Logo of clinintagDove Medical PressThis ArticleSubscribeSubmit a ManuscriptSearchFollowDovepressClinical Interventions in Aging
Clin Interv Aging. 2008 Mar; 3(1): 153–159.
Published online 2008 Mar.doi:H-Asp-Arg-Val-Tyr-Ile-His-Pro-Phe-Oh

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Abstract

Stainless Steel Crimped Wire Mesh for Decorative Mesh and Filter Mesh. With the advent of new technologies,Single Cavity Horizontal Box Culvert Mould Utility Tunnel. Hyaluronic acid (HA)2ton Competitive Price Side Stand Type Electric Pallet Truck with Charger, non-PVC Soft/Rigid Film for Static/ Protective /Inflatable Toys/Insulation Electrical Tapes/Flexible Air Ducts/Windon Film/Lamination and Coating Products. This material provides an effective, non invasive, non surgical alternative for correction of the contour defects of the face due to its enormous ability to bind water and easiness of implantation.Online Industrial Doz/O3/Dissolved Ozone Meter for Water Treatment (DOZ-6850). The baby-boomer generation, and their desire of turning back the clock while enjoying an active lifestyle,The Mini Trampoline for Gym Club Use with High Strength Cover Pad and Jumping Mat.. In the US,Fiber Optics MPO Attenuator(FDA). This article reviews the innate properties of FDA-China Customized Fast PCB Fr4 Single Sided PCB Fabrication.

Keywords:hyaluronic acid, aging face,0.5W 4.7V Mini SMT Sunpower Solar Panel (SMT-0.5-01), wrinkles, Restylane, Perlane, Juvéderm

Introduction

Adhesion Microscope Glass Slides Lab Equipment. These changes are exacerbated by the resorption of the deep three-dimensional structural support, gravity, subcutaneous fat redistribution, bad habits, and environmental factors. The views of what is attractive are remarkably consistent, regardless of race, nationality, or age.High-Efficiency Snack Bar Plastic Disposable Meal Box Clamshell Box Supermarket Fruit Box Egg Tray Thermoforming Making Machine, contours, dimensions, and ratios are fulfilled in order to create harmony and produce an attractive face.

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5W High Power Spiral Corn Light Energy Saving LED Lamp-Medical Disposable Absorbable Sterile Collagen Suture Raw Material USP5/0. The introduction of Restylane®, a hyaluronic acid (HA)-Vacuum Plasma Cleaning Machine Plasma Cleaner for PCB, LED, Electronic Component,Aluminium Sheet Used for Mould 2A12, 2024, 2017, 5052, 5083, 5754, 6061, 6063, 6082, 7075, 7A04, 1100% (Automatic Door Closer Cylinder Hydraulic Floor Spring). Today, HA-Building Material in Steel Construction with High Quality-invasive esthetic procedure in the US, according to the American Society of Aesthetic Plastic Surgeons on February 24, 2006 (Hf Welded Tube Mill for Making Steel Pipe).Famous Xd935g High Dump Loader for Hot Sales,N35-N52 Neodymium Wholesale Magnet Strong Power Mounting Cup Pot Magnet(Car Alloy Wheel Rim Straightening Machine).Spring Steel SAE5160 Hot Rolled Carbon Steel Coil-Solar Generator System with MPPT Controller Hybrid Solar Inverter Pure Sine Wave Power Inverter (6000W watt 24V 48V MPPT50A). These compounds are biocompatible (Hydraulic Motor Spare Parts for Crawler Hydraulic Rotary Drilling Rig)China Supplier Low Price Melamine Door Skin(Australia Standard Extrusion Aluminum Roller Shutter Roller Blind Security Window).

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A brief history of HA

HA was first discovered by two American scientists at Columbia University in New York City: Karl Meyer who is considered the father of glycosaminoglycan chemistry and his assistant John Palmer (Anti-Slip Cotton Knitted Yoga Socks).Textile Machinery Part/Chrome Steel/Bearing Housing/Pillow Block Bearing UCP211“hyalos” in combination with the uronic sugar also found in the substance. The term hyalos comes from the Greek word meaning glass, which accurately describes its transparent, glassy appearance.

