By Neil S. Sadick MD
Filler recommendations are the main accepted surgeries in plastic surgery, as they're the simplest approach to decreasing wrinkles on a long term foundation. For years, dermatologists have identified that water-binding soft-tissue fillers can change the lack of collagen, elastin, and hyaluronic acid from the outside. simply because filler formulation and alertness strategies are always up-to-date and reevaluated, the dermatologist and beauty health practitioner desire a fast reference at the topic. This new textual content, edited via world-renowned dermatologist Dr. Neil S. Sadick, covers all of the major features of soft-tissue filler innovations. topics coated comprise opting for and making use of fillers; short-, intermediate-, and long-acting fillers; and mix techniques, in addition to anesthetic concerns, gear and sufferer positioning, operative strategies, strength issues, and postoperative review.
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Extra resources for Augmentation Fillers
Injected too quickly or with stops and starts, it will be lumpy and will produce nodules. 16). As one evaluates a patient for injection, volume for correction should be estimated, which will relate to the number of syringes needed. There is no lidocaine in the product so that adequate local or topical anesthesia is needed. Some of the topical ÔÔcaineÕÕ mixtures may sufÞce for nasolabial fold injections or patients can have an infraorbital and/or mental FIG. 15. Improvement in wrinkle. Ch. 5 Collagen Products 39 FIG.
This is especially helpful for lip augmentation, which requires both volume Þlling with the cross-linked implant and superÞcial correction of rhagades and the vermilion line that is accomplished with Zyderm I/Cosmoderm I. The results are gratifying for correction of the aging atrophic lip in which collagen will give the Þlling, support, and superÞcial correction that is more natural early on than that obtained with hyaluronic acid products. The goal for correcting an aging atrophic lip is to replace lost volume, further deÞne the vermilion borders, evaluate the oral commissures, and correct vertical rhytids.
34 Augmentation Fillers on the upper and lower lip skin, and philtral clefts with the use of Zyderm I or Cosmoderm I layered over the underlying heavier collagen implant. 9). The disadvantage is longevity as full correction will only last for three to four months. Repeat injection or touch-ups are then needed. 10). This occurs in the glabellar frown lines, forehead wrinkles, or crowÕs feet. Zyderm I/Cosmoderm I FIG. 8. Oral commissure and marionette lines. should only be used for the crowÕs feet because of the very thin eyelid skin and potential problem of pleasing position.
Augmentation Fillers by Neil S. Sadick MD