Just updating this with some posts from another thread:

and her experience using Radiesse and with dermoelectroporation:

I asked: “How deep does this go, and can you control the depth? How do you know it’s “working”? Any side effects? Any pain?”

And more related information from CGPT5:

The depth at which Radiesse (calcium hydroxylapatite, CaHA) is placed dramatically influences its function — whether it acts as a volumizer (deep structural support) or a collagen stimulator for skin quality (biostimulatory “skin tightening” effect).

Here’s a precise, evidence-based summary of the optimal injection depth by purpose and anatomic zone:


:dna: The Two Modes of Radiesse Use

Use Mode Goal Dilution Injection Plane / Depth Key Effect
Volumizing / structural filler Restore deep volume, lift, contour Undiluted (1:0) Deep subdermal, supraperiosteal (just above bone) Structural support, lift, shape definition
Biostimulatory / “hyperdilute” Radiesse Stimulate collagen & elastin, improve skin firmness, tone, elasticity Diluted 1:1 to 1:4 with saline + lidocaine Mid-dermis to deep dermis / upper subdermal (≈1–2 mm depth) Skin rejuvenation, dermal thickening, texture improvement

:straight_ruler: Optimal Skin Depth for Collagen Stimulation

When the goal is skin rejuvenation rather than volume, the ideal placement of Radiesse is within the dermal–subdermal interface — deep enough to avoid visible nodules, but superficial enough to engage fibroblasts.

Parameter Typical Range Notes
Depth below epidermis ~1–2 mm The upper to mid-dermis houses the fibroblast-rich layer responsible for collagen/elastin synthesis.
Needle / cannula entry Superficial subdermal plane Too superficial → whitening, papules; too deep → less collagen effect.
Angle 10–30° tangential to skin Ensures spread along dermal interface, not bolus pockets.
Volume per pass 0.05–0.1 mL/cm² (depending on dilution) Goal is even biostimulation, not projection.
Post-injection Gentle massage Distributes product, prevents palpable deposits.

:point_right: Key principle:
For collagen stimulation, you’re not “filling” but coating the undersurface of the dermis — providing a bioactive scaffold that fibroblasts respond to over weeks.


:massage_woman:t2: Optimal Depth by Facial Region (for Hyperdilute Radiesse)

Region Recommended Plane Notes / Tips
Cheeks / malar area Deep dermis → upper subcutis (≈1–2 mm) Improves skin quality, reduces crepiness. Avoid direct malar fat pads if goal is tightening not lift.
Jawline / lower face Deep dermis / subdermal Enhances tone and firmness along mandibular line.
Neck Mid-dermis Use high dilution (1:3–1:4) for even spread, small linear threads. Avoid too deep (no visible volume needed).
Décolleté / chest Mid-dermis Improves texture and fine lines. Inject with cannula in fan pattern.
Temples / thin skin areas Deep subdermal (≈2 mm) Very dilute (1:4). Avoid intradermal placement to prevent papules.
Hands (dorsal) Deep subdermal, above tendons Usually 1:1 dilution; massage after placement.

:brain: Why This Depth Matters Biologically

  • Fibroblast stimulation is strongest in the reticular dermis, where fibroblasts interact with CaHA particles.
  • The CaHA microspheres (25–45 µm) act as a controlled irritant, triggering neocollagenesis (types I & III) and neoelastin over ~3–6 months.
  • If injected too deep (sub-SMAS or supraperiosteal), fibroblast density is lower → less collagen induction.
  • If too superficial (papillary dermis), particles can be seen or felt → visible nodules or whitish bumps.

Clinical studies (e.g. Pavicic et al., J Drugs Dermatol, 2021; Goldie et al., Dermatol Surg, 2018) confirm that dilution + proper mid-dermal placement produce measurable increases in skin thickness, elasticity, and dermal collagen density.