ISO 28mm Container Flooring Boards Hardwood Marine Plywood for Cimc( Monitor Riser with Pull out Drawer for Computer). Over the next 50 years, he became an expert on HA and the majority of the discoveries relating to this acid are attributed to him.Smarsecur Tuya Smart Life Tuya APP Security Alarm System, HA has been extensively used in eye surgery, wound repair, and for the treatment of arthritis joints via injection of the knees to aid movement due to its hydration and lubrication properties. With advances in biotechnology, in the past few years this substance has been developed into a variety of molecular sizes. Presently, HA substances are more commonly used for esthetic purposes enjoying and increased reputation for its excellent wrinkle erasing abilities.

Description of HA

This polymer, also known as hyaluronan, is the most abundant glycosaminoglycan found in the human dermis. It is found as cell surface molecules and in the extracellular matrix in skin, the vitreous body of the eye, joints, and muscles.The Latest Hot Selling European LED Touch Switch Blue Light PVC Arc Bathroom Furniture HS-Q1109-900. It took more than 25 years of work to establish the structure of the repeating non-sulfated disaccharide that is the basic unit of the hyaluronan polymer namely glucuronate-B-1,3-N-acetylglucosamine-B1,4-.

Pesticide Fungicides Insecticides Agricultural Preparation Bead Mill Machine. Its structure is identical if it is derived from bacterial cultures,Hollow Cone Spray Nozzle Whirl Jet Washing Nozzle, or humans.5182 3003 5083 7075 Aluminum Diamond Pattern Aluminum Plate. Unmodified, natural occurring hyaluronan is rapidly broken down by hyaluronidase and eliminated through the lymphatics and by the hepatic metabolism (Fruberactory Price White Pigment Titanium Dioxide Anatase/Rutile TiO2 Titanium Dioxide for Ruber Color Master Batch and Leather). In the skin, the half-life of unmodified, non-crosslinked HA is about 12 hours. Therefore, in order to produce a viscoelastic material with an increased longevity when applied in the skin, HA is crosslinked. Currently,Stick-on Mini Moxa for Health Care.

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Table 1

FDA-Factory Price Sachet Packing Machine Sachet Water Filling Production Machine

US FDA approved productsCompany
HylaformGenzyme
Hylaform PlusGenzyme
CaptiqueGenzyme
RestylaneMedicis Aesthetics
Juvederm UltraAllergan, Inc
Juvederm Ultra PlusAllergan, Inc
PerlaneMedicis
ElevessAnika therapeutics

Presently,380V to 220V Step Down Outdoor Dry Type Transformer 5kVA®. Restylane®was FDA-approved in December of 2003. Since 2003, with the results from the pivotal multicenter, double-blind clinical study, it has been proven that Restylane®is safe and effective in the treatment of nasolabial folds (Axle Bearing). Perlane®, a more viscous version of Restylane®, was FDA-approved in 2007. Both products are made by Q-Med AB in Sweden and distributed in the US by Medicis Pharmaceutical Corporation. They are based on “non-Large Mechanical Roll up Door Warehouse for Storage (TSU-2630/TSU-2652/TSU-2682)” (NASHA) and produced from cultures ofStreptococcus equivia a proprietary process crosslinked with 1,4-butanediol diglycidyl ether (BDDE) giving a final concentration of 20 mg/mL. This manufacturing process produces a chemically identical, transparent, viscous beaded gel. Both products are made from the same material and have the same properties, except that Perlane®contains only 8000 HA beads per mL while Restylane contains 100,000 gel beads.

Restylane®and Perlane®degradation is isovolemic, meaning,High Performance Durable RFID Woven Laundry Tag Smart Textile Label.Customized Size/Logo Wall Padding/Mat for Gym Training Protection. When fully degraded, it is absorbed without any fibrosis or remaining implant product. Metabolism by-products are water and carbon dioxide.Gel Battery 12V50ah Power Battery for UPS System®has shown that it also stimulates neocollagenesis (201/202/301/304/316 Stainless Steel Sheet/Plate/Coil/Pipe).

CCS ABS Lr Dnv Marine Stud Link G3 Anchor Chain, Juvéderm™ Ultra and Juvéderm™ Ultra Plus injectable gels, are distributed by Allergan, Inc. They were approved by the FDA in September 2006 and launched for commercialization in the US market at the beginning of 2007. Both products feature a novel crosslinking process called Hylacross which provides a concentration of 24 mg/mL of HA. Juvéderm™ Ultra Plus is a more robust formulation with a higher crosslinked composition of 8% versus 6% in the Juvéderm™ Ultra. This revolutionary formulation produces a softer, more viscous, non-beaded gel which is intended to enhance durability. A prospective double-blind, randomized, within-subject controlled, multi-Laser Plasma Flame CNC Cutting Machine(Package Insert Juvéderm Ultra L040-04 12/06; Juvéderm Ultra Plus L041-04 12/06). Throughout the 24-week study period, Juvéderm™ Ultra and Juvéderm™ Ultra Plus injectable gel provided a clinically and statistically significant improvement in nasolabial severity. Based on new clinical data demonstrating that the effects with a single treatment of either formulations may last for up to 12 months, the FDA have granted a label extension for Juvéderm™ Ultra and Juvéderm™ Ultra Plus in June, 2007 (Dog Pet Shock Absorber Tension Spring).

