Equipment is divided according to the technique used – manual or
machine. For manual mesotherapy besides knowledge and drug it’s necessary to
have a syringe and a mesotherapeutic needle.
Most of the mesotherapeutists using manual techniques prefer three-component
syringes with a rubber ring on the plunger. Such syringes make it possible to
push injected solutions gradually and evenly. Moreover, these syringes have the
congruous plunger and cylinder and this makes it possible to eject drug without
It’s comfortable to work with the syringes having Luer-lock type cannula
that makes it possible to fix the needle safely, that is very important in work
with viscous solutions or on necessity
to eject solutions fast under pressure (for example, in steatolytic therapy).
The volume of a
syringe also matters. At the work with viscous solutions it’s better to
use the syringes of 1 – 2,5 ml. With such syringes it’s easy to make papulae,
micropapulae, tunnel techniques. Thesesyringes are also comfortable for
work with small areas (face, scars, stretch marks,hands and etc.)
For injection of botulinum toxin (mesobotox), only insulin syringes with the
volume of 1 ml are used, that makes it possible to eject precise doses of drug
measured in units. It’s also preferable to use the syringes with little volume
for meso-immuno correction.
For the treatment of vascular pathology, work with the large body areas
and conduction of the most mesotherapeutic techniques syringes with the volume of 5-10 ml are used. Such
syringes can have either central or eccentric cannula. For the most techniques
location of the cannula has no importance excluding epidermal (intraepidermal)
technique, which requires to eject a needle at a small angle to skin.
For the techniques with infiltration of tissues, for example, for hyposmolar
lipolysis, syringes of 20 or even 50 ml
In mesotherapy needles with small diameter are used: 0,26 mm (32G); 0,3 mm (30G) и 0,4 mm
(27G).Needles of such diameter can have
length of 4 mm,
6 mm и
And these are all sizes of the needles which are used in mesotherapy. Needles
that are larger than these sizes can cause injuries and be painful.
In general, the less size the needle has, the more comfortable for a
patient the procedure is. That can’t be said about a doctor. Viscous solutions
(hyaluronan) are hard to be injected through the thin needle. In such cases it’s
necessary either to dilute drug or to use the needle with larger diameter. The
same problems can arise during infiltration of tissues with great volume of
As for the length of a needle, here the practical skills of a mesotherapist
have big importance. Needles with 12-13 mm length can be used for all techniques, whereas
short needles can only be used for the techniques with limited penetration of a
needle. Moreover in epidermal technique only needle with the length of 12-13 mm is used.
There is also a so called SIT (skin injection therapy)needle ,
which has 2 mm
in length and 0,26 mm
in diameter. This needle differs from the classical ones by the length of introduction,
little painfulness and traumas. However, because of the thrust area on a cannula
its impossible to hit to small objects (wrinkles, scars, etc.)
Kits including syringes of different volume and 2 needles, mesotherapeutic
and usual for filling up the syringe, are very popular in Europe.
Besides the needles there are multi-injector nozzles. They have
different forms (linear, round, triangle, etc.) and different number of needles
and can have the shape of adaptor to which needles are connected to or they can
have irremovable needles. Having such adaptors let a doctor choose the length
and diameter of a needle.
In general multi-injector nozzles are not much popular because they make
the procedures painful for patients. And what is more, the volume of nozzles
increases the consumption of drug.
First multi-injector nozzles were metallic and underwent sterilization.
Modern multi-injector nozzles are disposable.
Acicular rollers are also should be mentioned here (mesorolls,
mesorollers). They are used for «dry» и «wet» mesotherapy by Pistor.
Very thin needles with the length from 0,2 up to some millimeters «transfer» previously applied drug trough the skin
layers, or they influence mechanically (without drugs). Such devices also have limited
EQUIPMENT FOR MACHINE MESOTHERAPY
There are traditional
mesoinjectors that eject drug with the help of a syringe and a needle and
alternative injectors (non-invasive) which inject drugs under high pressure or
gases (meso- ozone therapy, carbo-meso therapy). Classical schools reject non-invasive
mesotherapy for the reason that the effect of drug and the mechanical influence
of needle are the necessary componentsof mesotherapy.
First meso-injectors were mechanic. Needles
and plungers were started by influence to levers. Later appeared different modifications,
when introduction of a needle to skin was made by the hands of a mesotherapist
and the injection of drug was wade with electric drive influencing to the
plunger of a syringe. A syringe can be placed on the «pistol» or on the
separate device (infusomat), connected to a needle with a slight catheter. The
most modern mesoinjectors have ability to introduce the precise quantity of
drug to the given length with the given frequency of injections.
electronic and pneumatic drive became the most widespread.
semi-automatic and automatic injectors can be marked out from those that are
produced now. Automatic injectors have the leading position in mesotherapy nowadays.
mesoinjectors are produced in the European, American and Asian countries. But France remains
to be the leader in production of equipment for mesotherapy.
all types of injections can be made with the help of modern mesoinjectors –
from epidermal up to deep hypodermal and intramuscular.
are not used forthe epidermal and tunnel techniques, technique «mesobotox». But mesoinjector is still
irreplaceable for the techniques of mesoinfiltration and mesoperfusion. There
is even special drug – mesoperfuser.
usage of mesoinjectors is the necessity to buy consumables (catheters-adaptors,
valves, length-stoppers, etc.). This makes the procedure more expensive but
more qualitative, and at using some machines it’s impossible to avoid using of
present there is a wide range of equipment for mesotherapy. The choice should be
made by a mesotherapist itself according to his abilities, skills, habits,
preferences and so on.
the most popular are automatic injectors with minimum expenses for KITs.