DOCSLIB.ORG

Lip Augmentation

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Lip Augmentation AESTHETIC FOCUS Lip augmentation BY NESTOR DEMOSTHENOUS In the second of our two-part special focus on lips we are delighted to present this comprehensive clinical guide for practitioners undertaking lip augmentation. ips and eyes enhance facial beauty. Highlighting these has been dated back to Egyptian Ltimes where primitive forms of make-up were utilised to accentuate these features. Lip augmentation using fillers is increasingly more common and is one of the most sought after filler treatments. With celebrity endorsement and many media fuelled horror stories, it is paramount that aesthetic practitioners develop their skill and knowledge in this procedure. Lip functions and anatomy Lips are soft, movable, and serve as the opening for food intake, assist in mastication, and in the articulation of sound and speech. Human lips are a tactile sensory organ with densely packed nerve endings, and can be an erogenous zone when used in kissing. The upper and lower lips are referred to as the ‘labium superius oris’ and ‘labium inferius oris’, respectively. The juncture where the lips meet the Before and after photos of a patient treated with 1ml of Juvederm® Volift®. surrounding skin of the mouth area is the vermilion border, and the typically 16 layers. The lip skin contains fewer lateral to the angles of the mouth. The reddish area within the borders is called melanocytes, therefore the blood vessels lower lip lies between the mouth and the the vermilion zone. The vermilion border are visible through the skin of the lips, labiomental groove, which separates the of the upper lip centrally is known as making lips appear red. The skin of lower lip from the chin [1]. The upper and the Cupid’s bow. The vertical groove the lip forms the border between the lower lips are continuous at the angles of extending from the Cupid’s bow to the exterior skin of the face, and the interior the mouth or oral commissures. nasal septum is called the philtrum, with mucous membrane of the inside of the philtral columns on either side. mouth, joining at the wet dry border. The perfect lip It is approximately here that the labial The skin of the lip is very thin (with Lips are the central hallmark of the arteries are found. three to five cellular layers), compared lower face and when they are full and The lip skin is not hairy and does not to typical face skin, which has up to well-defined, they impart youth, health, have sweat glands. Therefore, it does attractiveness and sexuality. Wider, not have the usual protective layer of fuller curved lips with a high vermilion sweat and body oils which keep the skin and a short upper white lip are all signs “With celebrity endorsement smooth, inhibit pathogens and regulate warmth. For these reasons, the lips dry of female attractiveness [2]. One of our and many media fuelled out faster and become chapped more greatest challenges is to achieve natural horror stories, it is paramount easily. The skin of the lips is categorised results after lip augmentation. as stratified squamous epithelium, or To achieve natural results it’s that aesthetic practitioners flattened tissue cells. important to understand our underlying develop their skill and The upper lip lies between the nose anatomy, and just as important to assess and the orifice of the oral cavity. Laterally the lips before us accurately, so as to knowledge in this procedure” the lips are separated from the cheeks by be able to appreciate what is and isn’t the nasolabial grooves that extend from possible. the nose and pass approximately 1cm The rarely achievable ‘perfect lips’ pmfa news | FEBRUARY/MARCH 2017 | VOL 4 NO 3 | www.pmfanews.com AESTHETIC FOCUS should be curved, well-defined, with “I try to explain that a 1ml techniques for lip procedures. It is a crisp Cupid’s bow. The proportions important for the practitioner to develop of Phi (1:1.6) contribute greatly to the syringe of filler will not different techniques and be comfortable perfect lip, where the lower lip should make their lips twice the size using different fillers so as to use an be 1.6 times thicker than the upper lip. appropriate methodology and product, The lower lip should also be longer than of a 0.5ml, but that a 1ml depending on the lips before them. the upper lip. Mouth corners should filler will afford me more The product can be a soft or medium be at least straight and preferentially thickness hyaluronic acid filler. My maybe slightly elevated. Again drawing opportunity to address size, personal preferences are Juvéderm® from Euclid’s proportions, the distance shape and border, and ask VOLIFT® or ULTRA 3®, and Belotero between the nose and upper lip