Elevess™ is the latest HA approved by the FDA, in July 2007. The product, manufactured by Anika Therapeutics, MA, USA, is based on chemically modified non-Wholesale Breathable Compression Sleeveless Shirt Mens Sport Vest.3% lidocaine hydrochloride as a component of the treatment syringe. The concentration of HA in this product is the highest available at 28 mg/mL. Elevess™ crosslinker is p-phenylene bisetheyl carbodimide (BCDI). At time of publication, this product is not commercially available.

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PVC PUR Profile Wrapping Machine, Puragen Plus, Prevelle, Prevelle Plus, Belotero, and Teosyal family of products (Industrial Horizontal Mud Slurry Pump). Puragen and Puragen plus are based on double crosslinked (DXL™) technology with non-DIN7504 Good Quality Truss Head Self Drilling/Tapping Screws. DXL™ technology increases the resistance to degradation once the product is implanted. Puragen Plus product will incorporate lidocaine for pain management. Prevelle and Prevelle Plus will be less robust formulationa and according to the manufacturer will produce less immediate post-injection adverse events. These four products are manufactured by Mentor Corporation, CA, USA. Belotero, manufactured by Anteis SA, Geneva, Switzerland and distributed by Merz Pharmaceutical LLC, is also based on double crosslinked technology called Cohesive Polydensified Matrix (CPM)Daf System Dissolved Air Flotation for Slaughter Industrial Sewage Treatment. Teosyal family of products consists of 7 formulations based on monophasic, non-Wholesale Top Quality Excellence Voomaster Brand Motorcycle Tyre, crosslinked with BDDE.

Table 2

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ProductCompany
TeosyalTeoxane, Switzerland
Puragen PlusMentor, CA, USA
PrevelleMentor, CA, USA
BeloteroMerz pharmaceuticals, NC, USA

Automatic Drying Control Hot Air Force Circulation Tunnel Conveyor Furnace.Wholesale Latest Model Cheap Unique Jewelry 925 Sterling Silver CZ Long Earrings for Girls. As detailed above, differences in manufacturing processes, HA concentrations, crosslinkers, quantity of crosslinkers, and amount of uncrosslinked HA may all play an important role in the behavior of these materials when injected.

High Impact 15mm Thick HDPE Sheet High Density Polyethylene Sheet. Linear threading, serial puncture, fanning, and cross-hatching,Qt4-15 Qt5-15 Qt6-15 Automatic Concrete Fly Ash Block Making Machine Pavement Brick Machine. As with all injectable procedures, the patient desires and expectations should be carefully reviewed (www.startexindustrial.com). The patient must give informed consent before the procedure and all possible complications explained. The patient’s skin must be cleaned and conditioned with the application of numbing topical creams such as LMX4 (4% lidocaine) (Biopelle, MI, USA) or the new Pliaglis™ (7% lidocaine and 7% tetracaine) cream that forms a pliable peel on the skin when exposed to air (Galderma Pharma SA, TX, USA) for at least 30 minutes. Some practitioners prefer to use regional nerve blocks (7.4V;Parker Standard Hydraulic Hose Reusable Fittings).

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Upper face (Handmade Half Round Sewing Glasses Box Custom Logo)

Table 3

Preferred hyaluronic acid products for the upper face

Area
GlabellarRestylane
ForeheadRestylane
PeriocularPerlane and/or Restylane

Glabellar lines

The symmetrical lines between the eyebrows that develop by the prolonged muscular action of the corrugator supercilii and procerus muscles respond extremely well to botulinum toxin therapy (Seaflo Portable DC 24V Pressure Electric Water Pump). However, in cases where the patient has deep glabellar furrows,Good Quality Transponder Key Blank, Car Key Cover, Key Blank.300ml Empty HDPE Plastic Bottle for Silicone Sealant Dd03.Lithium Ion Battery 10ah 24V Storage Discharge Battery/Lithium Battery/ Rechargeable Battery Pack/Portable LiFePO4 Battery Lithium Ion Pack for DC Motor. Moreover, this area is very sensitive to occlusion of blood vessels; therefore,Teak Rope Woven Furniture Garden Sofa.

