Since the Food and Drug Administration (FDA) approval of the fi rst injectable hyaluronic acid for correction of facial wrinkles in 2003, there has been an explosion of natural and synthetic fillers in the medical cosmetic market and millions of procedures are now performed annually. At the time of writing, we currently have 14 injectable devices approved by the FDA from which to chose: five collagen products of bovine (Zyplast, Zyderm), porcine (Evolence) or human origin (Cosmoplast, Cosmoderm); six hyaluronic acid products (Restylane/Perlane, Juvéderm Ultra and Ultra Plus, Elevess, Prevelle Silk); calcium hydroxylapatite (Radiesse); and the synthetic poly-L-lactic acid (Sculptra) and the permanent polymethylmethacrylate (Artefill). Liquid injectable silicone (Silikon-1000) is available only off - label as a permanent injectable filler. There is no "one best" filler or "one right way" to achieve a beautiful and natural result. Although the hyaluronic acids dominate the marketplace, all of these fillers have an important and useful role, and are often used to best effect in combination.
The goal of this book is to present the basic science, review safety and efficacy data that have led to FDA approval, and outline patient selection, safe, and effective injection techniques, and appropriate indications for each filler. It should be noted that most FDA studies leading to approval have formally studied most fillers only in the nasolabial fold. Other indications that are outlined (such as volumizing the lip and cheek) in this book are considered “ off - label ” in the USA, meaning that, although it is legal to inject these areas, the FDA has not reviewed safety or efficacy data and granted a formal indication for such use.
This book demonstrates effective, best-practice use for superb patient results. Augmented by a DVD of procedural videos, it shows you how to match patient, treatment, and filler for maximum results.
The goal of this book is to present the basic science, review safety and efficacy data that have led to FDA approval, and outline patient selection, safe, and effective injection techniques, and appropriate indications for each filler. It should be noted that most FDA studies leading to approval have formally studied most fillers only in the nasolabial fold. Other indications that are outlined (such as volumizing the lip and cheek) in this book are considered “ off - label ” in the USA, meaning that, although it is legal to inject these areas, the FDA has not reviewed safety or efficacy data and granted a formal indication for such use.
This book demonstrates effective, best-practice use for superb patient results. Augmented by a DVD of procedural videos, it shows you how to match patient, treatment, and filler for maximum results.
Taking a patient-centered approach, Dr. Jones reviews the advantages and disadvantages of each filler according to anatomical application. Opening chapters cover the cosmetic patient consultation and guidelines for local anaesthesia in the use of injectable fillers, followed by individual chapters on:- Hyaluronic Acids
- Calcium Hydroxylapatite Microspheres
- Evolence and Evolence Breeze
- Sculptra
- Liquid Injectable Silicone
- Hydrogel Polymers
- Artefill
An extensive chapter on complications from soft-tissue augmentation of the face explains how to avoid and manage peri-procedural issues. Closing chapters supply a cheek enhancement guide for the aesthetic injector and a review of the clinical applications of hyaluronic acids, which are currently the most commonly used fillers.
With careful coverage of basic science, safety and efficacy data that have led to FDA approval, safe and effective injection techniques, and appropriate indications for each filler, this concise volume provides a dependable source of important information for dermatologists, aesthetic medicine practitioners, plastic surgeons, and all practitioners who work with injectable fillers.
Contents
Chapter 1 The Cosmetic Patient Consultation
- Cosmetic office practice
- The three components of CPC
- Setting
- Education
- Assessment
- Option I: Mixing anesthetic with dermal filler immediately before administration
- Option II: Pre-treatment with anesthetic agents
- Topical anesthetics
- Physical aids
- Environmental aids
- Tips for reducing discomfort
- General comments about use of local anesthesia using lidocaine solutions
- Treatment supplies for dermal filler injections
- Distribution of sensory nerves in the mid - and lower face
- An infraorbital block
- A "mini-block" for treatment of NLF
- A mental nerve block
- Local tissue infiltration
- Conclusion
- Acknowledgments
- Hyaluronic acids as dermal fillers
- Crosslinking
- Concentration
- Gel hardness
- Particle size
- Conclusion
- Properties and mechanism of action
- Pivotal trials
- Clinical experience
- Efficacy
- Duration
- Safety of CaHA in facial augmentation
- Nodules
- Radiographic properties
- Considerations for facial augmentation with CaHA
- Pain management
- Injection techniques
- Midface injections
- Lower face
- Post-treatment procedures
- Conclusion
- History of injectable collagen implants
- Evolence / Evolence Breeze
- Duration and clinical efficacy
- Safety
- Complications
- Clinical use of Evolence / Evolence Breeze
- Injection techniques
- Conclusion
- Introduction
- History
- Mechanism of action of PLLA
- Product preparation and injection technique: optimizing outcomes
- Product reconstitution
- Product amount
- Product placement Product placement precaution
- Treat, wait, assess
- Aftercare
- Predicting and planning outcomes / Patient selection and preparation
- Predicting outcomes
- Patient selection
- Patient preparation
- Understanding the aging face and the effects of volume loss
- Skin
- Fat
- Muscle
- Bone
- Facial analysis and mapping
- Complications
- Summary
- Basic science
- Mechanism of action
- History
- Controversy
- Indications and patient selection
- Instrumentation
- Patient p reparation
- Injection technique
- Side and effects and managing complications
- Summary
- History and science
- Indications
- Technique
- Bio-Alcamid
- Aquamid
- Argiform
- Interfall
- Potential adverse reactions
- Management of adverse reactions
- Conclusion
- History
- Mechanism
- Safety and efficacy
- Practical applications
- Approach to granulomas
- Summary
- Injection site reactions
- Nodules and papules
- Granulomas
- Hypertrophic scarring
- Infection
- Hypersensitivity reactions
- Necrosis
- Conclusion
- Facial beauty
- The story of phi
- The math to the beautiful cheek
- Technique
- Modifications for the male cheek
- Learn to think in combineese (the language of combination therapy)
- HA fillers
- Restylane
- Perlane
- Juvéderm
- Prevelle Silk
- Hydrelle
- Indications
- Glabellar rhytids
- Lips and oral commissures
- Cheek volumizing
- Dorsal hand volumizing
- Infraorbital hollows (nasojugal folds, tear troughs)
- Safety
- Anesthesia
- Injection techniques
Product Details
- Hardcover: 192 pages
- Publisher: Wiley-Blackwell; Har/Cdr edition (May 18, 2010)
- Language: English
- ISBN-10: 1405192895
- ISBN-13: 978-1405192897
- Product Dimensions: 10.6 x 7.1 x 0.7 inches