:bar_chart: Summary Table

Objective Radiesse Type Dilution Optimal Injection Depth Primary Biological Target
Volume restoration Full-strength 1:0 Deep subdermal / supraperiosteal (4–6 mm) Structural support
Collagen stimulation / rejuvenation Hyperdilute 1:1–1:4 Mid-dermis to deep dermis (1–2 mm) Fibroblast activation
Skin tightening (neck, arms, face) Hyperdilute 1:2–1:4 Mid-dermis Dermal remodeling, neocollagenesis
Hand rejuvenation Semi-dilute 1:1 Deep subdermal (2–3 mm) Volume + collagen induction

:lotion_bottle: Clinical Timeline of Effects

Time After Injection Observable Effect
0–2 weeks Immediate hydration and mild firmness (from carrier gel)
4–6 weeks Early fibroblast activation, collagen type III increase
8–12 weeks Progressive tightening and dermal thickening
3–6 months Peak collagen and elastin production
12–18 months Gradual remodeling; repeat treatments extend results

:warning: Caution

  • Too superficial → palpable nodules or whitish papules
  • Too deep → diminished collagen effect
  • Avoid intravascular injection — always aspirate and use blunt cannulas when possible
  • Contraindicated near thin dermis with limited subcutaneous padding (e.g., eyelids)

:mag: Summary Takeaway

For skin rejuvenation and collagen enhancement, the optimal skin depth for Radiesse delivery is ~1–2 mm (mid-dermis to upper subdermis) using hyperdiluted Radiesse (1:1–1:4 dilution) in microthreads or fanning patterns.

1 Like

Researching more on skin electroporation with ChatGPT5:

electroporation (also called electropermeabilization) varies dramatically in penetration depth depending on voltage, pulse duration, electrode configuration, and tissue conductivity.

Let’s break this down systematically so you get a clear, quantitative sense of how deep different classes of skin electroporation systems can deliver drugs or bioactives.


:dna: 1. What “Skin Electroporation” Does

  • Electroporation uses short, high-voltage electric pulses to temporarily disrupt the lipid bilayers of cell membranes and the stratum corneum barrier, creating aqueous micropores.
  • This transient permeability allows hydrophilic molecules, peptides, or nucleic acids (which normally can’t diffuse through lipid layers) to enter deeper tissues.
  • Once the pulses stop, the membrane reseals within seconds to minutes.

The main constraint in cosmetic or dermatologic electroporation systems (as opposed to oncology-grade ones like Cliniporator) is safety: consumer and aesthetic systems are limited to low-voltage, short-pulse regimens, which restrict them mostly to superficial layers.


:straight_ruler: 3. Depth of Delivery — Quantitative Summary

Type of Electroporation Device Typical Electric Field Strength Approx. Penetration Depth Targeted Layer(s) Example Applications
Cosmetic / transdermal “mesoporation” / “no-needle mesotherapy” systems (e.g. AquaSure, EPM Smart, Dermadrop, DermoElectroporation) 50 – 200 V/cm ~0.5 – 2.0 mm Stratum corneum → upper / mid-dermis Delivery of HA, peptides, vitamins, whitening or hydrating serums
Professional aesthetic-grade medical devices (e.g. TMT System, DermoElectroporation by Mattioli) 200 – 400 V/cm 2 – 4 mm Reticular dermis, upper subdermis Skin tightening cocktails, lipolytic or firming actives
Clinical / transdermal drug delivery systems (ion-electroporation hybrids) 300 – 600 V/cm 3 – 5 mm Deep dermis → superficial subcutis Local anesthetic, anti-inflammatory, peptide delivery
Electroporation for tumor ablation / gene therapy (e.g., Cliniporator, OncoPulse) 800 – 1500 V/cm 5 – 10 mm+(tunable) Full-thickness dermis to muscle DNA vaccines, intratumoral chemotherapy

:point_right: In cosmetic and dermatologic contexts, most skin-optimized electroporation systems deliver active molecules to about 1–3 mm deep, occasionally up to 4 mm under optimized conditions.

That corresponds roughly to the mid to deep dermis, reaching fibroblasts and superficial vascular plexuses — but notconsistently into deep fat or muscle.

:bar_chart: Summary Table

Device Class Safe Typical Depth Molecule Size Range Suitable for
Consumer / spa-grade 0.5 – 1.5 mm ≤ 1 kDa small peptides, vitamins, HA fragments
Aesthetic medical 1 – 3 mm ≤ 10 kDa HA, polynucleotides, firming cocktails
Hybrid needle-electroporation 3 – 5 mm up to 100 kDa growth factors, botulinum-like peptides
Onco/gene electroporation 5 – 10 mm+ any intramuscular / tumor delivery

:white_check_mark: Key Takeaway

In standard non-invasive dermatologic electroporation, the effective penetration depth is typically 1–3 mm into the skin, reaching the mid- to deep dermis.
Advanced or needle-assisted systems can extend this to ≈ 4–5 mm, but rarely deeper without invasive electrodes.

