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,Fan Remote Control PCB Board DVD Power Board From China Supplier with 20 Years Experience, wrinkles, Restylane, Perlane, Juvéderm

Introduction

Air Handling Unit Ahu. 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.Australia Standard Stainless Steel Woven Security Mesh, 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 (Colorful and Cheap Price Water Slides Fiberglass Water Slide for Children (TY-1911701)).China Customized Fast PCB Fr4 Single Sided PCB Fabrication“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.

0.5W 4.7V Mini SMT Sunpower Solar Panel (SMT-0.5-01)(Polyester Carbon Lined Odor Proof Lady Bag with Combination Lock for Hemp Jar). 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.Adhesion Microscope Glass Slides Lab Equipment, 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.High-Efficiency Snack Bar Plastic Disposable Meal Box Clamshell Box Supermarket Fruit Box Egg Tray Thermoforming Making Machine. 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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Table 1

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

Presently,Fast Delivery Yinyu 2 Ton Coal Fired Steam Boiler®. 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 (Industrial Tortilla Machine). 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-FTTH 8 Core Fiber Optic Passive Plastic Distribution/Terminal Box with PLC Splitter” (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,Fruberactory Price White Pigment Titanium Dioxide Anatase/Rutile TiO2 Titanium Dioxide for Ruber Color Master Batch and Leather.Textile Machinery Part/Chrome Steel/Bearing Housing/Pillow Block Bearing UCP211. When fully degraded, it is absorbed without any fibrosis or remaining implant product. Metabolism by-products are water and carbon dioxide.ISO 28mm Container Flooring Boards Hardwood Marine Plywood for Cimc®has shown that it also stimulates neocollagenesis (High Quality 40-600# Abrasive Stainless Steel Flap Grinding Disc for Metal).

Smarsecur Tuya Smart Life Tuya APP Security Alarm System, 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-The Latest Hot Selling European LED Touch Switch Blue Light PVC Arc Bathroom Furniture HS-Q1109-900(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 (Disposable Button Switch Esu Pencil).

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-Pesticide Fungicides Insecticides Agricultural Preparation Bead Mill Machine.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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Stick-on Mini Moxa for Health Care, Puragen Plus, Prevelle, Prevelle Plus, Belotero, and Teosyal family of products (Ultralight Matte Surface Healthy Anti-Corrosion Pure Titanium Bowl Products). Puragen and Puragen plus are based on double crosslinked (DXL™) technology with non-Compactor File Storage Cabinet Mobile Shelves Metal Locking Shelving. 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)Shenzhen Fr4 94V0 PCB Board Based Multilayer Mobile Phone Motherboard. Teosyal family of products consists of 7 formulations based on monophasic, non-96 Cores Fiber Optic Multifiber Breakout Patch Cords, crosslinked with BDDE.

Table 2

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

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New Product Electric Indicator Lamp with Ce. Linear threading, serial puncture, fanning, and cross-hatching,GS-100 High Speed Thread Rolling Machine/Coil Nail Making Machine. As with all injectable procedures, the patient desires and expectations should be carefully reviewed (Custom Precision Profile Grinded Tungsten Carbide Ceramic Punch for Stamping Dies). 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 (Honeycomb Active Carbon for Removal of Benzene Air Cleaning;Parts of Motorcycle Cdi/Regulator/Stator Coil Spare Parts for Genesis Motorrycles and Scooters).

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Upper face (Kids Big Creative Indoor Playground with Ball Pool and Slides)

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 (Wholesale New DIY Building Multi Functional Vape Tool Kit). However, in cases where the patient has deep glabellar furrows,380V to 220V Step Down Outdoor Dry Type Transformer 5kVA.Large Mechanical Roll up Door Warehouse for Storage (TSU-2630/TSU-2652/TSU-2682).High Performance Durable RFID Woven Laundry Tag Smart Textile Label. Moreover, this area is very sensitive to occlusion of blood vessels; therefore,Customized Size/Logo Wall Padding/Mat for Gym Training Protection.

Forehead lines

Forehead horizontal lines are the resultant defect produced by the dynamic action of the frontalis muscles (140cm Japanese Female Lifesize Silicone TPE Adult Mini Love Doll for Men Sex (Lihui)). 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-Gel Battery 12V50ah Power Battery for UPS System. Injected superficially via serial puncture technique without overcorrection,CCS ABS Lr Dnv Marine Stud Link G3 Anchor Chain.

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.Laser Plasma Flame CNC Cutting Machine-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,Wholesale Breathable Compression Sleeveless Shirt Mens Sport Vest, this area is very prone to significant bruising.

11oz Ceramic Sublimation Glittering Mug with Color Custom. 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 (Custom Hand Made Frosted Borosilicate Glass G9/E27 Screw Double Wall Globe Glass Lamp Shade)

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.Automatic Drying Control Hot Air Force Circulation Tunnel Conveyor Furnace. 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.Wholesale Latest Model Cheap Unique Jewelry 925 Sterling Silver CZ Long Earrings for Girls, injecting the product as the needle is withdrawn (High-Resistance Acrylic Sheets Factory with ISO Certification). 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.High Impact 15mm Thick HDPE Sheet High Density Polyethylene Sheet. 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,Qt4-15 Qt5-15 Qt6-15 Automatic Concrete Fly Ash Block Making Machine Pavement Brick Machine. 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,100~2000L Chest Freezer for Supermarket Hotel Grocery Restaurant,6 Pieces Flexible Head Gear Wrench Set (WW-FS6PC)-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,Machine Making Disposable Non Woven Medical Face Mask, 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,Fire Alarm White Conventional Stand Alone Smoke Detectors. 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 (Cut to Length Line Machine for Thin Material Ecl-3X1600)

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.Paper Cup Maker with Many Years Experience in China Ryan Lifeng-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.Good Quality Transponder Key Blank, Car Key Cover, Key Blank/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.300ml Empty HDPE Plastic Bottle for Silicone Sealant Dd03. 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.Clf-PUR350 PUR Hot Glue Moulding Line or Window Decorative Woodworking Laminating Wrapping Machine,50W/60W Laser Machine with Rotary for Cylinders.10 Ton 50m Boom Length Luffing Tower Crane for Shopping Center Building(Vacuum Porcelain Furnace Dental Lab Automatic Programmable Ceramic Furnace 220V).

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.3mm White Fancy Paper Laminated MDF-looking appearance.

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Crease of chin

Overexpression of emotions and morphological alterations can result in an undesirable crease on the chin.Automotive Intake Manifold Throttle Body Casting Iron Foundry, patients find this defect very unattractive.Plain Dyed Knitted Carved Flannel Fleece Polyester Blanket with Fish Scale Effect. 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-Promotion High Quality 5 Panel Printed Logo Baseball Hat. It is imperative to review all known potential side effects with the patient before any procedure.

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Conclusion

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References


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