should them to think of filler as a Balance® or Intense®. represent 1 to the 1.6 of the distance from the lower lip to the chin. tool to achieve better lips” Border definition Lips are of course three dimensional Retrograde linear injections along, or just structures and practitioners must also below, the vermilion border will help give look at the profile of patients when a sharp border and help to slightly evert evaluating them. Steiner line is the line lips. Careful attention and respect must from the mid-nares to the chin [3]. The lip definition. The lower lip will become be given to the Cupid’s bow, as losing this lips should just barely touch it. When shorter than the upper lip, and the will negate the essence of the top lip. they cross this line, the lips have been lower lip and chin area lose height. The Give a 0.05ml retrograde linear injection over projected. Our aim should be to proportions of Phi are therefore distorted along each column, entering at the apex achieve vertical, not anterior, projection. and a 1:1 ratio of upper to lower is seen. of the Cupid’s bow, with a small bolus An important point to check when deposited just before withdrawing the augmenting the lips is the nasal labial Assessment and technique needle (Note: pinch the column while angle. Armijo et al. found this should doing this). Patients attending for lip fillers have be 93.4 to 98.5 degrees for men and their own specific concerns. Some are 95.5 to 100.1 degrees for women [4]. The Volume worried about a ‘thin top lip’, others concavity of the upper lip should also be Once again linear, retrograde injections purely want their lips bigger. Older assessed. There should be a ‘ski-jump’, so into the vermilion, this time 2-3mm patients may wish to restore the volume a slight elevation at the vermilion border parallel to the border, can help that has been lost. It is vital to take into of the upper lip along the whole length; volumise lips. Another technique is consideration the patient’s wishes, and this point is called the Glogau-Klein bolus injections anterior to the wet dry assess not only their lips, but the entirety point, (point of inflection as the lip turns border, entering percutaneously from of both the peri-oral area and full face. from glabrous skin to mucosa) avoiding above or below the vermilion border At the consultation it is important ‘shelves’, ‘duck-lips’ and other nick names (above for top lip, below for lower lip). to advise what is appropriate and associated with over correction. This is then gently massaged to smooth achievable for the patient’s lips, and Asiatic lips are different from out the product. Aspiration should be what is not. Only when both practitioner Caucasians; they have a relatively fuller incorporated with this technique to and patient are happy to proceed should upper lip, but when thinking about avoid depositing filler intravascularly, treatment be carried out. beauty, the lower lip should be a little as the arterial blood supply runs along When assessing a patient’s lips, I bit thicker. Far fewer male patients the wet dry border. This technique personally sit next to the patient, with attend for lip augmentation, although is very valuable when trying to evert both of us looking into the mirror and it is becoming more common. Males inverted lips laterally. Two to three such explain which features fillers can and actually have thinner lips than females injections from the corner of the mouth, cannot address. Areas discussed include and Caucasian males have the thinnest roughly 5mm apart, will give a mild, but lips. Thin lips are actually considered defining the vermilion border, Cupid’s noticeable result. masculine and males with fuller lips bow and philtral columns, volumising The lower lip should be given the will look a little more feminine. There the lips a little centrally and laterally same attention to detail as the top lip. It are some men attending clinic for lip above and centrally below, as well has protuberances and areas of higher augmentation and practitioners must as everting the corners of the mouth and lower levels. The mid point is our have a specific treatment plan for them superiorly to achieve a fuller lip. In apex and should be everted slightly. as opposed to just performing the same patients with mandibular retrognathia, Percutaneous bolus injections into the procedure as would be done on a female chin augmentation is discussed as this protuberances can help give structure to patient. will impact what and how much can be the lower lip. Through ageing lips become thin and achieved in the lips. A patient’s dentition Lastly the corners of the mouth should lose their curves. The upper lip becomes must also be taken into consideration, be attended to.
