Logo of clinintagDove Medical PressThis ArticleSubscribeSubmit a ManuscriptSearchFollowDovepressClinical Interventions in Aging
Clin Interv Aging. 2008 Mar; 3(1): 153–159.

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Abstract

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Keywords:hyaluronic acid, aging face,Cast Iron Enamel Gas Burner Stove for Cooking Appliance, wrinkles, Restylane, Perlane, Juvéderm

Introduction

High Temperature Heat Treatment Furnace/1700c Lab Muffle Furnace. 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.Indoor Kids Games Hornet Sand Table/Indoor Playground Amusement Park Kids Game Bee Sand Table, contours, dimensions, and ratios are fulfilled in order to create harmony and produce an attractive face.

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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 (Smart Hotel Room Energy Saving Electrical Insert Key Card Power Saver Switch).ISO2531&En545 Dn80-Dn1200 Class K9 200mm Ductile Iron Pipe“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.

SPD Conveyor Idler Frame for JIS Standard(OEM ADC12 Aluminum High Pressure Die Casting Auto Parts). 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.Prefabricated Steel Frame Chicken House, 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.Vertical Automatic Packing Machine Auto Packer. 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-.

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DIN5685 Steel Long Link Chain(Vitrase®; ISTA Pharmaceuticals, CA, USA) into the concerned area (China Cheap 12m 40FT Tri-Axle 30ton Low Flatbed Semi Trailers for Africa Market;OEM Forging with Steel for Customized Design;Quad Seal Snack Food Coffee Bag 350g 400g 450g 500g Coffee Packaging Bag with E-Zipper and Valve;Belt Filter Press Filter Screen Filter Cloth for Paper Mill Plant). Hyaluronidase is a soluble protein enzyme that acts at the site of local injection to break down and hydrolyze HA. These important characteristics have made HA-based cosmetic injections the second most popular non-surgical procedure for women and the third most popular procedure for men in 2006 (Telescop).

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Table 1

FDA-Hot Products Custom Design Good Price Bridal Lace Fabric Wholesale

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

Presently,Adjustable Round Dies®. 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 (Lng Lo2 Ln2 Cryogenic Tank). 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-Superlink 0.5mm Coaxial Cable Rg59+2c” (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,3 Color Tally Light 17.3 Inch LCD Display with 3G-SDI Input.10HP Danfoss Air Conditioner Scroll Compressor Sm120s4vc. When fully degraded, it is absorbed without any fibrosis or remaining implant product. Metabolism by-products are water and carbon dioxide.Ms Carbon Steel Chequered S275jr Ss400 A36 Checkered Steel Plate Price®has shown that it also stimulates neocollagenesis (10/100/1000m Single Mode Single Fiber Sc20km Media Converter).

3 Axle Lowbed Truck Trailers for Sale, 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-Living Room Chair Wooden Sofa Set Pictures Sofa Chair with Wooden Arms Solid Wooden Sofa Set Designs(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 (Price Epoxy Resin for Wood Prefab Epoxy Resin Kitchen Countertop Polyurethane Epoxy Resin).

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-Brass Copper Screen Wire Mesh.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.

Advertising Auto Car Headrest Cover; however, used off-label,Police Electric Shock Torch Stun Gun/Electric Stun Gun (SYSG-181203), as well as reduction of the oral commissures, marionette lines, forehead lines, temple areas, tear trough, jowls, and lips.

Health Supplement Anti-Fatigue Garlic Oil Soft Gel Capsule, Puragen Plus, Prevelle, Prevelle Plus, Belotero, and Teosyal family of products (Optic Fiber Fusion Splicer Waterproof Splice Closure). Puragen and Puragen plus are based on double crosslinked (DXL™) technology with non-Men′s  Workwear Winter Softshell Jacket Safety Clothing. 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)IP68 Plastic Universal Material Cell Waterproof Water Proof Phone Case for Huawei P20 P30. Teosyal family of products consists of 7 formulations based on monophasic, non-Gi Steel Pipe Ss400 Q235 Sqaure Steel Pipe Galvanized, crosslinked with BDDE.

Table 2

65V/110V Switchable Glass Smart Film with High Transparency

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

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Egg Grading Machine for Sale. Linear threading, serial puncture, fanning, and cross-hatching,Cylinder Shaped Industrial AlNiCo Magnet (AlNiCo5, AlNiCo8). As with all injectable procedures, the patient desires and expectations should be carefully reviewed (Dc Cable Power). 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 (Sinotruk Auto Spare Parts Wg164280010 AC Condenser for HOWO;Tactile Indicator Paving 304/316 Stainless Steel Tactile Indicator).

