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Dermal filler

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https://www.readbyqxmd.com/read/28332593/injections-through-skin-colonized-with-staphylococcus-aureus-biofilm-introduce-contamination-despite-standard-antimicrobial-preparation-procedures
#1
Yi Wang, Valery Leng, Viraj Patel, K Scott Phillips
While surgical site preparation has been extensively studied, there is little information about resistance of skin microbiota in the biofilm form to antimicrobial decontamination, and there are no quantitative models to study how biofilm might be transferred into sterile tissue/implant materials during injections for joint spine and tendon, aspiration biopsies and dermal fillers (DF). In this work, we develop two in vitro models to simulate the process of skin preparation and DF injection using pig skin and SimSkin (silicone) materials, respectively...
March 23, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28328707/the-sterility-of-partially-used-hyaluronic-acid-fillers-after-long-storage
#2
Mohammed Al-Haddab, Amr Abduljabbar, Ali Al-Somaily
BACKGROUND: Hyaluronic acid (HA) gel fillers represent most soft tissue augmentation procedures currently used, because they have lower rates of complications compared with other materials. Many patients do not consume an entire syringe of filler but may require a retouch or intermittent augmentation after some time. The remaining material is commonly stored in a specific environment for reuse by the same patient. OBJECTIVE: There are an insufficient number of recommendations concerning the safety of storing and reusing dermal fillers in the literature because of the paucity of studies...
March 21, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28324170/microscopic-and-ultrastructural-evidences-in-human-skin-following-calcium-hydroxylapatite-filler-treatment
#3
Nicola Zerbinati, Edoardo D'Este, Pier Camillo Parodi, Alberto Calligaro
This study uses light and electron microscopes to gain a better knowledge of the interactions of calcium hydroxylapatite filler with the connective tissue of the skin and the modifications of the human deep dermis, after 2 months of treatment. Some morphological evidences of this observational study of filler treated tissue support-specific mechanism involved in the structural modifications of both filler microspherules and cells of the connective tissue. They demonstrate the absence of any immunological reaction and show that the used filler is modified very slowly over time by the action of cells of the connective tissue closely related to the filler without any activity of phagocytosis...
March 21, 2017: Archives of Dermatological Research
https://www.readbyqxmd.com/read/28284936/preparation-and-characterization-of-a-novel-polysialic-acid-hyaluronan-graft-copolymer-potential-as-dermal-filler
#4
Jianrong Wu, Hao Fu, Yun Jiang, Hongtao Zhang, Zhiyong Zheng, Xiaobei Zhan
Polysialic acid (PSA) and hyaluronan (HA) are non-immunogenic and biodegradable natural polysaccharides, but HA belongs to glycosaminoglycans and can be immediately degraded by human enzymes. In this study, we synthesized a novel PSA-HA draft copolymer to improve HA stability in vivo. This draft copolymer was characterized by SEM, element analysis and Zeta potential. Cytotoxicity assays, as well as pyrogen and hemolysis tests, were also conducted to test its biological functions further. Results showed that PSA-HA draft copolymer satisfies the medical requirement for biomaterials...
March 9, 2017: International Journal of Biological Macromolecules
https://www.readbyqxmd.com/read/28255289/an-update-on-lower-lid-blepharoplasty
#5
REVIEW
Michael Murri, Eric B Hamill, Matthew J Hauck, Douglas P Marx
Aging changes to the lower eyelids and midface include pseudoherniated orbital fat, tear trough deformity, lid laxity, and dermatochalasis. Surgical repair often aims at treating redundant skin or orbital fat malposition with a lower eyelid blepharoplasty. Either a transcutaneous or transconjunctival approach may be used, though recent trends have favored the transconjunctival technique if procedures require more than simple skin excision. In manipulating the inferior orbital fat pads, a surgeon has many options including excision, repositioning, or augmentation with synthetic dermal filler, autologous fat grafts, or acellular dermal allografts...
February 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28244962/the-expanding-market-of-health-canada-approved-hyaluronic-acid-injectable-dermal-fillers
#6
Tracey A Hotta
No abstract text is available yet for this article.
January 2017: Plastic Surgical Nursing
https://www.readbyqxmd.com/read/28226376/hyaluronic-acid-fillers-in-soft-tissue-regeneration
#7
Arianna Fallacara, Stefano Manfredini, Elisa Durini, Silvia Vertuani
Over the last years, hyaluronic acid (HA) injectable dermal fillers (DFs) have become the most popular agents for soft tissue contouring and volumizing. HA fillers are characterized by most of the properties that an ideal DF should have, due to HA unique chemical-physical properties, biocompatibility, biodegradability, and versatility. Therefore, HA DFs have revolutionized the filler market with a high number of products, which differ in terms of HA source, cross-linkage (agent and degree), HA concentration, hardness, cohesivity, consistency, inclusion or lack of anesthetic, indication, and longevity of correction...
