Only endogenous (bone, cartilage, fascia, connective and adipose tissue, E
etc.) and biosynthetic materials (collagen, hyaluronic acid) are used at S
our clinic. _o
We do not use alloplastic materials (e.g., silicone and paraffin oils, M
PMMA, etc.) since they can cause unpredictable and sometimes irreparable damage.
The most important principle in aesthetic surgery is health before beauty. Avoid all new materials that have not undergone long-term testing. This applies not only to injectable materials but also to breast implants and suture material. Injectable collagen is an ultrapurified bovine collagen of type I. Depending on the concentration (35-65 mg/ml), this material is available in various ready-to-use ampules with a local anesthetic.
The injection of the dermal filler substance has been given correctly if the aesthetically disturbing area is overcorrected and the skin becomes white (blanching effect). This technique can be used to treat all wrinkles in the facial area (glabella, eyes, nasolabial folds, lips), acne and accident scars, and also to augment cheeks and lips. If collagen is to be used, a test must be performed with 0.2 ml of collagen on the inside of the forearm 4 weeks prior to treatment to rule out allergies.
This test is not necessary if hyaluronic acid is used. This substance is also fully biodegradable, but it is a polysaccharide, not a protein compound. This means there is nearly no allergenic potential and testing in advance is unnecessary. The indications are the same as for collagen, although hyaluronic acid is slightly more viscous to inject.
Hyaluronic acid is also available in various concentrations, so fine creases in the area of the eyes can be treated with material with a lower concentration and nasolabial folds and lips can be augmented with material with a higher concentration.
More information can be found in Volume I of the Manual of Aesthetic Surgery, pp. 226-238.
* Collagen GmbH, Hansa-Allee 201,40549 Düsseldorf, Germany. Inamed Aesthetics GmbH, Hansa-Allee 201,40549 Düsseldorf, Germany.
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