Load more

Recommended publications
  • Case Report Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty
    Hindawi Case Reports in Surgery Volume 2018, Article ID 1947807, 8 pages https://doi.org/10.1155/2018/1947807 Case Report Feminizing the Face: Combination of Frontal Bone Reduction and Reduction Rhinoplasty C. J. Salgado , H. AlQattan , A. Nugent, D. Gerth, W. Kassira, C. S. McGee, and L. Wo Division of Plastic, Reconstructive, Transgender, and Aesthetic Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USA Correspondence should be addressed to C. J. Salgado; [email protected] Received 24 December 2017; Revised 23 April 2018; Accepted 6 June 2018; Published 2 July 2018 Academic Editor: Gaetano La Greca Copyright © 2018 C. J. Salgado et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Gender affirmation surgeries in male-to-female patient transitioning include breast augmentation, genital construction, and facial feminization surgery (FFS). FFS improves mental health and quality of life in transgender patients. The nose and forehead are critical in facial attractiveness and gender identity; thus, frontal brow reduction and rhinoplasty are a mainstay of FFS. The open approach to reduction of the frontal brow is very successful in the feminization of the face; however, risks include alopecia and scarring. Endoscopic brow reduction, in properly selected patients, is minimally invasive with excellent outcomes avoiding these risks. Since both reduction rhinoplasty and frontal brow reduction are routinely performed in FFS, a combined approach provides superior control over the nasal radix and profile when performing surgery on the frontal bone region first followed by nose reduction.
    [Show full text]
  • Late-Onset Inflammatory Adverse Reactions Related to Soft Tissue Filler Injections
    Clinic Rev Allerg Immunol DOI 10.1007/s12016-012-8348-5 Late-Onset Inflammatory Adverse Reactions Related to Soft Tissue Filler Injections Jaume Alijotas-Reig & Maria Teresa Fernández-Figueras & Lluís Puig # Springer Science+Business Media New York 2013 Abstract An ever-increasing number of persons seek medi- immunogenic or that complications are very uncommon, un- cal solutions to improve the appearance of their aging skin or wanted side effects do occur with all compounds used. for aesthetic and cosmetic indications in diverse pathological Implanted, injected, and blood-contact biomaterials trigger a conditions, such as malformations, trauma, cancer, and ortho- wide variety of adverse reactions, including inflammation, pedic, urological, or ophthalmological conditions. Currently, thrombosis, and excessive fibrosis. Usually, these adverse physicians have many different types of dermal and subder- reactions are associated with the accumulation of large numb- mal fillers, such as non-permanent, permanent, reversible, or ers of mononuclear cells. The adverse reactions related to non-reversible materials. Despite the claims of manufacturers fillers comprise a broad range of manifestations, which may and different authors that fillers are non-toxic and non- appear early or late and range from local to systemic. Clini- cians should be aware of them since the patient often denies the antecedent of injection or is unaware of the material The contents of the manuscript have not been previously published and employed. Most of these adverse effects seem to have an are not being considered by any other journal elsewhere at this time. All authors agree with the contents of the article and also having their immunological basis, the fillers acting more as adjuvants than names included in the list of authors.
    [Show full text]
  • Filler Pearls: Refining the Art of Injection
    COVER STORY Filler Pearls: Refining the Art of Injection Pain control is essential to treatment success with dermal fillers. Here’s an update on pain management and other tactics to ensure patient comfort and optimize outcomes. BY JOSEPH NIAMTU, III, DMD n the process of learning, new procedures are introduced than not reflects on the practitioner. Many doctors just “don’t by a small group of surgeons and disseminated to the mass get” pain control, others are not proficient with local anesthetic of private practitioners. Initially, the procedure is performed techniques, and others are just plain lazy. Providing local anes- verbatim as it was learned and gradually practitioners begin thesia definitely takes longer and slows the procedure down, Ito adjust their technique based upon trial and error. This leads but I guarantee that it will pay off in new patients and retention to changes in the way the original procedure was described and of current patients. Again, patients will eventually migrate to most often represents progress in terms of better outcomes painless practitioners. with fewer complications. Although less evidence-based, the What about the new fillers that contain lidocaine? I am not “how I do it” method is of great interest to all doctors. This is a fan of them for the simple reason that effective pain control what I personally enjoy the most about going to meetings and should be delivered before the painful treatment. It takes sever- lectures. Astute doctors always seek a better way to perform a al minutes for local anesthesia to diffuse and become effective.
