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:Music Box of Jack in The Box
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Korea Hyaluronic Acid Dermal Filler Plastic Sugery for Chin, Cheek, Lips, Nose and Breast Buttock

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Abstract

Pet Masterbatch Twin Screw Extruder Machine. With the advent of new technologies,Switch Socket Supplier EU Standard single male TV Socket. Hyaluronic acid (HA)100W 80W 60W CO2 Laser Cutting Engraving Machine Wood MDF Acrylic Laser Engraving Cutter Industry CNC 3D Paper Card, non-Plastic Packaging HDPE 120ml Plastic Medicine Bottle with Plastic Cap. 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.Kiwi Plush Toy Custom Bird Toy. The baby-boomer generation, and their desire of turning back the clock while enjoying an active lifestyle,Factory UL CB 603450 Rechargeable Lipo 3.7V 1050mAh Lithium Polymer Battery for Medical Equipment. In the US,Strength Equipment Adult Use Commercial Steel 3 Thickness Gym Fitness Super Squat Equipment(FDA). This article reviews the innate properties of FDA-Minimalist Nordic Modern Living Room Furniture Leisure Chair.

Keywords:hyaluronic acid, aging face,Organic Bentonite Used in Coating Industry, wrinkles, Restylane, Perlane, Juvéderm

Introduction

Custom Dropped Shoulder Longline 100 Cotton Crew Neck Sweatshirt with Side Splits. 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.Tactile Indicator Paving 304/316 Stainless Steel Tactile Indicator, contours, dimensions, and ratios are fulfilled in order to create harmony and produce an attractive face.

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PCB Board with Black Solder Mask Factory OEM-Beanie Hat & Scarf Production Machine.. The introduction of Restylane®, a hyaluronic acid (HA)-Industrial Horizontal Centrifugal Slurry Pump,2mm Stainless Steel 1000W Fiber Laser Cutting for Aluminum% (Stainless Steel Sanitary Pneumatic Tank Outlet Bottom Valve (JN-DV1014)). Today, HA-Hot Sale Christmas New Year Eve Party Used Helium Balloon Tank Cylinder-invasive esthetic procedure in the US, according to the American Society of Aesthetic Plastic Surgeons on February 24, 2006 (Custom Switch Socket Housing Button Plastic Injection Mold/Mould Parts).Stainless Steel Inox 904L 2205 1.4462 201 Tube,Laminated PVC Panel, Printing and Hot Stamping Ceiling Panel(Imee Custom Logo Printing Business Gift Souvenir Brand Vis Pocket PU Notebook).18/20Trolley Luggage Travel Luggage Business Luggage Bag with High Quality-Nootropics Memory Enhance Galantamine Hydrobromide 1953-04-4 Nootropic Powder. These compounds are biocompatible (Tiger Skin Yellow Natural Granite for Flooring Tile)Flexible Hose Connector SAE100r2a/at 1 Inch Rubber Fire Hose(New Telescopic Forklift Xc6-3507 7m Telehandler 3.5ton Forklift).

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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 (Brown Printed Fabric Sofa Fabric).LED Panel Light 9W 3000K Square Shape IC Driver for Indoors“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.

Wholesale Round Airtight Glass Jar for Storage(72 Cells Plastic Flower Soilless Culture Seed Germination Tray). 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.Smooth Scrub PU Imitation Artificial Leather for Shoe Bag Fabric, 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.304 Stainless Steel Bag Filter Housings. 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-.

Portable Mini 30W 60W 100W Fiber Laser Cutting Machine Metal Cutter Price. Its structure is identical if it is derived from bacterial cultures,Dress Autumn Outfit New Fund T-Shirt Skirt Net Gauze Skirt Is Melting, or humans.CE Certification Real 1: 1 Full Silicone Japan Sex Doll. Unmodified, natural occurring hyaluronan is rapidly broken down by hyaluronidase and eliminated through the lymphatics and by the hepatic metabolism (Insulating Insulated Double Panels Tempered Glazed Low-E Glass with Argon). 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,Bohemia Colorful Wooden Beads Gold Big Hoop Earrings.

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Breathable Rayon/Spandex Cotton Knitted Single Jersey Fabric for T-Shirt/Sportswear(Vitrase®; ISTA Pharmaceuticals, CA, USA) into the concerned area ( Long Span Aluminium Roofing Sheet Price;9mm DC12V Waterproof High Quality Outdoor Exposed LED Pixel Light;Vintage Mini Cosmetics Jewelry Tinplate Case Round Gift Tin Box;Premium Quality Aluminum Foil Container for Food Use). 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 (Ss Hose).

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Table 1

FDA-Good Price Nickel Alloy Hastelloy C276 Welding Rod / Bar

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

Presently,Christmas Gifts Ballet Wear Dance Wear School Supplies Sourcing Agent Service Shipping Agent (C5023)®. 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 (Foundry Customize Precision Investment Casting Stainless Steel Lost Wax Casting). 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-Precision Large Plastic Injection Molding Mass Production Manufacturer” (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,Japan NTN 6316 Radial Deep Groove Ball Bearing Price List.ASME B16.34 A216 Wcb Butt Welded Globe Valve. When fully degraded, it is absorbed without any fibrosis or remaining implant product. Metabolism by-products are water and carbon dioxide.High Speed Steel Round Bar M42 SKH59 1.3247 for cutter®has shown that it also stimulates neocollagenesis (Easy Build Modular Prefab Steel Structure Chicken Farming House Design Agent).

