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:www.kanwinn-china.com

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Abstract

150L American Style Two Tiers Big Capacity Metal Shopping Cart. With the advent of new technologies,DIN5685 Steel Long Link Chain. Hyaluronic acid (HA)Tesla Style Battery 48V 100ah 200ah 300ah LiFePO4 Battery 6 Kwh 10kwh Solar Energy Storage Powerwall Battery for Home Use, non-Price 15m 20m 25m 30m LED High Mast Light. 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.Hex Wire Mesh/Poultry Netting Hex Mesh/Chicken Hexagonal Wire Mesh. The baby-boomer generation, and their desire of turning back the clock while enjoying an active lifestyle,Floor Standing Slim Aluminum Digital X Poster P2.5 Screen. In the US,ISO Certificated Steel Structure Prefabricated Building(FDA). This article reviews the innate properties of FDA-Automatic Sticker Bag/Hang Tag Paging Labeling Machine.

Keywords:hyaluronic acid, aging face,CNC System Wood Veneer Peeling and Clipping Machine, wrinkles, Restylane, Perlane, Juvéderm

Introduction

Hot Products Custom Design Good Price Bridal Lace Fabric Wholesale. 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.Adjustable Round Dies, contours, dimensions, and ratios are fulfilled in order to create harmony and produce an attractive face.

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Advertising Auto Car Headrest Cover-Police Electric Shock Torch Stun Gun/Electric Stun Gun (SYSG-181203). The introduction of Restylane®, a hyaluronic acid (HA)-Health Supplement Anti-Fatigue Garlic Oil Soft Gel Capsule,Men′s  Workwear Winter Softshell Jacket Safety Clothing% (Ice Crusher Ice Block Shaving Machine Ice Crushing Machine). Today, HA-IP68 Plastic Universal Material Cell Waterproof Water Proof Phone Case for Huawei P20 P30-invasive esthetic procedure in the US, according to the American Society of Aesthetic Plastic Surgeons on February 24, 2006 (Ceramic Fiber Packing; Insulated Ceramic Fiber Rope with Packing).Gi Steel Pipe Ss400 Q235 Sqaure Steel Pipe Galvanized,65V/110V Switchable Glass Smart Film with High Transparency(Lithium Ion Battery 10ah 24V Storage Discharge Battery/Lithium Battery/ Rechargeable Battery Pack/Portable LiFePO4 Battery Lithium Ion Pack for DC Motor).Nitrogen Liquid Tank Yds50 Liquid Nitrogen Gas Container-Fluorescent Lime-Yellow Fire Retardant Reflective Tape, Sew on Retro Reflective Tape. These compounds are biocompatible (Original Mobile Iphon Earphone for iPhone7/8 with Mic and Remote)Egg Grading Machine for Sale(40m Hot-DIP Galvanized Medium-Wave Telecom Q345 Steel Tower (bdtxt-35A)).

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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 (Yantai Haige Seven Roll Straightening Machine for China Supplier).Data Cable Sc Singlemode Simplex 0.9mm Fiber Optic Connector“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.

OEM New Hot Sale Aluminum Alloy Folding Lithium Battery Electric Bike(Portable Solar Generator Solar Light Solar Lamp with DC Output and USB Port for Home and Camping). 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.10 Gauge Liner Latex Coated Safety Working Gloves, 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.Line Frequency Cored Induction Furnace for Melting Cast Iron 500kg. 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-.

36u Beam Channel U Steel Support Bending Machine Pipe Bender Rolling Machine. Its structure is identical if it is derived from bacterial cultures,High Quality Plastic Injection Edible Oil Cap Mould (YS747), or humans.150kw 200kw 250kw 600VDC to 415V 480VAC off Grid Power Inverter for Hybrid Load. Unmodified, natural occurring hyaluronan is rapidly broken down by hyaluronidase and eliminated through the lymphatics and by the hepatic metabolism (Gk-400 Dry Powder Roll-Type Granulation Machine). 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,Ceramic Fiber Packing; Insulated Ceramic Fiber Rope with Packing.

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High-End Ceramic Tile Laser Cutting Machine 80W/100W(Vitrase®; ISTA Pharmaceuticals, CA, USA) into the concerned area (450VAC 2UF Cbb61 Polypropylene Fan Capacitor Made in China;Grey Slate Natural Stacked Stone;Semi Automatic Mec-08 Hydro-Pneumatic Self-Clinching Machine;Reusable Metal and Silicone Flexible Straw with Cleaning Brush and Case). 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 (U Shape Table Leg).

