Dermal Fillers ( Aesthetic Dermatology )

Publication series : Aesthetic Dermatology

Author: Goldberg D.J.  

Publisher: S. Karger AG‎

Publication year: 2017

E-ISBN: 9783318061253

P-ISBN(Paperback): 9783318061246

Subject: R608 Surgical instruments and appliances;R75 Dermatology and Venereology

Keyword: 外科诊疗器械与用具,皮肤病学与性病学

Language: ENG

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Description

The aging process affects every aspect of the body, with the face being one of the first places to show signs. The search for the perfect injectable filler has taken an interesting path with the majority of innovations having been introduced in the last 30 years. The patient-driven demand for safe and effective minimally invasive aesthetic procedures has led to the development of an expanding and competitive market for dermal fillers. The demand for soft tissue augmentation has grown rapidly since its start in 1981 with collagen fillers. Fillers using hyaluronic acid, calcium hydroxyapatite, poly-L-lactic acid, and polymethylmethacrylate provide a wide range of options so that the best cosmetic outcome can be attained. The ability to correct facial rhytides and folds, to augment lips and cheeks, to correct acne scars, and now even to replenish volume loss in the dorsum of the hands is something that many practitioners thought would never be possible. This publication reviews the history of fillers, injection techniques, complications and safety as well as the novel use of fillers and fillers of the future.

Chapter

The First Filler

The First Filler Complication

Autologous Fat

Silicone

FDA Regulation of Filling Agents

Collagen

Non-Animal Stabilized Hyaluronic Acids

Calcium Hydroxylapatite

Polymethylmethacrylate

Conclusion

References

Anatomy for Facial Fillers: The Skin Surface and Beyond

Abstract

Surface Anatomy

Layers of the Face

Layer I: Skin

Layer II: Subcutaneous Tissue

Layer III: Superficial Fascia

Layer IV: Deep Areolar Layer

Layer V: Deep Fascia

Fat Compartments of the Face

Injection Planes – Applied Anatomy

Forehead

Temple

Upper Eyelid

Lower Eyelids

Midface

Chin and Jawline

Lips and Perioral Region

Summary

References

Neocollagenesis

Abstract

References

Hyaluronic Acid in Dermal Fillers

Abstract

What Is Hyaluronic Acid and How Does it Behave in Our Body?

Biosynthesis of HA

HA in Dermal Fillers

How to Shop and Choose a Dermal Filler?

Clinical Application of HA Soft Tissue Fillers

Methods of Application

Forehead

HA in the Temples

Midface

Lower Face

References

Calcium Hydroxylapatite (Radiesse)

Abstract

Mechanism of Action

Rheology

Radiography

Contraindications

Pretreatment Considerations

Indications and Techniques

Adverse Events and Complications

Conclusion

References

Safe and Effective Injection Technique

Abstract

Anatomy of Facial Aging

Facial Aesthetics

Injection Techniques for Optimal Results and Complication Avoidance

Perioral Area and Lips

Jawline

Chin

Acknowledgment

References

Novel Use of Fillers (Chin, Nose, Hands)

Abstract

General off-Label Guidelines

Temples

Hands and Fingers

Jawline and Chin

Acknowledgment

References

Soft Tissue Augmentation in the US

Abstract

Hyaluronic Acid Fillers

CaHA Fillers

Poly-L Lactic Acid Fillers

Polymethylmethacrylate Microspheres

Conclusion

References

Complications of Cosmetic Fillers

Abstract

Classification of Dermal Fillers

Overview of Complications of Fillers

Ecchymosis and Edema

Prolonged (Malar) Edema

Allergic and Hypersensitivity Reactions

Non-inflammatory and Inflammatory Nodules

Non-inflammatory Nodules

Inflammatory Nodules

Filler Infections

Vascular Compromise

Retinal Artery Occlusion

Tissue Necrosis

Conclusion

References

Author Index

Subject Index

Cover

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