February 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28203492/safety-and-effectiveness-of-juv%C3%A3-derm-ultra-plus-injectable-gel-in-correcting-severe-nasolabial-folds-in-chinese-subjects
#8
Dong Li, Yun Xie, Qin Li, Jiaming Sun, Ping Jiang, Yi Jia, Diane K Murphy, Qingfeng Li
BACKGROUND: Hyaluronic acid dermal fillers are effective in correcting severe nasolabial folds (NLFs) in non-Asian populations. We assessed safety and effectiveness of Juvéderm Ultra Plus in a Chinese population. METHODS: This double-blind study randomized Chinese subjects with severe NLFs to Juvéderm Ultra Plus (24 mg/mL) in 1 NLF and Restylane injectable gel (20 mg/mL) in the other NLF. NLFs were evaluated using the validated 5-point photonumeric Allergan NLF Severity Scale (0 is "no wrinkle" and 4 is "very deep wrinkle")...
January 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28165349/a-prospective-open-label-observational-postmarket-study-evaluating-vyc-17-5l-for-the-correction-of-moderate-to-severe-nasolabial-folds-over-12-months
#9
Gerhard Sattler, Wolfgang G Philipp-Dormston, Helga Van Den Elzen, Cornelius Van Der Walt, Myooran Nathan, Julia Kolodziejczyk, Graeme Kerson, Benjeev Dhillon
BACKGROUND: VYC-17.5L (17.5 mg/mL hyaluronic acid, 0.3% lidocaine) is a dermal filler intended for deep dermis injection for the treatment of skin depressions. OBJECTIVE: To evaluate 12-month effectiveness and safety of VYC-17.5L for the treatment of moderate/severe nasolabial folds (NLFs). METHODS: Subjects ≥18 years old with moderate/severe NLFs were recruited (N = 70). Injected volume was aimed at achieving optimum correction; top-up treatment was given at 2 weeks if needed...
February 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28163459/autologous-smashed-dermal-graft-with-epidermal-re-closure-modified-technique-for-acne-scars
#10
Umashankar Nagaraju, Mahesh K Chikkaiah, Belliappa P Raju, Priyanka Agarwal
Conventional technique of dermal grafting for acne scars where the source of filler material used is the patient's own dermis requires longer surgical time, recovery period and can result in unsightly scars at the donor area. Hence, it is not suitable for treating a larger number of scars. Furthermore, these dermal grafts are firm and cannot be contoured to fit all types of acne scars. Occurrence of epidermal cyst and secondary infection is another complication if epidermis is not completely removed. Enzymatic techniques need trypsinisation which is expensive and requires laboratory facilities...
October 2016: Journal of Cutaneous and Aesthetic Surgery
https://www.readbyqxmd.com/read/28163456/outcome-of-dermal-grafting-in-the-management-of-atrophic-facial-scars
#11
Kanathur Shilpa, S Sacchidanand, Budamakuntla Leelavathy, Padmanabha Shilpashree, Gorur Divya, Rammurthy Ranjitha, D V Lakshmi
BACKGROUND: Scars over the face are cosmetically and psychologically disturbing. Various techniques have been described and are being practiced in the management of these scars. AIMS AND OBJECTIVES: This study was undertaken to study the safety, effectiveness of using dermal grafts as fillers in the management of facial scars due to acne, chickenpox, trauma or any others. MATERIALS AND METHODS: Fifteen patients with atrophic facial scars of varied aetiology and willing for surgery were considered for dermal graft technique...
October 2016: Journal of Cutaneous and Aesthetic Surgery
https://www.readbyqxmd.com/read/28095576/facial-contouring-with-fillers-neuromodulators-and-lipolysis-to-achieve-a-natural-look-in-patients-with-facial-fullness
#12
Chytra Anand
BACKGROUND: The desire for and use of nonsurgical injectable esthetic facial treatments is on a rise in Asia. Recent advances, including more versatile facial fillers, refined injection techniques, and adoption of a global facial approach, have in turn contributed to improved patient outcomes and increased patient satisfaction. The sought after nonsurgical treatments include the use of botulinum toxin, con- touring of the face with soft tissue fillers, and thinning of the face with injection lipolysis...
December 1, 2016: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/28069316/-hyaluronic-acid-rheology-basics-and-clinical-applications-in-facial-rejuvenation
#13
R Billon, B Hersant, J P Meningaud
Hyaluronic acid (HA) is the most widely used dermal filler to treat facial volume deficits and winkles specially for facial rejuvenation. Depending on various areas of the face, filler is exposed to two different forces (shear deformation and compression/stretching forces) resulting from intrinsec and external mechanical stress. The purpose of this technical note is to explain how rheology, which is the study of the flow and deformation of matter under strains, can be used in our clinical practice of facial volumization with fillers...