    [Show full text]
  • Complications of Injectable Fillers and Neurotoxins
    Dermatologic Therapy, Vol. 24, 2011, 524–536 © 2012 Wiley Periodicals, Inc. Printed in the United States · All rights reserved DERMATOLOGIC THERAPY ISSN 1396-0296 Complications of injectable fillers and neurotoxinsdth_1455 524..536 Sue Ellen Cox*&Chris G. Adigun† *Aesthetic Solutions and †Department of Dermatology, New York University Ronald O. Perelman, Chapel Hill, North Carolina ABSTRACT: All cosmetic injectable products are associated with the risk of both early and delayed complications. Early and expected side effects include swelling, bruising, and erythema at the injection. It is of utmost importance that patients are educated on the treatment they are consenting to receive and the potential risk of these therapies. Side effects of the various cosmetic injectable products, including both injectable neurotoxins and soft tissue fillers, are often technique associated, such as placing the filler too superficial or unintentional paralysis of facial muscles. Other complications, such as necrosis, intravascular injections, and infection may not be entirely technique-dependent, and must be managed swiftly and effectively. Finally, immunologic phenomena, such as delayed-type hypersen- sitivity reactions and foreign body granulomas, are complications that have no relationship to tech- nique, and thus proper counseling and knowledge of management is required. KEYWORDS: botulinum toxin, complications, injectables Introduction safety profiles with rare AEs associated with their use. However, despite their impressive safety pro- Cosmetic use of injectable fillers and neurotoxins is files, complications can and do occur. Given these a growing field, with utilization of these products are elective treatments, extreme care to prevent AEs increasing annually. Neurotoxins and soft tissue by practitioners is paramount. fillers were the top two minimally invasive cosmetic procedures performed in 2009 according to the American Society of Plastic Surgeons.
    [Show full text]
  • Understanding, Avoiding, and Managing Dermal Filler Complications à JOEL L
    Understanding, Avoiding, and Managing Dermal Filler Complications à JOEL L. COHEN,MD BACKGROUND Dermal fillers are increasingly being utilized for multiple cosmetic dermatology indications. The appeal of these products can be partly attributed to their strong safety profiles. Nevertheless, complications can sometimes occur. OBJECTIVE To summarize the complications associated with each available dermal filling agent, strategies to avoid them, and management options if they do arise. METHODS AND MATERIALS Complications with dermal fillers reported in peer-reviewed publications, prescribing information, and recent presentations at professional meetings were reviewed. Recommen- dations for avoiding and managing complications are provided, based on the literature review and the author’s experience. RESULTS Inappropriate placement or superficial placement is one of the most frequent reasons for patient dissatisfaction. Due to the reversibility of hyaluronic acid, complications from these fillers can be easily corrected. Sensitivity to any of the currently approved FDA products is quite rare and can usually be managed with anti-inflammatory agents. Infection is quite uncommon as well and can usually be managed with either antibiotics or antivirals depending on the clinical features. The most concerning complication is cutaneous necrosis, and a protocol to treat the full spectrum of this process is reviewed. CONCLUSIONS Complications with dermal fillers are infrequent, and strategies to minimize their incidence and impact are easily deployed. Familiarity with each family of soft-tissue augmentation products, potential complications, and their management will optimize the use of these agents. Dr. Cohen is a Consultant and Clinical Trial Participant for Allergan, Inc., BioForm Medical, Inc., ColBar Life- Science Ltd., Medicis Pharmaceutical Corporation.