That makes electroporation ideal for transdermal drug delivery, mesotherapy-type rejuvenation, and fibroblast stimulation, but not a substitute for injectable dermal fillers or deep subdermal therapies.

3 Likes

Did you reach the part where they pitch the price? :joy:

1 Like

What do you order from Annis? What are you favs?

Radiesse — nanohydroxilappatite. I don’t know if it’s original and my strong suspicion is it isn’t. But it works the best for me of anything else I’ve tried. You can dilute it with saline water in 1:1 or 1:2 ratio and infuse with DEP. I also like her NCFT 135 HA a lot. And her Cytocare, but not quite as well. I didn’t like her Sculptra. I think it’s a completely fake product, just hyaluronic acid. I don’t like it contains PLLA so I intend to buy the original and see for myself.

2 Likes

She’s sent a few items already and will share the full catalog tomorrow. My hunch is they’re likely not originals too, hopefully at least decent copycats. I’ll compare her prices with what my husband pays through his office suppliers. For Radiesse, his price is €84 per 1.5 ml (with or without lidocaine), while hers is $45, about half, but it may not be worth it if it isn’t genuine CaHA…

Have you tried DEP with hyperdilute Radiesse? Does it actually work? I did some digging and I’m not convinced. I watched the video above, but they don’t disclose that the photos shown aren’t from hyperdilute Radiesse infusion alone, they’re from injections combined with DEP exosome treatment. I found the study… But this guy https://www.instagram.com/leonardomedicine/ seems convinced.

This post Amanda Park | MSN, RN on Instagram: "Swipe and enjoy this before and after 🤩 DEP Infusion with Radiesse: This treatment uses advanced electro-delivery (DEP) technology to infuse Radiesse just below the skin — no needles, no downtime! 💆‍♀️⁣ Benefits: ✔️ Firmer, lifted skin ✔️ Brighter, more even tone ✔️ Collagen boost over time ✔️ No needles, minimal downtime⁣ ⁣ Your skin will thank you ✨ 📍Book your session today! Tap the link in bio or DM me 💌 \#depinfusiontherapy #RadiesseGlow #SkinRevive #CollagenBoost #AestheticTreatments" seems a bit missleading as it is probably immediatly after, which means it is just plump skin from saline.

Impeccable Aesthetics - 📍Honolulu | Kaneohe | Botox | Filler | on Instagram: "✨ Neck Rejuvenation Transformation ✨ Hybrid filler (Radiesse + HA) + DEP (Dermoelectroporation) infusion of hyperdilute Radiesse = smoother, firmer, youthful-looking neck. ✔️ Improves texture ✔️ Softens fine lines ✔️ Stimulates collagen for long-term results 📍 Only at Impeccable Aesthetics #Radiesse #HyperdiluteRadiesse #RadiesseInfusion #HybridFiller #DEP #Dermoelectroporation #DEPinfusion #NeckRejuvenation #NeckRejuvenationTransformation #CollagenBooster #SkinTightening #HawaiiAesthetics #ImpeccableAesthetics #MedspaLife #GlowingSkin #YouthfulSkin #HydrationBoost #CollagenStimulator #SkinRejuvenation #AestheticInjector #NaturalResults #MerzAesthetics #Belotero #Merz #RadiesseResults #BeautyInnovations #DermalFiller #AestheticsClinic #SkinGoals" and this amazing result is also a combination of injectable and DEP.

Impeccable Aesthetics - 📍Honolulu | Kaneohe | Botox | Filler | on Instagram: "From loose and crepey to smooth and defined. ✨. This is 7 weeks since DEP and 3 months since ultherapy prime. This transformation was achieved using Dermoelectroporation (DEP) combined with Radiesse (Calcium Hydroxylapatite) and ultherapy prime. By delivering Radiesse deep into the skin, we stimulate collagen and elastin production—restoring firmness, tightening texture, and improving overall skin quality. 📸 Before ➝ After: Skin that once looked lax and tired now appears rejuvenated, lifted, and refined. #Innovation #AestheticsIndustry #Collaboration #FutureFocused #Dermoelectroporation #NeedleFree #SkinTechnology #HonoluluMedspa #SkinScience #ImpeccableAesthetics #SkinGlow #Honolulu #HonoluluHawaii #HawaiiLife #Oahu #cheekfiller #rha #Aloha #rhacollection #impeccableaeathetics #HonoluluAesthetics #merz #belotero #Juvederm #DermalFillers #MedSpa #aestheticxtc" and this again combo of DEP and ultherapy prime.