January 6, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/28045813/b-cell-lymphoma-in-a-patient-with-a-history-of-foreign-body-injection
#14
Seo Hyung Lee, Hyun Chul Kim, Yu Jin Kim
Dermal filler injection has been one of the most evolving areas of interest in the field of esthetic plastic surgery. This procedure is sometimes preferred to surgery due to shorter procedure and patient recovery times, and because it is suitable for a wide range of applications. Dermal filler injection is considered to be relatively safe, but various late complications such as infection and foreign body granuloma sometimes occur. Postprocedure development of lymphoma also occurs, but is extremely rare. The authors diagnosed extranodal marginal zone B-cell lymphoma of the mucosa associated lymphoid tissue that developed after a filler injection procedure was performed on a patient's face...
March 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28040813/efficacy-and-safety-of-new-dermal-fillers
#15
Joanna Dong, Madeleine Gantz, Gary Goldenberg
Many dermal fillers are available for various cosmetic rejuvenation purposes including but not limited to treatment of facial rhytides, nasolabial folds (NLFs), facial volume deficits, and lipoatrophy; facial contouring; and lip and/or cheek augmentation. To update clinicians on best practices, we review the efficacy and safety data on the most recently approved dermal fillers.
November 2016: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/28040807/current-concepts-in-lip-augmentation
#16
Gabrielle N Mannino, Shari R Lipner
Facial rejuvenation, particularly lip augmentation, has gained widespread popularity. An appreciation of perioral anatomy as well as the structural characteristics that define the aging face is critical to achieve optimal patient outcomes. Although techniques and technology evolve continuously, hyaluronic acid (HA) dermal fillers continue to dominate aesthetic practice. A combination approach including neurotoxin and volume restoration demonstrates superior results in select settings.
November 2016: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/28033645/the-facial-adipose-tissue-a-revision
#17
Ilja Kruglikov, Oscar Trujillo, Quick Kristen, Kerelos Isac, Julia Zorko, Maria Fam, Kasie Okonkwo, Asima Mian, Hyunh Thanh, Konstantin Koban, Anthony P Sclafani, Hanno Steinke, Sebastian Cotofana
Recent advantages in the anatomical understanding of the face have turned the focus toward the subcutaneous and deep facial fat compartments. During facial aging, these fat-filled compartments undergo substantial changes along with other structures in the face. Soft tissue filler and fat grafting are valid methods to fight the signs of facial aging, but little is known about their precise effect on the facial fat. This narrative review summarizes the current knowledge about the facial fat compartments in terms of anatomical location, histologic appearance, immune-histochemical characteristics, cellular interactions, and therapeutic options...
December 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28032168/the-efficacy-and-safety-of-ha-idf-plus-with-lidocaine-versus-ha-idf-without-lidocaine-in-nasolabial-folds-injection-a-randomized-multicenter-double-blind-split-face-study
#18
Jong-Hun Lee, Seok-Hwan Kim, Eun-Soo Park
BACKGROUND: Injection-related pain of dermal fillers is a consistent and bothersome problem for patients undergoing soft tissue augmentation. Reducing the pain could improve overall patient satisfaction. OBJECTIVE: The purpose of this study was to compare the pain relief, efficacy, and safety of HA IDF plus containing lidocaine with HA IDF without lidocaine during correction of nasolabial folds (NLFs). METHODS: Sixty-two subjects were enrolled in a randomized, multicenter, double-blind, split-face study of HA IDF plus and HA IDF for NLF correction...
December 28, 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28025234/disparities-in-aesthetic-procedures-performed-by-plastic-surgery-residents
#19
Jason Silvestre, Joseph M Serletti, Benjamin Chang
BACKGROUND: Operative experience in aesthetic surgery is an important issue affecting plastic surgery residents. OBJECTIVES: This study addresses the variability of aesthetic surgery experience during plastic surgery residency. METHODS: National operative case logs of chief residents in independent/combined and integrated plastic surgery residency programs were analyzed (2011-2015). Fold differences between the bottom and top 10th percentiles of residents were calculated for each aesthetic procedure category and training model...
December 26, 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/27922558/anatomy-of-the-periorbital-area
#20
Tracey A Hotta
Dermal filler and neurotoxin treatments around the periorbital area are assessed when addressing the early signs of aging. Having a comprehensive understanding of the anatomy related to the structures of the eye may reduce the risk of complications, which include severe bruising, persistent swelling, blindness, and cerebral infarction. Understanding the function of the muscles and ligaments, location of the nerves, and the pathway of the blood vessels are crucial when addressing concerns in this area.
October 2016: Plastic Surgical Nursing
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