By Neil S. Sadick MD
Filler innovations are the main wide-spread surgeries in plastic surgery, as they're the easiest approach to decreasing wrinkles on a long term foundation. For years, dermatologists have recognized that water-binding soft-tissue fillers can exchange the lack of collagen, elastin, and hyaluronic acid from the surface. simply because filler formulation and alertness strategies are consistently up to date and reevaluated, the dermatologist and beauty medical professional want a fast reference at the topic. This new textual content, edited via world-renowned dermatologist Dr. Neil S. Sadick, covers the entire major features of soft-tissue filler ideas. matters lined contain deciding on and utilising fillers; short-, intermediate-, and long-acting fillers; and mixture methods, in addition to anesthetic concerns, gear and sufferer positioning, operative methods, strength issues, and postoperative overview.
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Additional info for Augmentation Fillers
Threading and cross-hatching in the area of the marionette lines. ) The threading pattern into the malar area roughly approximates the shape of an inverted right triangle 48 Augmentation Fillers FIG. 8. Threading and cross-hatching for treatment of the malar/submalar area. ) NLF. Over time, dermatologists have begun to expand the scope of their treatment protocols, using regional volume enhancement as the treatment objective, rather than treatment of the defect in isolation. FIG. 7. (A,B) Patient before injection into the marionette lines and four weeks posttreatment.
2007) Hyaluronidase in the ofÞce: a necessity for every dermasurgeon that injects hyaluronic acid. J Cosmet Laser Ther 9, 182. 14. Goldman MP, et al. (2006) Soft-tissue augmentation: skin Þllers. In: Goldman MP, et al. ). Advanced Techniques in Dermatologic Surgery. (New York, NY: Taylor and Francis) 39. Chapter 5 COLLAGEN PRODUCTS by Gary D. Monheit, MD As collagen has been considered the major building 3. No side effects: little or no bruising, edema, block of dermal structures, it has always been con- inßammation, or other side effects with little sidered an important source for soft tissue injectable chance for prolonged nodules, granulomas, or implants.
5 Collagen Products FIG. 13. 37 Pivotal study (DP101 US-01): study design. scale (2 or greater) and up to two injections were FIG. 12. used to correct both folds: One with Evolence and Injection technique. the other with Restylane. The subjects were followed 11 for six months initially and then for a year for efÞcacy Multiple biopsy studies in animal models and humans and safety. Although the product has been used with conÞrm the good tissue integration and host response no clinical allergic reactions, skin tests as well as with demonstrable evidence of Þbroblastic activity sequential antibody levels were performed and fol- and neocollagenesis.