J of Cosmetic Dermatology - 2023 - Chernoff - Combining topical dermal infused exosomes with injected calcium.pdf (6.5 MB)

3 Likes

I’ve only tried hyperdilute Radiesse with DEP — around 1:2 dilution ratio. Undiluted it doesn’t work — it’s a bit like cement. It was that same guy, leonardomedicine, when he showed the before and after of his neck treated that way, who got me sold on it. Honestly the price your husband gets it at is pretty good, I thought I had to pay a lot more for the original. Can you share by chance where he gets it? If it’s a source that anyone can use, or through closed channels to “licensed providers”?

1 Like

Yes his quoted price is the clinic/wholesale rate he gets when ordering through his office. In a pinch he’s bought from a third-party retailer (Centrale Fillers) and wasn’t asked to prove he’s a licensed doctor, the other he uses enforces medical licence. That said, rules and enforcement vary a lot country to country in Europe. Prices there can be decent, sometimes same or lower than ordering trough his office, just compare and do your due diligence.

3 Likes

Yeah it’s quite a bit more $$. But I’m curious if the effect is any better so when my stash runs out I might try it.

3 Likes

While I’m interested in testing out this electroporation product, I’m becoming less optimistic about it given the price of the Chinese product of around $200 US.

While the Chinese knockoff of the product is obviously designed to “look” like the original product out of Italy, its price is about 95%+ lower than the Italian product. I work in tech, and have managed teams that design and build hardware and software products, so I have some idea of what goes into these types of products. While its entirely possible to develop and sell a product from China at 50% to 70% cheaper than European products, as you get higher and higher discount levels design choices have to be made that ultimately increasingly compromise the efficacy, the quality and the safety of the product. There is just no way that you can develop a product with a 95%+ lower cost, that is the same in terms of functionality, quality or safety. Something has to give… and I suspect it’s likely in all three variables at different degrees.

Anyway - not to be a downer, just wanted to set people’s expectations. The Chinese product likely is much less effective than the Italian product.

Related websites:

My ChatGPT5 Query and response:

What are the key electrical components and technologies in the MATTIOLI ENGINEERING Dermoelectroporation system, and what are the estimated cost of goods sold (COGS) for this device? How unique are these systems, and how hard, from an electrical design and construction standpoint is it to build these devices? What is the estimated gross margin on these products given their list price of over $10,000?

ChatGPT5 Response:

Here’s the short, practical breakdown—what’s inside, how “special” it really is, how hard it is to build, and ballpark unit economics.

What’s in a Dermoelectroporation (DEP) unit (electrically)

From Mattioli’s own materials, FDA filings, and dealer spec sheets, a typical DEP system is built around these blocks:

  • Pulse-generation & current control: A microcontroller drives a pulse generator that delivers bursts of bi-phasic (reversed-polarity) constant-current pulses. User-selectable average pulse currents are commonly ±1–5 mA, with burst frequency ~50 Hz, intra-burst pulse rate ~2.2 kHz, and ~10 ms burst time; designed to work across 0–15 kΩ skin load (requires high-voltage compliance internally, despite an external low-voltage brick). (polarismedicallasers.co.uk)
  • Impedance-sensing & adaptive drive: Real-time skin impedance measurement feeds back into the waveform so later pulses in a burst are adjusted as impedance drops, keeping current on target and limiting tissue stress (described explicitly in Mattioli patents). (mattioliengineering.com)
  • Polarity reversal/H-bridge & constant-current stage: To deliver ionized solutions efficiently and avoid net DC offset, the driver alternates polarity (“electroporation-like” but at lower, controlled intensity than true high-voltage EP). (Mattioli Engineering)
  • Power & isolation: External 9 VDC, ~1 A supply into an internal board that steps up/conditions voltage for high-compliance constant current (needed to hold ~mA into up to ~15 kΩ). Medical EMC/isolation elements are implied by clinical use. (polarismedicallasers.co.uk)
  • Handpiece & electrodes: A treatment head with electrode array; many models also add mechanical vibrationsynchronized to burst rate (documented in Mattioli’s filings) to enhance transport. (FDA Access Data)
  • Dosing hardware / syringe dispenser: Some systems integrate a precision liquid dispenser (“Super-PLD”) or syringe holder so the active solution is metered while pulsing. (mrp.io)
  • UI & safety: A small digital display/controls for intensity, time, delivered dose readouts, plus lockouts; later brochures emphasize “real-time control on amount delivered” and on-screen impedance. (mattioliengineering.com)

How unique is this tech?