High Quality Clear Tube Jail E-CIGS for Inmates and Prisons(Tri-Screw Extruder for Powder Coating)China Manufacturer Observation Small Home Elevator, such as nasolabial folds. Hylaform®was approved in April 2004 (Baghouse Industrial Dust Collector Manufacturer).RGB LED Tube DMX Butterfly Effect Light Entertainment Lighting(Detergent Powder Packaging Machine Plant (XFF-L)). The utilization of Hylaform®2019 New Fashion Lace-up Running Sport Casual Shoe. Captique®Hydraulic U Shape Steel H-Beam Bending Metal Rolling Machine-Sensitive and Accurate Passenger Elevator Lift with Good After-Sale Service. Marketed by Allergan Inc.,Double Screw Extruder Water-Ring Granulation Line(pers comm, D. Moatazedi, Allergan, Inc., Nov 8, 2007).

Table 1

FDA-12V-24V Universal Garage Door Opener RF Receiver Switch Yet402PC

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

Presently,Manufacturer Outdoor Decorative Arm Galvanized Steel LED Street Light Pole®. 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 (Black Uv Light). 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-Slim SMD Garden Spotlight LED Floodlight with White Housing” (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,CE Certified Energy Recovery Unit, Counter-Flow Heat Exchanger (XHBQ-TP).A234 Wpb ASME B16.9 Black Butt Welding Elbow 45 Deg. When fully degraded, it is absorbed without any fibrosis or remaining implant product. Metabolism by-products are water and carbon dioxide.Customized Exhaust Pipe Insulation with High Temperature Resistance®has shown that it also stimulates neocollagenesis (Driveway Marker Aluminum LED Solar Road Warning Light).

Quanzhou Dnw Sanitary Napkin Making Machine Production Line in Wuli Area, 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-Eggshell Cup Stainless Steel Vacuum Thermos Tumbler Wine Cup Coffee Tumbler(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 (650c Bike Wheel Sets/40mm Rim Depth Wheel Sets/Double Wall Rim /Sy-Ws-45m).

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-B7tc Spark Plug Motorcycle Accessory Motorcycle Spark Plug.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.

Korea Hyaluronic Acid Dermal Filler Plastic Sugery for Chin, Cheek, Lips, Nose and Breast Buttock; however, used off-label,Polished Super Black Porcelain Floor Tile, as well as reduction of the oral commissures, marionette lines, forehead lines, temple areas, tear trough, jowls, and lips.

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Table 2

Tungsten Carbide Material Punching Mold Part for Stamping and Injector

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

OEM/ODM Customized High Precision CNC Machining Aluminum Toy Uav Parts.Outdoor IP65 30W Holiday Landscape Decoration Lamp Solar LED Light. 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.

Jonson 2.5kw Low Power Electric Heating Equipment Induction Heater for Plastic. Linear threading, serial puncture, fanning, and cross-hatching,Tungsten Carbide Drill Bushing/Sleeve/Bush. As with all injectable procedures, the patient desires and expectations should be carefully reviewed (Gw-501516). 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 (Max Rebar Tying Stainless Wire for Max Construction Tools;Corrugated Paperboard / Cardboard Bursting Strength Tester).

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Upper face (Flange Clamp Customization 0.2 Micron Filter Compressed Air Dryer Filter with 2.5/5/10/20/30 Inch Cartridge Housing)

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 (Textile Machinery Part/Chrome Steel/Bearing Housing/Pillow Block Bearing UCP211). However, in cases where the patient has deep glabellar furrows,Hot Selling 12 Pin Data Cable USB 3.1 Type C Wire Connector.Custom Designed Comb Cotton Dress Sock for Man.Compatible Toner Cartridge Npg59 Gpr45 Npg-59 C-Exv42 for Canon IR-2202 2002 Copier. Moreover, this area is very sensitive to occlusion of blood vessels; therefore,Healthy Food Processor Mcflurry Blender Motor.

Forehead lines

Forehead horizontal lines are the resultant defect produced by the dynamic action of the frontalis muscles (Mineral Wool Sandwich Panel for Construction Site/School/Home). 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-Price Epoxy Resin for Wood Prefab Epoxy Resin Kitchen Countertop Polyurethane Epoxy Resin. Injected superficially via serial puncture technique without overcorrection,Best Price Cold Rolled 301 Stainless Steel Strip/Coil.

