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Entries in Filler Injections (5)


Captique Injections

Captique Injections ~ Another Hyaluronic acid injectable filler recently on the market is Captique. Similar to other Hyaluronic acid injections Captique works to improve fine to deep lines and wrinkles around the lip, nose and eye area.

Captique works by attracting and binding the body’s moisture to the area to increase the support system under the skin. This in turn stretches the skin smooth giving the face a plump finish.

Captique uses NASHA (Non-Animal Stabilized Hyaluronic acid) so it is not necessary to perform an allergy test prior to treatment. Captique comes in a gel form that is injected below or into the dermis depending on the desired effect.

The injection process will be almost identical to the other Hyaluronic acid dermal fillers. A thorough consultation and medical history will be taken by the medical provider and the area of injection will be determined. Patients will then be informed of any medications that could cause complications with the injection process. If there are concerns they will be advised to forgo use until procedure is completed.

On the day of the procedure the area for injection will be cleansed and all makeup will be removed. A topical anesthetic may be used prior to treatment to minimize discomfort during injections. The medical provider will then inject small amounts of Captique in the areas to be filled using an ultra fine needle.

Once the injection is completed the patient will be informed of any short term adverse affects including, erythema, irritation, bumps (inflammation) at the injection site.

Results of Captique injections last anywhere from 6-12 months and depending on the area to be filled may require touch-ups to maintain best results. The following are contraindications to Captique:

  • Known hypersensitivity to NASHA or any of it’s ingredients
  • Hypertrophic scarring
  • Skin pigmentation disorders
  • Susceptibility to keloid formations
  • Safety has not been tested on patients under the age of 18 or in women who are pregnant or breast feeding.

Juvederm Injections

Juvéderm Injections ~ Another Hyaluronic acid filler gaining popularity is Juvéderm™ manufactured by the same company that makes Botox® cosmetic injectable.

Juvéderm™ is also FDA approved, non-animal dermal filler gel used to correct mid to deep dermis wrinkles. Juvéderm™ works best on wrinkles in the lower 1/3 of the face like nasolabial folds (smile or laugh lines) and oral commissures (marionette lines).

After the gel is injected it maintains the area’s shape by attracting and binding the body’s moisture to the area.

One of the differences in Juvéderm injections and other Hyaluronic acid fillers is that it comes in two formulas Juvéderm™ Ultra and Juvéderm™ Ultra Plus to treat different wrinkle depths of area’s needing to be filled. Also the base of the injectable is smooth gel vs. a granular gel used by some other fillers. Juvéderm™ has been tested and shows no hypertrophic scaring in patients of color.

The injection process is similar to that of other Hyaluronic acid fillers including a thorough consultation prior to treatment. The injection area will be determined and cleansed removing all makeup and

Juvéderm™ will be injected with an ultra fine needle. Treatment will take approximately 15 minutes and immediately after the injection the medical provider may massage the area to even the distribution of the filler to the area.

Patients should avoid excess sun, strenuous activity and alcohol for a 24 hour period to minimize the risk of swelling and erythema.

Results for Juvéderm™ Ultra and Juvéderm™ Ultra Plus are up to 6 months however additional injections will be needed after that to maintain lasting results.

Contraindications and considerations to Juvéderm injections:

  • Patients with a history of anaphylaxis or multiple severe allergies.
  • Patients with an allergic history to gram-positive bacterial protein.
  • Patients that have recently undergone laser, chemical peel or other procedures requiring a dermal response.
  • Patients with a lower immune response may have an increased risk of infection.
  • Safety for pregnant women and peoples under the age of 18 has not been established.

Restylane Injections

Restylane injections are made up of a natural cosmetic clear gel dermal filler which uses NASHA (non-animal stabilized Hyaluronic acid). It was FDA Approved to correct and restore fullness to areas where collagen and elastin have depleted.

The most common area of treatment is the nasolabial folds which are the deep creases that form parenthesis around the corners of the mouth. Unlike rooster derived Hyaluronic acid or bovine derived collagen products, Restylane is free of animal proteins limiting the risk of animal-based disease transmission or the body rejecting the injection causing an allergic reaction.