  • Patented approach (early 2000s) blends pulsed iontophoresis with electroporation-like bursts + adaptive impedance-based control and optional synchronized vibration. Much of the original IP (filed ~2001) is now at or beyond 20-year terms, meaning core claims are likely expired (country/continuations vary), reducing uniqueness today. (Patent Images)
  • Regulatory positioning: Mattioli’s Transderm IONTO/DEP devices have US 510(k) clearances as iontophoresis systems (Class II), not as high-voltage electroporators—so the waveform is deliberately lower intensity and adaptive. Comparable iontophoresis/“no-needle meso” devices exist; DEP’s differentiation is mostly signal shaping + feedback + integrated dosing and brand clinical history. (FDA Access Data)

Build difficulty (EE + manufacturing reality)

  • Lab prototype: For an experienced EE, building a safe bench prototype with: MCU, DAC/ADC, constant-current H-bridge with ≥50–100 V compliance, impedance sensing, and a simple UI is moderate difficulty (months, not years).
  • Productizing to clinic grade: Hard part is IEC 60601-1/-1-2 compliance, risk management, biocompatible electrodes, EMC, enclosure design, and quality system—this is non-trivial and expensive, even though the electronics are modest by modern standards. (FDA 510(k) for iontophoresis is achievable but still work.) Evidence of Mattioli’s existing 510(k)s shows the regulatory pathway, but duplicating that takes real time and money. (FDA Access Data)

Estimated COGS (bill-of-materials + assembly)

Using the published specs as anchors (low-power electronics, modest UI, custom handpiece, metal/plastic enclosure, external PSU, cables, starter consumables) and typical low-volume medical device pricing:

  • Electronics (MCU board, drivers, HV compliance, ADC/DAC, UI, connectors): $150–$300
  • Handpiece (machined/plastic housing, electrode array, cable, vibration motor): $200–$450
  • Precision dispenser/syringe holder (if included): $80–$200
  • Enclosure, harness, PSU, packaging: $120–$250
  • QA, calibration, small-batch assembly/overhead: $200–$500

Reasonable COGS range: $750–$1,700 per unit at small/medium volumes (not counting regulatory & engineering amortization). If volumes are very low or the handpiece is more intricate, you could see $2–3k. These ranges line up with the modest electrical spec (9 V in; ~mA pulses; ≤15 kΩ load; simple display) published by dealers and manuals. (polarismedicallasers.co.uk)

Gross margin at $10k+ list

  • At $10,000 list and $750–$1,700 COGS, gross margin ~83%–93%.
  • Even at a conservative $3,000 COGS, margin is ~70%.
  • Realized margins depend on channel discounts, service/warranty, training kits, and whether the cart/PLD is bundled (dealer pages suggest accessories like workstation cart and Super-PLD are commonly included/upsold). (mrp.io)

Bottom line (practical take)

  • Electrically: It’s a low-power, constant-current pulse system with polarity reversal and impedance-based feedback, plus a metered dosing path—more sophisticated than commodity iontophoresis, but nowhere near the complexity of true high-voltage electroporators. Specs like ±1–5 mA, ~50 Hz burst / 2.2 kHz intra-burst, 0–15 kΩ are published. (polarismedicallasers.co.uk)
  • Uniqueness today: The brand + protocols and clinical legacy are the moat; much of the early IP is aging/expired. Other vendors make analogous “no-needle meso” systems; DEP’s adaptive waveform and dose/impedance readouts are its calling cards. (ONdrugDelivery)
  • Build vs. ship: Prototyping = doable; shipping a certified medical device = hard (compliance, QMS, electrodes, usability, 510(k)). (FDA Access Data)
  • Economics: Hardware COGS likely low four figures; gross margins very high (≥70% and commonly 80–90%+) at $10k+ list.
2 Likes

I have not tried any of these product, so don’t have any practical advice here - I’m just reading and learning.