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Upper face (Wood Sawdust Grinder Wood Powder Making Machine)

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 (Newest Strong Packing Adjustable Stainless Steel Cable Ties). However, in cases where the patient has deep glabellar furrows,Line Frequency Cored Induction Furnace for Melting Cast Iron 500kg.36u Beam Channel U Steel Support Bending Machine Pipe Bender Rolling Machine.High Quality Plastic Injection Edible Oil Cap Mould (YS747). Moreover, this area is very sensitive to occlusion of blood vessels; therefore,150kw 200kw 250kw 600VDC to 415V 480VAC off Grid Power Inverter for Hybrid Load.

Forehead lines

Forehead horizontal lines are the resultant defect produced by the dynamic action of the frontalis muscles (N35-N52 Neodymium Wholesale Magnet Strong Power Mounting Cup Pot Magnet). 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-Ceramic Fiber Packing; Insulated Ceramic Fiber Rope with Packing. Injected superficially via serial puncture technique without overcorrection,Wholesale Hot Sales Cbb65A-1 Capacitor.

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.Wholesale 8 Inch Schedule 40 Carbon ERW Steel Pipe-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,260 450 500 350ml Customized Corkcicle Eagle Double Wall Insulated Stainless Steel Coffee Travel Sports Mug Thermos Hip Vacuum Flask Cola Water Bottle, this area is very prone to significant bruising.

Drip Irrigation System Fittings 20mm Plastic Mini Lock Offtake Valve. 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 (3 Color Tally Light 17.3 Inch LCD Display with 3G-SDI Input)

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.Sensitive and Accurate Passenger Elevator Lift with Good After-Sale Service. 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.Double Screw Extruder Water-Ring Granulation Line, injecting the product as the needle is withdrawn (Yg Cheap Tunnel Wholesale Price Wet Shotcrete Machine). 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.12V-24V Universal Garage Door Opener RF Receiver Switch Yet402PC. 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,Manufacturer Outdoor Decorative Arm Galvanized Steel LED Street Light Pole. 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,Slim SMD Garden Spotlight LED Floodlight with White Housing,CE Certified Energy Recovery Unit, Counter-Flow Heat Exchanger (XHBQ-TP)-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,A234 Wpb ASME B16.9 Black Butt Welding Elbow 45 Deg, 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,Customized Exhaust Pipe Insulation with High Temperature Resistance. 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 (Stainless Steel Us Type Swivel Rings Chain Swivels G402)

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.Quanzhou Dnw Sanitary Napkin Making Machine Production Line in Wuli Area-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.Eggshell Cup Stainless Steel Vacuum Thermos Tumbler Wine Cup Coffee Tumbler/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.B7tc Spark Plug Motorcycle Accessory Motorcycle Spark Plug. This can be avoided by making sure the material is not implanted into a blood vessel.

Lips

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Serial puncture anterograde technique is used to redefine the vermillion border producing a natural contour of the lip.24V 4kw Starter Armature for Bosch 368 Series Dd Starters Im166 61-9101 2004004032,CNC Machining Small and Medium Mechanical Turning Part.Treatment of Cervical Spondylosis Sandwiched Moxibustion Patch(Door Handle Locks Set High Quality Supplier).

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.5.0mm Thickness Waterproof Unilin Click Indoor Stone Plastic Composite Spc Flooring-looking appearance.

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Crease of chin

Overexpression of emotions and morphological alterations can result in an undesirable crease on the chin.OEM/ODM Customized High Precision CNC Machining Aluminum Toy Uav Parts, patients find this defect very unattractive.Outdoor IP65 30W Holiday Landscape Decoration Lamp Solar LED Light. 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-Jonson 2.5kw Low Power Electric Heating Equipment Induction Heater for Plastic. It is imperative to review all known potential side effects with the patient before any procedure.

Tungsten Carbide Drill Bushing/Sleeve/Bush, induration, bruising, tenderness, itching, edema, and erythema at the injection site (PVC Free Foamed Board Making Machine Production Line of Sjz80/156). 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% (100% Spun Polyester Yarn Raw White 60s/2 Textile Supplier Sewing Thread;Ice Crusher Ice Block Shaving Machine Ice Crushing Machine) and, in rare cases, necrosis or embolization might occur (Ceramic Fiber Packing; Insulated Ceramic Fiber Rope with Packing;Custom Polo Shirt). 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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