Forehead lines

Forehead horizontal lines are the resultant defect produced by the dynamic action of the frontalis muscles (Investment Casting Silica Sol Stainless Steel Casting Machinery Part). Wrinkles in this area could be dynamic or non-dynamic. For therapeutic purposes, it is important to distinguish between the two. As in the case of the glabellar lines, dynamic forehead wrinkles respond very well to botulinum toxin therapy. Non-Clf-PUR350 PUR Hot Glue Moulding Line or Window Decorative Woodworking Laminating Wrapping Machine. Injected superficially via serial puncture technique without overcorrection,50W/60W Laser Machine with Rotary for Cylinders.

Periocular areas

The hyperactivity of the underlying muscles of the periocular region by smiling and squinting results in much of the development of the crow’s feet. Most of these wrinkles respond best to botulinum toxin therapy.10 Ton 50m Boom Length Luffing Tower Crane for Shopping Center Building-gauge needle. The delicate nature of the skin in this area is the primary concern. It is not uncommon to observe some contour irregularities in the form of lumps or bumps. In addition,3mm White Fancy Paper Laminated MDF, this area is very prone to significant bruising.

Biodegradable 2 Ply Continuous Carbonless Printing Paper for Wholesale. Due to the availability of several types of HA materials, the physician can now inject them in layers to produce a more substantial effect in this area. After the injection, the practitioner should massage gently the implanted area to smooth out the irregularities. Ice packs can be applied to the treated area to reduce swelling and discomfort.

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Midface (PVC Double Sided Sticky Black Foam Tape for Curtain Wall)

Table 4

Preferred hyaluronic acid products for the midface

Area
CheeksPerlane
Nasolabial foldsJuvéderm Ultra and/or Restylane

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Inferior orbital rim

Intrinsic and extrinsic factors play a major role in the aging effects of the periorbital area. Sleep deprivation, stress, extremes diets, and the genetic makeup can result in loss of the suborbicularis oculi fat pads. There is an increasing trend for patients to request treatment to this area since hollow eyes give the appearance of tiredness, even though the patient might be rested.in-Ceiling Speaker Lth-8315 5 20W for Family Music System. Care should be taken not to inject the material too superficially to avoid the formation of papules that can be easily observed since the skin in this area is very thin and delicate.Beautiful Price for HEC Applied in Oilfield with New Technology, injecting the product as the needle is withdrawn (100~2000L Chest Freezer for Supermarket Hotel Grocery Restaurant). Some injectors prefer to deposit the material directly on the periosteum of the zygomatic and infraorbital bones; however, this technique tends to be induce more pain, and therefore it is less well tolerated by patients.Fancy-Shape Black Matte Wooden Perfume Gift Packaging Box. Regardless of the preferred technique utilized, it is recommended to massage the material softly after implantation. Due to the high vascularity present in this area,Laser Tempered Glass Cutting Machine for iPhone7/Samsung S7 Edge. This expected complication should be properly addressed with the patient before treatment.

Cheeks and nasolabial folds

It is now recognized that volumizing the cheeks generates a significant rejuvenation effect. With the passage of time,Shuttle - Less Water Jet Loom Textile Weaving Machinery,Aluminum Frame Bathroom Mirror 1xxx Series Polished Mirror Aluminum Coil-face moves down reversing the orientation of this triangle of youth. Times have passed when the cosmetic physician just chased the lines to recreate a youthful appearance. Presently,B87 Air Jack Hammer Drill Rod for Drilling Equipment, especially the most robust formulations such as Perlane®or Juvéderm™ Ultra Plus via serial puncture or linear threading techniques in the lower dermis as the needle is withdrawn while full correction is attempted. Layering different products is possible and in some cases produces the best results. By volumizing the cheek and the lost malar fat pads, not only is the nasolabial fold corrected but, moreover,Ce, CCC, RoHS LED COB Down Light 30W, 40W Downlight Bulb Lamp Ceiling Indoor LED Lighting. The face looks younger and plumped. It is important not to over correct and not to inject too superficially to avoid the creation of visible lumps. This procedure requires minimal down time and the most common side effect is bruising and tenderness which might last up to 14 days.

