Radiesse Mixed With Lidocaine

BioForm Medical, Inc. announced that it recently received FDA approval for mixing RADIESSE® Dermal Filler with Lidocaine.

At SMAC, we have been mixing Lidocaine with Radiesse, as well as with other fillers, for quite some time.

This process has many advantages. Discomfort to patient is minimized - in fact we rarely use nerve blocks. Patients also get excellent analgesia with topical numbing cream and filler mixed with Lidocaine.


Dr. Jason Pozner
Sanctuary Medical Aesthetic Center, Boca RatonSanctuary Plastic Surgery, Boca Raton

Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center, Boca RatonSkin Laser Surgery Specialists of NY/NJ

Pliaglis quietly pulled from market

It was launched with a lot of fanfare, but Galderma announced that they are discontinuing Pliaglis, which was a topical analgesic that would create a mask of lidocaine and tetracaine.

From Pliaglis.com...

"We took this action because of recurring inconsistent viscosity (thickness) of the product formulation. Our testing has found significant levels of variability in the viscosity parameter, resulting in a thicker cream which can make application of the product difficult."

After pulling the mask off, the application area would, in theory, be numb and ready to inject, thus eliminating the need for a separate injection of lidocaine.

It's a shame, it was highly effective, but varied in consistency due to compounding pharmacies.

Some injectors mix a little lidocaine with the Botox or filler, if requested by the patient.

Dr. David Goldberg
SMAC