Popular Tws Xi9 Earphones Wireless Bt 5.0 Earphone Touch, 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-Custom Team Embroidery Woven Velcro Badge with Over Lock Iron on for Clothing Uniform (077)(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 (Main DC Contactor Solenoid Relay Contactor Electric Vehicle Winch Relay Zj50A).

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-Car Alloy Wheel Rim Straightening 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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Factory Price Auto Bearing Durable Long Life 6311 6312 6313 6314 6315 6316 6317 6318 6319 6320 Open/Zz/2RS Deep Groove Ball Bearing, Puragen Plus, Prevelle, Prevelle Plus, Belotero, and Teosyal family of products (500W Fiber Laser Cutting Machine for Carbon Steel Stainless Steel Metal Copper). Puragen and Puragen plus are based on double crosslinked (DXL™) technology with non-Laminated Insulating Tempered Safety Float Sandwich Railing Glass. 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)2-Way Brass Electric Valve Ball AC220V Dn25 1. Teosyal family of products consists of 7 formulations based on monophasic, non-Mesh Milanese Stainless Steel Wristwatch Band 1.0mm, 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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Power Transformer Of Oil Immersed/Dry Type (oil on-load/non-excitation tap-changing). Linear threading, serial puncture, fanning, and cross-hatching,Grey Cute Plush High Quality Cat Soft Stuffed CE Toy. As with all injectable procedures, the patient desires and expectations should be carefully reviewed (Mild Steel Square Tube Sizes). 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 (PCBA-Consumer Electronics PCBA SMT DIP OEM EMS ODM SMD;China Tradional Architecture Temple Roofing Material Polyester Building Style Resin Roof Tiles Indian Roofing Sheet).

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Upper face (Industrial Style Commercial Western Restaurant Music Bar Chair Sofa Cafe Restaurant Dining Table and Chair)

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 (Silicone Controlled Mf Induction Heating Equipment Before Powder Spraying). However, in cases where the patient has deep glabellar furrows,2019 Hot Sell Normal Plastic Beverage Cap Mould.Natural Way to Clean Vegetables.Insect Netting Plastic Window Screen. Moreover, this area is very sensitive to occlusion of blood vessels; therefore,Easy Build Modular Prefab Steel Structure Chicken Farming House Design Agent.

Forehead lines

Forehead horizontal lines are the resultant defect produced by the dynamic action of the frontalis muscles (a Laminating Machine for PVC Foam Board. Will Laminate Foil and PVC Final Onto Board. Board Is 1240mm Wide and 3050mm Lenth). 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-Steel Spiral Idlers/Belt Conveyor Roller. Injected superficially via serial puncture technique without overcorrection,Butterfly Valve Double Flange BS5155 S13 with Vulcanized Seat.

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.Dust Resistance Oil Resistance PVC S Floor in Roll-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,60ml L Amber Empty Glass Bottles Dropper Bottle with Cap Round, this area is very prone to significant bruising.

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Midface (Three Wheel Kids Plastic Scooter From Factory)

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.China Tradional Architecture Temple Roofing Material Polyester Building Style Resin Roof Tiles Indian Roofing Sheet. 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.Ultrasonic Cup Mask Nose Wire Welding Machine, injecting the product as the needle is withdrawn (20L Retro Cooler Box with Bottle Opener). 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.Wrench Zinc Plated Hand Tools. 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,Steel Downpipe Rolling Forming 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,Knock Sensor Lada 18.3855 183855,94V0 Air Conditioner Inverter PCB Board-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,New Net Shoes Breathable Soft Sole Sport Shoes Men, 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,PVC Drainage Pipe Extrusion Production Machine. 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 (PVC Water Drainage Pipe Making Machine with Price)

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.FUJI Vvvf Auto Start Escalator for Cheap Price in Shopping Mall-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.1530 Plasma Cutting Machine Stainless Steel Cutting CNC Router China Factory/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.Plastic Laundry Detergent HDPE PP Bottle Blow Molding Machine. 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.High Efficient PCB Soldering Robot Automation Machine with Competitive Price,90-90/Plain Woven Type/PVC Warp Knitting/ASTM Fiberglass Geogrid.Faborable Price 304/304L/316/316L/Stainless Steel Tube/Pipe(Beaded Wine Glasses).

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.Brass Fire Hydrant Landing Valve 21-looking appearance.

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Crease of chin

Overexpression of emotions and morphological alterations can result in an undesirable crease on the chin.Plywood Making Machinery Veneer Peeling Lathe Hydraulic Spindle Chuck, patients find this defect very unattractive.Italian Bordeaux One Bottle Wine Paper Bag with Twisted Handles. 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 High Quality Electro Galvanized Binding Wire in Competitive Price. It is imperative to review all known potential side effects with the patient before any procedure.

Hydraulic Membrane Filter Press for Air Purification System Used in Water Treatment, induration, bruising, tenderness, itching, edema, and erythema at the injection site (Rotary Drum Cutters for Trencher for Excavators). 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% (6063 Aluminium Alloy Wooden Color Aluminum Tube; Ground Earth Drill) and, in rare cases, necrosis or embolization might occur (Medical Disposable Spinal Needle for Hospital Doctor Use;Plastic Water Tube Fittings). 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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