“Peu, rarement au bon endroit” Michel Pistor
“Мало редко и в нужное место” Мишель Пистор

Equipment for mesotherapy

Equipment, needles for mesotherapy



 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 losses.

 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. These syringes 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 are used.



   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 12-13 mm. 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 drugs.


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 application.   




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 components  of 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.

Injectors with electronic and pneumatic drive became the most widespread.

Mechanic, semi-automatic and automatic injectors can be marked out from those that are produced now. Automatic injectors have the leading position in mesotherapy nowadays.

Now mesoinjectors are produced in the European, American and Asian countries. But France remains to be the leader in production of equipment for mesotherapy.


Practically all types of injections can be made with the help of modern mesoinjectors – from epidermal up to deep hypodermal and intramuscular.














Mesoinjectors 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.

Disadvantage of 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 consumables.

Thereby, at 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.  

By practice, the most popular are automatic injectors with minimum expenses for KITs.