“RichBlend” protocol for full-face filling and collagen biostimulation

ABSTRACT The “RichBlend” protocol was designed for facial filling and collagen biostimulation, by means of a mixture calcium hydroxyapatite (CaHA), hyaluronic acid (AH) autologous platelet concentrates. This work reports the case 53-year-old patient with cutaneous photoaging, loss volume, multiple rhythms in frontal periorbital regions, also marked skin flaccidity, especially eyelid. treatment done botulinum toxin (65 U) protocol. Venipuncture performed blood centrifuged to obtain i-PRF (injectable platelet-rich fibrin) plasma gel. After venipuncture centrifugation, gel were obtained. CaHA (Radiesse®) diluted: a) saline solution + (hyperdilution) biostimulationof lower third face; b) AH (Juvederm Ultraplus XC®) gel, hydrolifting on forehead dark circles, malar temples. Plasma applied nasogenian grooves then entire face properly massaged. rejuvenated patient, as it promoted filling, volumizing, formation (biostimulation), reduction addition whitening. Since HA are high-cost products, their concentrates, liquid or form, allows use greater amount filled biostimulator material face, at more affordable cost.