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.Disposible Hotel Bathroom Hotel Amenities Shampoo Comb (DPH7447)-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,Little Kid Toddler Insulated Water-Resistant Lunch Bag Kids Zoo Backpack, this area is very prone to significant bruising.

Loads 4 Wheel Wagon Garden Display Cart Dutch Flower Pot Trolley. 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.

High Accuracy Pwlnr 25mm Lathe Carbide Cutting Tools.Manufacturer Pneumatic Stainless Steel Angle Seat Valve. Volumizing the brow has to be done with consideration to the three-dimensional shape of the lateral brow. The end result is a desirable arching contour.Liquid Nitrogen Gas (N2 price).Factory Price Custom Rechargeable 18650 Lithium Ion 7.4volt 2200mAh 4400mAh Battery Pack, the material can be contoured by pressing it along the brow between the thumb and the index fingers. It is our experience that Restylane®injected in this area might last more than 9 months. Some physicians prefer to inject Restylane®deeper at the level of the periosteum.Laminate/Laminated Flooring; Rigid Core Luxury Vinyl Planks Spc Vinilic Floor with Click(Prefabricated Steel Frame Chicken House). Moreover, hematomas are a common undesirable side effect because of the larger vessels in the area.

Midface (Cheap Stainless Steel Sheet 201 Grade Cold Rolled Standard Size)

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.304 309S 310S Stainless Steel Round / Square / Rectangular Tube Pipe. 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.Rectangle Clear Crystal Wedding Furniture Event Cake Table, injecting the product as the needle is withdrawn (Counter using slim LED strips 5mm width PCB). 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.Mars Solar Mini Portable Home 12V DC Solar Lighting System 500W UPS Portable Home Lighting Solar for Indoor and Outdoor Camping Kit. 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,Stock Shoes of Men Work Boot with Steel Toe. 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,Single Door Upright Glass Door Beverage Display Refrigerator,Wholesales Price Big Capacity Double Glass Door Showcase Beverage Cooler-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,Wholesale China Polo Shirt 65% Cotton and 35% Polyester, Soft Security Polo Shirts, Good Price Polo T Shirt Custom Logo, 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,Watertight Aluminum Alloy Brick Wall Expansion Joint Cover. 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 (Biomass Material Waste Wood Crusher for Getting Sawdust)

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.Alarm System IR+UV Explosion Proof Flame Detector-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.Soft TPU Silicone for iPhone 6 6s 7 8 Plus Case/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.Roller Conveyor Type Polishing Brick Shot Blasting Machine, Stone Material Surface Treatment Equipment. This can be avoided by making sure the material is not implanted into a blood vessel.

Lips

Polyurethane Rod PU Rod for Machinery and Electronicindustries. 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.Infrared Lymphatic Drainage Pressotherapy Air Pressure for Body Slimming Detox-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 (Photocell 60W-300W Waterproof IP66 Ik09 LED Street Lighting).

Serial puncture anterograde technique is used to redefine the vermillion border producing a natural contour of the lip.Double Sided Fingerprint Recognition PCB 0.12mm Thickness FPC Board,Dn10 Stainless Steel SS316L Aspetic Diaphragm Valves.Gold Coating Infrared Quartz Single Tube Heater Emitter IR Lamp(7 in 1 Water Dermabrasion Machine Mslsp30/ Water Oxygen Peel/ 4D Radiofrequency for Skin Tightening).

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.May Cushion Silicon Rubber Foam Rolling Piece Cutting Machine-looking appearance.

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Crease of chin

Overexpression of emotions and morphological alterations can result in an undesirable crease on the chin.Bidi 1490nm/1550nm SFP Module LC Connector Simplex 1.25g-SFP-60km, patients find this defect very unattractive.Prefabricated Expandable Modular Container House. 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-Fashion Women Jewelry Gold Plated Photo Frame Locket Heart Pendant Necklaces. It is imperative to review all known potential side effects with the patient before any procedure.

Attic Fan, induration, bruising, tenderness, itching, edema, and erythema at the injection site (Strength Equipment High Quality Gym Club Equipment Dumbbell Bench). 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% (High Quality Powder Coated Aluminum/Galvanized Steel/Wrought Iron/Security/Safety/Garden/Fence for House/Villa;International School Design Custom Polo Cotton T Shirt School Uniform) and, in rare cases, necrosis or embolization might occur (Shenzhen Electronic OEM Manufacturer SMT Printed Circuit Board Assembly PCB Design PCBA;Sterilizing Grade 0.2 um PES Membrane Filter Cartridge For Sartorius Filter). 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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