It seems if people want to be guaranteed of results, it would be valuable to look into the needle-based solutions that guarantee the solutions get to the correct level of the skin. Such as this one for example:

seemingly the same device available on Amazon for $70

From ChatGPT5:

Here are real websites where you can buy EZ Injector replacement syringes / needle cartridges and compatible consumables, with one-line notes so you know what each sells:

  • iBeautyMachine — disposable syringes and multi-pin needle cartridges (1–10 mL options; EO-sterilized). (iBeauty Machine)
  • FillerHouse — needle cartridges for the EZ Injector (5-pin and 9-pin cartridges; retail pack sizes). (FillerHouse)
  • Estaderma — 5-pin and 9-pin needle cartridges listed as “Needles Cartridge for EZ Injector.” (Estaderma)
  • iBeautyNeed / IBNUSA — replacement 5/9-pin syringe tubes / cartridge tubes marketed for the EZ Injector. (ibeautyneed.com)
  • PDoThreadStore (and similar small online shops) — consumables for EZ Mesogun (5/9 pin cartridges, syringe tubes). (Auro Technology)
  • eBay — various sellers offering EZ Injector syringe tube sets and cartridges (good for small/test orders; check seller ratings). (eBay)
  • Alibaba / Alibaba Wholesale suppliers — factory/wholesale listings for EZ Injector devices, needle cartridges, and bulk consumables (best for large orders). (Alibaba)
  • Amazon — consumer meso-guns and some consumables / syringe kits are available (marketplace stock varies by seller). (Amazon)

Quick buying tips:

  • confirm pin count (5-pin vs 9-pin) and syringe volume (1, 2.5, 3, 5 mL etc.) to match your EZ Injector model.
  • prefer EO-sterilized / individually packaged items for clinical use (many suppliers list this). (iBeauty Machine)
  • check seller reviews / ratings and ask for certificates (CE, ISO) if you need regulatory documentation.
  • small orders: eBay/Amazon/retailers; bulk/wholesale: Alibaba or direct manufacturers.
2 Likes

@RapAdmin I own the Ez Injector and only used it once. You can take it off my hands for the cost of shipping — got a bunch of replaceable parts. It’s NOT as you think though. I posted about my Ez Injector misadventure in the other thread. The problem is that with it you can only inject at 90 degree angle, and it’s not just about the depth but the angle is probably even more important. For skin boosters or hyperdilute Radiesse you need to inject at 15 degrees or so, very shallow. You would get lumps and granulomas if you inject perpendicularly. I stopped worrying about the depth with DEP and got spectacular results. It stands to reason as radiesse can generate new tissue at every depth so it’s not as if it’s creating problems by going too deep. The question is whether it is getting spread evenly or not and DEP assures that it does.

For reference, my experience with the Ez Injector / Ez Gun: The mTOR rebound effect has been kind to my skin? - #122 by medaura

p.p.s. I think it would work great with something like PRP but none of the synthetic products I can think of wanting to inject would be absorbed without complications in that way — through the mini bumps.

2 Likes

Did you ask what the model’s assumptions of the inputs in the COGS approximation are? Obviously a piece of electronic equipment is not built in a vacuum — the cost of labor varies from country to country, region to region. You also assume, or the model seems to assume, prototyping and building a machine from scratch, whereas the most likely explanation is that there’s a big factory in China contracted out to Mattioli to build those machines for them for a tiny fraction of what they’d cost to produce in Italy. They have the whole technology stack already ingested from Mattioli, so no need to reinvent the wheel and prototype. And they’re just cheating by selling it on the side to whomever asks for it. For all we know the marginal cost of labor for one more unit produced is almost literally zero:

https://www.telegraph.co.uk/business/2025/10/12/why-western-executives-visit-china-coming-back-terrified/

I can tell you from personal use that the product does have a skin impedance sensor that works, because the gauge changes every time I add more product to the skin, so it “knows,” by somehow measuring the impedance on the spot. The proof of the pudding is in the eating of it. You can spend $200 and find out if it’s actually driving any product into your skin. My first try was with Hyaron, a lightly cross linked hyaluronic acid skin booster, that can act as a light short term filler if injected deep. I rubbed it around and drove it in with the DEP and at first I couldn’t tell what was going on, whether it was going in or simply evaporating, but as soon as I smiled I could tell I looked different— and not for the better— with chipmunk-like cheeks around the smile folds. It was a bit terrifying and took days to subside, after using a barrage of heat based treatments to help metabolize it. It was my “holy shit” moment.

