By Derek Jones
Dermal fillers are the quickest starting to be instruments within the beauty physician's armamentarium for clean the looks of sufferers. This booklet demonstrates potent, best-practice use for wonderful sufferer effects. Augmented by way of a DVD of procedural video clips, it indicates you the way to check sufferer, therapy, and filler for optimum effects.
Taking a patient-centered technique, Dr. Jones stories the benefits and downsides of every filler in response to anatomical software. establishing chapters hide the beauty sufferer session and guidance for neighborhood anaesthesia within the use of injectable fillers, via person chapters on:
- Hyaluronic Acids
- Calcium Hydroxylapatite Microspheres
- Evolence and Evolence Breeze
- Liquid Injectable Silicone
- Hydrogel Polymers
An broad bankruptcy on issues from soft-tissue augmentation of the face explains tips on how to keep away from and deal with peri-procedural matters. final chapters offer a cheek enhancement consultant for the classy injector and a evaluation of the medical functions of hyaluronic acids, that are at present the main typical fillers.
With cautious insurance of simple technology, safeguard and efficacy info that experience ended in FDA approval, secure and powerful injection innovations, and applicable symptoms for every filler, this concise quantity presents a accountable resource of vital details for dermatologists, aesthetic medication practitioners, plastic surgeons, and all practitioners who paintings with injectable fillers.
Chapter 1 The beauty sufferer session (pages 1–7): Phil Werschler
Chapter 2 directions for neighborhood Anesthesia in Use of Injectable Fillers (pages 8–18): Mariano Busso
Chapter three Hyaluronic Acids: easy technological know-how (pages 19–26): Nowell Solish and Kenneth Beer
Chapter four Calcium Hydroxylapatite Microspheres in Facial Augmentation (pages 27–42): Alastair Carruthers and Jean Carruthers
Chapter five Evolence and Evolence Breeze (pages 43–53): Jean Carruthers and Alastair Carruthers
Chapter 6 Poly?L?Lactic Acid (pages 54–74): Rebecca Fitzgerald and Danny Vleggaar
Chapter 7 Liquid Injectable Silicone (pages 75–90): Chad L. Prather
Chapter eight Hydrogel Polymers (pages 91–102): Naissan O. Wesley
Chapter nine Artefill: the 1st to final (pages 103–120): Adam M. Rotunda and Rhoda S. Narins
Chapter 10 problems from Soft?Tissue Augmentation of the Face: A advisor to knowing, warding off, and coping with Periprocedural concerns (pages 121–139): Marc D. Glashofer and Joel L. Cohen
Chapter eleven the math of Facial good looks: A Cheek Enhancement advisor for the cultured Injector (pages 140–157): Arthur Swift
Chapter 12 Hyaluronic Acids: scientific functions (pages 158–174): Derek Jones and Timothy C. Flynn
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Extra info for Injectable Fillers: Principles and Practice
Plast Reconstr Surg 1977;60:398–405. 9. Stegman SJ, Tromovitch TA. Implantation of collagen for depressed scars. J Dermatol Surg Oncol 1980;6:450–3. 10. Watson W, Ray RL, Klein AW, Stegman S. Collagen: A clinical overview. Cutis 1983;31:543–6. 11. Matarasso SL, Sadick NS. Soft tissue augmentation. In: Bolognia J, Jorizzo JL, Rapini RV, Horn T (eds), Dermatology. London: Mosby, Harcourt Health Sciences, 2003: 2439–49. 12. Shoshani D, Markovitz E, Cohen Y, et al. A skin test hypersensitivity study of a cross-linked porcine collagen implant for aesthetic surgery.
In addition, Evolence should not be injected into the glabellar region, following restrictions in that area for use of other crosslinked collagen fillers. Clinical experience to date has demonstrated a high level of safety and only minor side effects. 13 Evolence should not be injected into the lips or infraorbital region due to the high incidence of nodule formation. 5- and 1-mL prefilled syringes that can be stored at room temperature; Evolence and Evolence Breeze are third-generation, purified porcine collagens crosslinked with D-ribose and suspended in phosphatebuffered physiological saline.
8% by using a smaller injection volume and more conservative threading technique. 13 Two of 14 individuals (15%) who received CaHA in the lips experienced nongranulomatous submucosal nodules; the authors postulate that the higher rate of nodule formation was due to small sample size. 002%) and resulted from an injection technique that was too superficial. However, some practitioners, the author included, prefer to avoid CaHA for lip augmentation. Radiographic properties Radiopaque in nature, CaHA particles are clearly visible on computed tomography (CT) scans and may be visible in standard radiography.
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