Michael Gold1. 1. Department of Dermatology, Vanderbilt University School of Medicine, Nashville, TN, USA. goldskin@goldskincare.com
Abstract
BACKGROUND: The number of dermal fillers has expanded dramatically; clinicians can benefit from practical information on their optimal use. AIMS: To review key determinants of dermal filler performance, to discuss technical considerations, and to illustrate these factors based on the author's clinical experience. METHODS: Current literature pertaining to the physicochemical properties of hyaluronic acid (HA) dermal fillers and implications for clinical use was reviewed. The author provides clinical guidelines for optimizing outcomes, illustrated with three case examples. RESULTS: Hyaluronic acids are nonimmunogenic, versatile, reversible, and have excellent benefit-risk profiles, making them near-ideal filling agents. They differ in their manufacturing processes, viscosity, hardness, cohesivity, ease of injection, and ideal uses. Patient counseling and education with individualized selection of the appropriate agent is critical to provide satisfactory outcomes. CONCLUSIONS: Clinicians must be technically proficient, balance esthetic need with facial anatomy, and consider HA properties to provide optimal outcomes.
BACKGROUND: The number of dermal fillers has expanded dramatically; clinicians can benefit from practical information on their optimal use. AIMS: To review key determinants of dermal filler performance, to discuss technical considerations, and to illustrate these factors based on the author's clinical experience. METHODS: Current literature pertaining to the physicochemical properties of hyaluronic acid (HA) dermal fillers and implications for clinical use was reviewed. The author provides clinical guidelines for optimizing outcomes, illustrated with three case examples. RESULTS:Hyaluronic acids are nonimmunogenic, versatile, reversible, and have excellent benefit-risk profiles, making them near-ideal filling agents. They differ in their manufacturing processes, viscosity, hardness, cohesivity, ease of injection, and ideal uses. Patient counseling and education with individualized selection of the appropriate agent is critical to provide satisfactory outcomes. CONCLUSIONS: Clinicians must be technically proficient, balance esthetic need with facial anatomy, and consider HA properties to provide optimal outcomes.
Authors: Byung Wook Kim; Ik Jun Moon; Woo Jin Yun; Bo Young Chung; Sang Duck Kim; Ga-Young Lee; Sung Eun Chang Journal: Ann Dermatol Date: 2016-05-25 Impact factor: 1.444