatica as the principle factor, believed to heal the surface, performing along dermal regenerative actives dexpanthenol, elastin and natural silicium, operating to give a boost to collagen fibres. When you have a more youthful affected person, you’ll be able to alternate to the radiance cocktail to assist succeed in sparkling pores and skin, which is what more youthful sufferers typicallyrequest.

Product Composition Share of generalaggregate

Hyaluronic acid medium molecular weight

Non-cross-linked hyaluronic acid MW 2%


Nutritive complicated for poly revitalising

Hyaluronic acid, 10 nutrients, 25 amino-acids, 2 co-enzymes, four nucleic acids, 2 decreasing brokers


Mesolift cocktail

Hyaluronic acid, sodium DNA, multivitamins BCAE, natural silicium, DMAE



Procaine 2% 20mg/ml


Desk 1: Mesotherapy Protocol for Pores and skin Hydration

Pre-treatment Issues

Prior to bearing in mind any type of remedy it can be crucial to take a radical clinical historical past, thereby making sure mesotherapy isn’tcontraindicated for any affected person. This must be adopted by way of a complete rationalization of what the affected person can be expecting, the duration of time that the remedy will take and the upkeep required to take care of the results at the affected person’s pores and skin. The affected person will want to concentrate on the latter’s implications, dedication and doable price in the long run. Following consent, and as a part of the protocol, it is crucial to take pictures of the affected person and the surface situation on the first consult with as a baseline, sooner thangraduation of remedy. This could also be an important in every consultation sooner than the remedy so as so as to observe and file the growth of the consequences.

My protocol for mesotherapy for hydration is to copy this remedy each and every two to a few months, relying at the situation of the surface

The Mesogun

As in the past discussed, it is very important distribute an identical quantity of product on the similar intensity in every injection. For this reason, we arrange the mesogun to inject at 1mm intensity and at a fee of 300 injections according to minute. In my enjoy, sufferers to find the remedywith the mesogun extra confortable than handbook injections. A find out about by way of Duncan and Chubaty5 describes how some practitioners reported that use of a mesogun advanced the affected person’s enjoy and diminished the perceived ache sensation.

Case Learn about

Affected person One is a 37-year-old feminine, who had visited my hospital in the past to have remedy with botulinum toxin kind A for facial dynamic strains, hyaluronic acid (HA) fillers for quantity alternative and a hydrating HA product for hydration of the surface. Earlier pores and skinhydration with the HA product had had a good impact however the affected person discovered that by way of the top of the day the surface was once struggling and really dry. On earlier events we had mentioned using a direction of mesotherapy remedy for pores and skin hydration within the space of shock. Following session, the affected person agreed to go through 4 classes of mesotherapy for the entire face, as is the protocol utilized in my hospital.

First Remedy

As soon as Affected person One’s pores and skin was once cleansed with chlorhexidine answer and the mesogun preloaded, 5ml of the protocol aggregate was once injected for a complete facial remedy. It’s all the time important to ensure that the affected person is getting the product on the proper pores and skin intensity. Alternatively, extra product will stay at the pores and skin, which might be absorbed if sufficient time is permitted sooner than cleansing the surface. In keeping with Affected person One, the remedy was once now not painful aside from the highestlip space the place the remedy was once moderately uncomfortable.

The Injection Methodology

The methodology used right through this facial remedy was once ‘Nappage’. El- Domyati et al6 describe this method as fast and linear injections at superficial or mid epidermis (1-4mm). 6 The amount injected must be zero.1ml for every unmarried droplet, at a distance of a couple ofmillimetres aside.

Publish Remedy

The remedy was once finalised with the applying of a restoration cream and a broad-spectrum sunscreen (SPF 50). No bruising was once seenstraight away post-procedure or within the days following the consultation. As soon as the remedy was once completed, Affected person One was once instructed to not wash her face for a couple of hours.

Additional Therapies

As according to protocol, the remedy persisted for a complete of 4 classes. All classes adopted the similar preparation, methodology, dosage and publish remedy care as the primary remedy. The classes had been booked each and every two weeks, and images had been taken sooner thanevery consultation.

Comments and Consequence

Affected person One reported after the primary consultation that her pores and skin had advanced, exceeding her expectancies, and she or heclaimed she felt her pores and skin was once extra hydrated. The best adjustments seen by way of each Affected person One and myself had been after the 3rd and fourth classes. Affected person One described her pores and skin as having a look recent and rested.
The closing evaluation consultation was once 4 weeks following the general remedy. At this consultation Affected person One reported that in the past her pores and skin used to really feel recent within the mornings, however because of the strain and nature of her process, her pores and skin would begin to really feel dehydrated once more by way of mid-afternoon; with the mesotherapy she was once noticing a more energizingglance lasting the entire solution to the night. For her this was once an excessively certain result and person who she sought after to take care of.

Remedy Repairs

Affected person One was once willing to take care of the consequences. My protocol for mesotherapy for hydration is to copy this remedy each and every two to a few months, relying at the situation of the surface. The surface is reviewed after two months, and then a remedy is scheduled accordingly, however typically is booked for the next month or previous if required.


In my enjoy, using mesotherapy for pores and skin rejuvenation and hydration is a extremely efficient remedy. This sort of way will get advantages the long-term well being and glance of the affected person’s pores and skin. Different benefits cited by way of Tosti and De Padova7come with minimum ache and really decreased prevalence of headaches, and the remedy may also be carried out on each and every pores and skin kind with much less downtime when compared with different aesthetic therapies (e.g. microneedling). Each the affected person and I agreed the consequences on her pores and skin have been beneficial, as a result making improvements to the patient-practitioner courting/accept as true with. With this in thoughts, aesthetic practitioners can hopefully be offering this remedy in hospital to take care of affected person pleasure.