    [Show full text]
  • Lymphangioma Formation Following Hyaluronic Acid Injection for Lip Augmentation
    Open Access Case Report DOI: 10.7759/cureus.12929 Lymphangioma Formation Following Hyaluronic Acid Injection for Lip Augmentation James Wege 1 , Mohammed Anabtawi 2 , Mike A. Blackwell 3 , Alan Patterson 4 1. Oral and Maxillofacial Surgery, Castle Hill Hospital, Hull, GBR 2. Oral and Maxillofacial Surgery, Chesterfield Royal Hospital, Chesterfield, GBR 3. Oral and Maxillofacial Surgery, Leeds General Infirmary, Leeds, GBR 4. Oral and Maxillofacial Surgery, Rotherham National Health Service Foundation Trust, Rotherham, GBR Corresponding author: James Wege, [email protected] Abstract Administration of hyaluronic acid (HA) filler for aesthetic lip augmentation is a routine and common procedure with a low rate of adverse reactions. This case report documents an extremely rare complication of lip augmentation with HA leading to the development of lymphangiomas. Lymphangiomas are uncommon hamartomas of the lymphatic system. Although usually congenital, they can be acquired due to trauma, inflammation, or lymphatic blockage. They may be in the deep or superficial tissues, with superficial forms being either lymphangioma circumscriptum or acquired lymphangioma, also referred to as lymphangiectasia. Acquired lymphangiomas are typically formed by blockage of lymphatic drainage leading to dilation of the lymphatic channels. The diagnosis in our case report is acquired lymphangioma. A 27-year-old female presented with a two-year history of linear swellings in her upper lip. These lumps followed the line where HA filler had been injected four years earlier. Hyaluronidase had previously been used unsuccessfully to remove these lumps. The patient was treated with surgery to excise the lesions. Five masses were excised, and histopathological analysis displayed the presence of variably ectatic lacunae, lined by cells with CD34 expression, a lymph-vascular-endothelial marker.
    [Show full text]
  • Submucosal Injection of Micronized Alloderm
    EXPERIMENTAL Submucosal Injection of Micronized Acellular Dermal Matrix: Analysis of Biocompatibility and Durability Jeffrey B. Wise, M.D. Background: Posterior pharyngeal augmentation is a recognized treatment for David Cabiling, B.S. velopharyngeal insufficiency in selected candidates. To date, however, the pro- David Yan, M.D. cedure has failed to gain widespread acceptance because of the absence of an Natasha Mirza, M.D. implant material with sufficient safety, durability, and biocompatibility. In this Richard E. Kirschner, M.D. study, the use of micronized acellular dermal matrix injection for augmentation Philadelphia, Pa. of the posterior pharynx was investigated. Using a porcine animal model, the safety and durability of posterior pharyngeal augmentation by micronized de- cellularized dermis was evaluated. Methods: Twelve Yorkshire piglets were used in this study. Under general anesthesia, porcine-derived micronized acellular dermal matrix was injected into the submucosa of the right side of the pharynx. At 30 days, the animals were euthanized, and the implants and surrounding tissues were assessed grossly for degree of augmentation and histologically to determine the extent of host cell infiltration, vascularization, and matrix deposition and remodeling. Results: No animal perioperative or postoperative morbidity resulted from the operations. When the animals were euthanized and the tissue was harvested at 30 days, there existed no evidence of gross augmentation on the experimental side of the pharynx in any of the specimens. Histologic analysis demonstrated trace amounts of residual implant, with extensive host lymphocytic infiltration of the material. Conclusions: Although micronized acellular dermal matrix is a safe material when injected into the pharyngeal wall, this study demonstrated that it is not a durable implant at this site.
