PMID- 26644738 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151208 LR - 20200929 IS - 0974-2077 (Print) IS - 0974-5157 (Electronic) IS - 0974-2077 (Linking) VI - 8 IP - 3 DP - 2015 Jul-Sep TI - A Prospective, Comparative, Evaluator-blind Clinical Study Investigating Efficacy and Safety of Two Injection Techniques with Radiesse((R)) for the Correction of Skin Changes in Aging Hands. PG - 147-52 LID - 10.4103/0974-2077.167271 [doi] AB - BACKGROUND: Dermal fillers are used to correct age-related changes in hands. AIMS: Assess efficacy and safety of two injection techniques to treat age-related changes in the hands using calcium hydroxylapatite filler, Radiesse((R)). SETTINGS AND DESIGN: This was a prospective, comparative, evaluator-blind, single-center study. MATERIALS AND METHODS: Radiesse((R)) (0.8 mL/0.2 mL 2% lidocaine) was injected subdermally on Day (D)01, using a needle multipoint technique in one hand (N) and a fan-like cannula technique in the other (C). Assessments were made pre-injection, on D14, Month (M)02, M03 and M05 using the Merz Aesthetics Hand Grading Scale (MAS) and Global Aesthetic Improvement Scale (GAIS). Participants completed questionnaires on satisfaction, pain and adverse events (AEs). STATISTICAL ANALYSIS USED: Data distribution was tested with the Shapiro-Wilk and Levene's tests. The Wilcoxon signed-rank and Chi-square tests were employed to evaluate quantitative and qualitative data, respectively. RESULTS: All 10 participants completed the study, four opted for a M03 touch-up (0.8 mL Radiesse((R))). Evaluator-assessed mean GAIS scores were between 2 (significant improvement but not complete correction) and 3 (optimal cosmetic result) at each time point. The MAS score improved from D01 to M05 (N: 2.60 to 1.40; C: 2.20 to 1.30). Following treatment, participants reported skin was softer, more elastic, more youthful and less wrinkled. Other than less noticeable veins and tendons on the C hand, no differences in participant satisfaction were noted. All AEs were mild, with no serious AEs reported. CONCLUSIONS: Both injection techniques (needle and cannula) demonstrated equivalent clinical efficacy with a comparable safety profile for the correction of age-related changes in hands with Radiesse((R)). FAU - Gubanova, Elena I AU - Gubanova EI AD - Vallex M Clinic of Preventive Medicine, Moscow National University of Food Production, Moscow, Russia ; Department of Skin and Venereal Diseases, Postgraduate Medical Institute, Moscow National University of Food Production, Moscow, Russia. FAU - Starovatova, Polina A AU - Starovatova PA AD - Vallex M Clinic of Preventive Medicine, Moscow National University of Food Production, Moscow, Russia ; Department of Skin and Venereal Diseases, Postgraduate Medical Institute, Moscow National University of Food Production, Moscow, Russia. LA - eng PT - Journal Article PL - India TA - J Cutan Aesthet Surg JT - Journal of cutaneous and aesthetic surgery JID - 101525405 PMC - PMC4645144 OTO - NOTNLM OT - Age-related skin changes OT - Radiesse(R) OT - calcium hydroxylapatite OT - cannula OT - dermal filler OT - hand rejuvenation OT - needle COIS- Conflicts of Interest: EIG is a scientific advisory board member for Ipsen, an international trainer for Restylane((R)) (Q-MED) and is a consultant for Merz Russia. PAS has no conflicts to disclose. EDAT- 2015/12/09 06:00 MHDA- 2015/12/09 06:01 PMCR- 2015/07/01 CRDT- 2015/12/09 06:00 PHST- 2015/12/09 06:00 [entrez] PHST- 2015/12/09 06:00 [pubmed] PHST- 2015/12/09 06:01 [medline] PHST- 2015/07/01 00:00 [pmc-release] AID - JCAS-8-147 [pii] AID - 10.4103/0974-2077.167271 [doi] PST - ppublish SO - J Cutan Aesthet Surg. 2015 Jul-Sep;8(3):147-52. doi: 10.4103/0974-2077.167271.