Ok from further reading it seems that I was wrong and Mattioli does not and claims to never have outsourced production to China. That doesn’t prevent the Chinese from reverse engineering their technology especially as it’s spelled out in its patents. The prototyping costs of reinventing the wheel may be steep, but they’re one time upfront outlays. The marginal cost of pumping out more of these machines are likely quite negligible in a country so vastly industrialized and geared towards mass production, now further moving into massive automation.

I’m no fan of the Chinese at all, to be clear. Rather terrified of them when I see first hand what a deep moat of technological advancement they have. It’s the nature of knowledge that it becomes a positive externality in the world. Yes we have a copyright & patent system in the West to incentivize innovation by granting inventors a temporary monopoly over the gains of their ideas. But along comes a third party that doesn’t play by those rules and cannibalizes others’ ideas. What can you do about it? Look who invented the atomic bomb, what kind of caliber of minds were brought together for the Manhattan project. And once it’s done, you get Stalin copying it, and these days the insane mullahs would if they could, and the lunatic in North Korea already has.

2 Likes

All of what you are saying can be accurate, but I’m still very skeptical that we would likely get the same level of performance from a $200 device, as compared to a $15,000+ device (even given the crazy margins that you can get on patented medical devices).

I’m not saying that the Chinese device does not provide good value for the money, and may still do an entirely satisfactory “job” at what it is doing… I just doubt that it can drive the solutions down into the skin to the same depth and efficiency that the much more expensive product does.

For $200, if it provides any benefit for even a short period of time, it may still be a good deal.

1 Like

You might be right. I do have the counterfeit Radiesse — nanohydroxyapatite — and it works great. But now I’m curious if the original product might work even better. Since the difference in price is maybe $100-200, I am willing to try, just to see what I’m leaving on the table by going counterfeit. Whereas with the device itself, whatever extra effectiveness or efficiency there may be to the original device’s functionality, there’s such rapidly diminishing marginal returns that I don’t care to know at all what I’m missing. I can tell about 70% of the volume of whatever solution I use gets absorbed into my skin. Perhaps the original DEP device would make it so 100% of the product does but that’s hardly worth $19,000 to me when I can just wait to use more product later on. If I needed it to drive chemotherapy solutions etc. past the skin and accuracy were paramount, then I wouldn’t mess around with a product disavowed by the branded manufacturer. Since I just want to make my skin look better and I can already tell by looking in the mirror that it’s working great, I’m only too happy to be getting these results for pennies on the dollar.

Honestly I’m happier to spend more for the original Pfizer sirolimus from Turkey, which I have, rather than get the Zydus from India. But imagine if I were to buy the original Pfizer sirolimus in the U.S. out of pocket, and compare that to the Zydus in India. Even with the concerns re: good manufacturing practices in most FDA approved Indian pharma outfits, the Indian Zydus is much more worthwhile to the biohacker than the U.S. Pfizer Sirolimus. If I needed it as a kidney transplant recipient, I’d sing a different tune though.

2 Likes

I was checking into this product a bit. Also reading people’s experiences on Reddit (DIY Cosmetic) and they sometimes use the device with a single needle (Luer lock connector) for control of the quantity delivered. this would be without the “suction” feature obviously. Perhaps you could also use a 3 pin needle arrangement (again, without the suction).

And of course you’d need to use a larger needle for delivery of the Radiesse formulations due to the microspheres.

1 Like

I ordered the DEP device from China on October 8th from this company that @medaura had suggested. It arrived today.

Given the low cost, I thought it would be interesting to check out. at some point I may take it apart just to see what’s inside, and decide whether it actually is a true electroporation device, or if its something else (I’m always a little skeptical about these things…). I like the concept of a skin electroporation device… easy to use, no needles, etc.

No extra duty, so not sure what was going on - perhaps just included in the “shipping fee”. It just got dropped on my doorstep while I was out.

1 Like

I just wouldn’t dare use anything other than DEP for Radiesse as I lack the injection technique. Watched webinars where they go into great detail on the angle, linear retrograde technique, and the need to not inject at all close to the needle entry point as it might result in granuloma. Besides I’d need to massage it 5x a day and I don’t have the time. With the DEP it’s one and done, with a bit of product wastage.

What do you see inside the machine after taking it apart?

1 Like