    [Show full text]
  • 10.01.514 Cosmetic and Reconstructive Services
    MEDICAL POLICY – 10.01.514 Cosmetic and Reconstructive Services Effective Date: June 1, 2021 RELATED MEDICAL POLICIES: Last Revised May 4, 2021 1.01.11 Adjustable Cranial Orthoses for Positional Plagiocephaly and Replaces: N/A Craniosynostoses 7.01.153 Adipose-Derviced Stem Cells in Autologous Fat Grafting to the Breast 7.01.508 Blepharoplasty, Blepharoptosis and Brow Ptosis Surgery 7.01.519 Treatment of Varicose Veins/Venous Insufficiency 7.01.521 Mastectomy for Gynecomastia 7.01.523 Panniculectomy and Excision of Redundant Skin 7.01.533 Reconstructive Breast Surgery/Management of Breast Implants 7.01.557 Gender Reassignment Surgery 7.01.558 Rhinoplasty 9.02.500 Orthodontic Services for Treatment of Congenital Craniofacial Anomalies 9.02.501 Orthognathic Surgery 10.01.517 Non-covered Services and Procedures Select a hyperlink below to be directed to that section. POLICY CRITERIA | CODING | RELATED INFORMATION CONSENSUS REVIEW | REFERENCES | HISTORY ∞ Clicking this icon returns you to the hyperlinks menu above. Introduction There are generally two types of plastic surgery, cosmetic and reconstructive. Cosmetic surgery is performed to improve appearance, not to improve function or ability. The plan does not cover cosmetic surgery. Reconstructive surgery focuses on reconstructing defects of the body or face due to trauma, burns, disease, or birth disorders. Reconstructive surgery is designed to restore or improve function associated with the presence of a defect. This policy outlines when reconstructive surgery may be covered. Note: The Introduction section is for your general knowledge and is not to be taken as policy coverage criteria. The rest of the policy uses specific words and concepts familiar to medical professionals.
    [Show full text]
  • MD Codes Booklet
    1 ALMD12057W MD Codes Book V2b FA.indd 1 29/06/2017 9:56 AM 3 Contents Introducing the MD Codes™ . 4 What are the MD Codes™? . 5 Why use the MD Codes™?. 6 The MD Codes™ and the VYCROSS® Collection . 7 Treatment considerations . 8 General aseptic precautions. 9 Gender difference . 9 Injection device . 10 Injection delivery .. 11 Targeted structures . 12 Injection technique . 12 Alert areas .. 13 The MD Codes™ have been developed by Dr Mauricio de Maio and all recommendations presented in this guide are based Using the MD Codes™ . 14 on his clinical experience. The injector is responsible for The 8-point lift . 16 customising the MD Codes™ for each individual patient. The 3-point forehead reshape . 22 Please refer to Instructions for Use before injecting. The 2-point temple reshape . 28 The 3-point eyebrow reshape . 34 The 3-point lateral periorbital reshape . 40 The 3-point tear trough reshape . 46 The 5-point cheek reshape . 52 The 3-point nasolabial reshape. 58 The 8-point lip reshape . 64 The 3-point marionette lines reshape . 74 The 6-point chin reshape . 80 The 5-point jawline reshape .. 86 Danger and alert zones . 92 References and mandatories . 96 ALMD12057W MD Codes Book V2b FA.indd 2-3 29/06/2017 9:56 AM 5 What are the MD Codes™? Practical injection strategies The MD Codes™ are a series of precise sites (or subunits) within each unit that are designed to guide injection . They are based on the principle that facial units have to be rebuilt, or treated, in an architectural mode .
    [Show full text]
  • Soft Tissue Augmentation with Dermal Fillers, Part 1: Lips and Lower Face Anthony M
    Review Soft Tissue Augmentation With Dermal Fillers, Part 1: Lips and Lower Face Anthony M. Rossi, MD; Rajiv I. Nijhawan, MD; Maritza I. Perez, MD As the development of new technologies and treatment approaches continue to expand the field of cosmetic surgery, dermal filler injections have become increasingly popular, minimally invasive means of improving aesthetic appearance. New filler materials have improved the ease of use with longer- lasting results as well as minimal adverse effects (AEs) and downtime. The aging lower face features characteristic changes that are particularly amenable to treatment with fillers. In this article, we discuss techniques used for successful lip augmentation as well as rejuvenation of the lower face through correction of the perioral rhytides, marionette lines, and prejowl sulci with frequently used dermal fillers. Although most dermalCOS fillers are approved DERM by the US Food and Drug Administration (FDA) for treatment of lines and wrinkles only, we encourage a more natural approach using global assess- ment of facial aging to develop an individualized approach to volume restoration and rejuvenation. Do Not CopyCosmet Dermatol. 2012;25:260-265. he field of cosmetic surgery continues to changes that are particularly amenable to treatment with expand with the development of new tech- dermal fillers. The effects of facial aging include bone nologies and treatment approaches. Among resorption, loss of subcutaneous tissue, muscular atrophy, the newest developments are injectable der- and decreased skin elasticity due to loss of collagen and mal fillers, which have become increasingly elastic tissue. The process is unique in each individual Tpopular as a noninvasive means of improving aesthetic and can lead to varying degrees of vertical perioral rhyt- appearance, including the signs of aging.
