1. Durability of Three Different Types of Hyaluronic Acid Fillers in Skin: Are There Differences Among Biphasic, Monophasic Monodensified, and Monophasic Polydensified Products?
- Author
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Ellem Tatiani de Souza Weimann, Beatrice Martinez Zugaib Abdalla, Danilo Guerreiro Zeolo Biccigo, Paulo Roberto Grimaldi Oliveira, Stefânia Bazanelli Prebianchi, Adilson Costa, and Larissa Mondadori Mercadante
- Subjects
Injections, Intradermal ,Facial rejuvenation ,Biopsy ,Cosmetic Techniques ,030230 surgery ,engineering.material ,030207 dermatology & venereal diseases ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Dermis ,Dermal Fillers ,Elastic Modulus ,Filler (materials) ,Hyaluronic acid ,medicine ,Humans ,Rejuvenation ,Prospective Studies ,Intradermal injection ,Hyaluronic Acid ,Skin ,Viscosity ,business.industry ,General Medicine ,Middle Aged ,medicine.anatomical_structure ,chemistry ,engineering ,Female ,Surgery ,business ,Biomedical engineering - Abstract
Background Hyaluronic acid fillers are used for facial rejuvenation and are classified as non-cross-linked or cross-linked (monophasic mono- or polydensified). Objectives To histologically assess the intradermal durability of three types of fillers (biphasic, monophasic monodensified, and monophasic polydensified), to compare the durability of the products over 6 months, and to evaluate the structural changes after application. Methods In all, 25 volunteers received injections of three different fillers in the dermis of the right lumbar region (in one line), and equal amounts of the fillers were injected into three different sites (in the same column), yielding nine points of application in each patient. Each line was biopsied on days 2, 92, and 184; these skin samples were analyzed histologically, and the presence or absence of these fillers was verified by a dermatopathologist. Results The histological analysis showed that over 182 days, the amount of the injected monophasic polydensified, monophasic monodensified, and biphasic filler products decreased by 62.5%, 25%, and 12.5%, respectively. Conclusions The biphasic and monophasic monodensified fillers presented greater intradermal durability than did the monophasic polydensified filler at 6 months after intradermal injection. Level of Evidence 2
- Published
- 2016
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