Patients receiving any injectable should expect to go through an extensive medical history consultation process prior to the procedure. This is also the time to discuss expectations of the client and the medical provider. During this consultation patients should divulge allergies as well as any vitamins or medications they are taking. Prior to injections patients should avoid using aspirin, non¬steroidal anti-inflammatory medications, St. John’s Wort, or high doses of vitamin E. These may increase the risk of edema or bleeding that the injection site.

During treatment the area will be cleansed removing all makeup. The medical provider may opt to topically anesthetize the injection sites for client comfort but it is not necessary. Restylane® will then be injected under the skin with an ultra fine needle for minimal discomfort.

Results are immediate and some side effects of the procedure include inflammation and erythema that could last up to seven days. Patients will need to return for additional injections in about six months.

Restylane Injections: Contraindications or Considerations

  • Pregnancy or Breastfeeding
  • Patients with an allergic reaction to gram-positive bacterial proteins
  • Patients with a susceptibility to hypertrophic scarring-characterized by a red bump that does not exceed the boundaries of the damaged tissue and usually fades over time or keloid formation—scars that can continue to grow beyond scar boundaries into benign tumors .
  • Laser or chemical peel patients after treatment with Restylane® could experience inflammatory conditions.

Hyaluronic Acid

Hyaluronic acid is a naturally occurring “water loving” substance in the human body. It attracts and binds 1000 times its weight in moisture making it ideal for the base of a dermal filler.

Until recently Hyaluronic acid was extracted from roosters because of its similar composition to human Hyaluronic acid.

Two Types of Hyaluronic Acid

NASHA (non-animal stabilized Hyaluronic acid): The process is very sophisticated. First, specially bioengineered bacteria produce Hyaluronic acid (HA) nearly identical to human HA. Then the HA is purified and treated with an agent that firms it up into a gel form. The HA is then dispersed into Microspheres of different sizes making it suitable for injecting.

Avian Hyaluronic Acid: Harvested from the comb of the rooster, this type of HA will have amounts of avian protein which could lead to allergic reactions in patients.


Collagen Injections

Cosmetic Collagen Injections

Collagen has been used since the 1970’s as a dermal filler in cosmetic procedures after searching for alternatives to skin grafting lead researchers to discover the ability to purify bovine collagen for uses in implanting. The definition according to Wikipedia states that collagen is the main protein in the connective tissue of animals and the most abundant protein in mammals, making up 25% of total protein content. As a long fibrous tissue it plays a key role in cartilage, ligaments, bones, teeth, bones and along with keratin, skin support. Its primary function is support cells and tissues.

Injectable collagen is generally derived from young cattle (bovine). Manufacturers use a process of raising the cattle in closed herds to protect them from disease or using hides from donor cattle of closed herds. The collagen is then extracted and purified for use in the injection and filling process.

Bovine collagen is used because of its similarities molecularly to human collagen. It is also very readily available which makes it an attractive product.

In about 5% of cases the client’s body may recognize the collagen product is not their own causing a negative reaction of erythema and swelling.

Even with recent health and safety standards improving many medial physicians have abandoned collagen because of its margin of reaction as well as a risk of disease being passed from animal to human.

Collagen is used to fill deep wrinkles and creases in the skin or add fullness to areas like the lips a client would like to enhance.

Collagen Injection Process:

The injection process will not begin until a complete client consultation is performed by the physician or medical assistant. An allergy test is recommended but not required and should be administered approximately 4 weeks prior to desired appointment date. Once it is determined that the injection will be safe for the client a future appointment will be booked. During the consultation your physician will ask questions regarding medications, allergies, and pregnancy. Individuals allergic to lidocaine, beef or bovine products, which are pregnant or, have any autoimmune disorders are contraindicated to collagen injections.

The day of the injection the client will have the area to be injected cleaned removing all makeup. Because lidocaine is mixed with the collagen to be injected, topical anesthetics are not necessary. Using an ultra fine needle collagen will be injected into areas of the face with multiple injection sites. Following the injections the client may experience some erythema, stinging and swelling which are all normal reactions to the injection. Edema or scabbing of the injection needle points may occur also. Patients can go back to their every day routine immediately including exercise and wearing makeup.

Results of collagen injections last anywhere from 6-12 weeks depending on the area of injection.

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