    [Show full text]
  • About Restylane® Kysse
    About Restylane® Kysse Before beginning your treatments, please review this important information. 1. GLOSSARY Anesthetic – a medication (or “treatment”) that reduces pain Dermal filler – a material that is injected underneath the skin to smooth a wrinkle or restore volume to an area of skin Hyaluronic acid (HA) – a naturally occurring sugar, found in the body that gives the skin moisture, volume, and elasticity. Hyaluronidase – an enzyme that breaks down hyaluronic acid Lidocaine – a commonly used local anesthetic to numb the skin, see “anesthetic” XpresHAn Technology™ –the unique manufacturing process used to make Restylane Kysse hyaluronic acid injectable gel BDDE – the ingredient used to crosslink the HA. Perioral Lines – the wrinkles in the skin around the mouth and lips. Pigmentation disorder – A disorder that results in a change in skin color Topical –a cream or ointment applied to the top of the skin, affecting only the area to which it is applied Touch-up – an additional injection of dermal filler that is usually given a short time after the initial injection. Some patients may require a touch-up treatment to achieve the desired result Injection site responses – side effects from treatment Crosslinked – a process in which HA chains are connected together to form a network. 2. PRODUCT DESCRIPTION What is Restylane Kysse? Restylane Kysse is a clear injectable gel composed of hyaluronic acid (HA). HA is a naturally occurring sugar, found in the human body. Restylane Kysse is crosslinked with BDDE, an ingredient that helps form a network of HA to provide a gel filler that lasts longer. HA fillers, including Restylane Kysse, contains HA that has been modified to last longer in the body than the naturally occurring HA.
    [Show full text]
  • Juvederm Ultra with Lidocaine Patient Labeling
    About JUVÉDERM® Ultra XC for Lip Augmentation Before beginning your treatments, please review this important information. 1. GLOSSARY (Note that terms in the Glossary are bold throughout this document) Aesthetic – cosmetic, related to beauty Anaphylaxis – severe allergic reaction Anesthetic – a substance that reduces sensitivity to pain Angioedema – sudden swelling below the skin surface Hyaluronic acid (HA) – a polysaccharide (sugar) that is naturally in the body. It keeps the skin moisturized and soft. HA fillers, including the JUVÉDERM XC range of products, are a modified form of the HA that is naturally in your body Hyaluronidase – an enzyme that breaks down hyaluronic acid Inflammatory reaction – a localized response to injury, typically including pain, heat, redness, and swelling Lidocaine – a synthetic compound used as a local anesthetic to decrease pain Optimal – the best possible outcome Pigmentation disorders – a lightening or darkening of an area of the skin Repeat injection – an additional treatment with dermal filler that is given after the effects of the initial treatment have worn off, in order to maintain the desired result Topical – cream or ointment applied to a certain area of the skin and affecting only the area to which it is applied Touch-up – an additional injection of a small amount of dermal filler usually given about 2 weeks to 1 month after the initial injection. A touch-up treatment may be necessary to achieve the desired result 2. PRODUCT DESCRIPTION What is it? JUVÉDERM Ultra XC injectable gel is a clear, colorless hyaluronic acid (HA) gel that contains a small quantity of local anesthetic (lidocaine). HA is a naturally occurring sugar found in the human body.
    [Show full text]