International Consensus Guidelines on the Safe and Evidence-Based Practice of Mesotherapy: A Multidisciplinary Statement

    July 2025 in “ Journal of Clinical Medicine
    Massimo Mammucari, Domenico Russo, Enrica Maggiori, Marco Rossi, Marzia Lugli, Raffaele Di Marzo, Alberto Migliore, Raimondo Leone, Kamil Koszela, Giustino Varrassi, on behalf of the International Expert Panel
    TLDR The guidelines standardize mesotherapy practices for safety and effectiveness in pain, rehabilitation, and skin treatments.
    The document establishes international consensus guidelines for the safe and evidence-based practice of mesotherapy, addressing the lack of standardized protocols. A comprehensive literature review from 1976 to 2023 led to the development of 23 clinical questions, which were evaluated by a multidisciplinary panel of experts. The resulting guidelines support mesotherapy's use in osteoarticular pain, rehabilitation, and dermatology, providing a standardized framework to ensure efficacy and patient safety. The conclusions emphasize the transition from practice based on personal beliefs to evidence-based practice, highlighting the need for ongoing research and regular updates to the guidelines.
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