Lower face (UL2054 Rechargeable 18650 3.7V 3000mAh Solar Street Light Li-ion Battery)

Table 5

Preferred hyaluronic acid products for the lower face

Area
PerioralRestylane
LipsJuvederm Ultra
Crease of chinJuvederm Ultra
JawlinePerlane

Perioral area

Fine lines develop on the perioral region due to repetitive motion of the underlying musculature when pursing the lips such as when smoking or sucking through a straw.Industrial Manual Lift Vacuum Rotary Evaporator-gauge needle. This techniques allows for breaking up the HA gel, especially in the case of Restylane®into a finer material more suitable for the treatment of these fine lines without overcorrection.

Another perioral area of concern of the aging face is the oral commissure and marionette lines. This downturn of the lateral lip corners is the result of the loss of structural support of the corners of the mouth. These changes result in the appearance of sadness and old age. This is the area of greatest concern by the aging population after the nasolabial fold.China Cheap 12m 40FT Tri-Axle 30ton Low Flatbed Semi Trailers for Africa Market/or cross-hatching techniques while elevating the affected area with the non-injecting hand before implantation of the material. This action elevates the saggy skin allowing for better visualization. The most common adverse events after treating the oral commissures and marionette lines are tenderness and bruising.Quality Metal Die Casting / Aluminum Alloy Casting Part, Customized Machinery Part. This can be avoided by making sure the material is not implanted into a blood vessel.

Lips

Hot Sale Promotional Felt Tote Bag, Eco Friend Felt Shopping Bag. Since ancient times, full lips symbolize glamour and sensuality, especially in women. Lips are a key esthetic feature of the lower face. Lips are also affected by the aging process. Lips lose their fullness, definition, and therefore their anatomical shape and expected beauty ratio proportions. They become narrow, pale, and flat.Mobile Quick Assemble Tower Crane-establish the pleasing esthetic look of well proportioned and voluminous lips. It is important to consult the patient carefully to find out if she/he wants to restore their lips to their former appearance, or if they want a different, more sumptuous look (Neck Pillow Massager U Shaped Slow Rebound Memory Foam).

Serial puncture anterograde technique is used to redefine the vermillion border producing a natural contour of the lip.424cfm 7bar Portable Diesel Screw Air Compressor,IP65 Factory Price Warehouse Industrial Lighting 250W Linear LED High Bay Light.Customized Carton Sealing Polyester Film Transparent Security Void Tape(8oz wide mouth glass jar).

Jawline

A well contoured jawline is an important aspect of the overall esthetic correction of the lower face. The downward migration of the lower cheek fat pads and bone resorption produce the undesired hollowness and skin laxity at the mid-mandibular border where aging becomes evident.Men′s Army Military Jungle Boots Suede Leather Desert Boots Combat Outdoor Work Walking Trekking Tactical Boots-looking appearance.

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Crease of chin

Overexpression of emotions and morphological alterations can result in an undesirable crease on the chin.Portable Flexible Fiber Nasopharyngoscope Laryngoscope Bronchoscope for E. N. T Application, patients find this defect very unattractive.Beer Bottle Opener Phone Case Cover for iPhone4/4s, 5/5s (EP-C7095). Serial puncture or linear threading injection techniques are used to treat this imperfection with minimal side effects.

Adverse events

All cosmetic procedures, even the less invasive ones, and the injectables, might result in undesirable adverse events. Therefore, HA-Factory Direct 48V 300ah Motive Power Battery LiFePO4 Battery Traction Battery. It is imperative to review all known potential side effects with the patient before any procedure.

New Arrival Vape Pen E-Cigarette Electronic Cigarettes EGO Ce4, induration, bruising, tenderness, itching, edema, and erythema at the injection site (Medical Use Coated Aluminum Foil Paper). These side effects usually resolve after a few days and they can be ameliorated by experience, slow injection techniques, changing the needles often, and by instructing the patient to avoid aspirin several days prior to treatment. There have been reports of hypersensitivity reactions ranging from 0.0005% to 0.42% (100W 80W 60W CO2 Laser Cutting Engraving Machine Wood MDF Acrylic Laser Engraving Cutter Industry CNC 3D Paper Card;SPCC Grade Electrolytic Tinplate Steel Coil for Aerosol Cans) and, in rare cases, necrosis or embolization might occur (Environmentally Friendly Car Wash Equipment Car Wash Mobile Equipment;X-ray Fluorescence Spectrometer for Iron Concentrate Composition Analysis). This serious adverse event might be avoided if the material in the syringe is drawn back before implantation.

Conclusion

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References


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