Restylane for facial dimpling following surgery

Restylane for facial dimpling following surgery Eur J Plast Surg (2011) 34:313 DOI 10.1007/s00238-011-0554-5 LETTER TO THE EDITOR Saif Ramman & Morris Ritz & Will McMillan Received: 29 September 2010 /Accepted: 17 January 2011 /Published online: 23 February 2011 Springer-Verlag 2011 Sir, density hyaluronic acid is easily palpable and causes Hyaluronic acid fillers have had a well-documented use irregularities if placed too superficial. This has been a for restoring volume in facial aesthetic procedures [1–6]. well-tolerated technique for those affected postoperative There has also been an appreciable rate of dimpling patients. Typically only 0.5 ml is needed, and repeat or documented following facial surgery when suspension incremental treatment is possible. sutures are placed close to the dermis. This can be seen with MACS face-lifting and in some cases of SMAS face- lifting, and it will affect the appearance during a period of Conflict of interest None. time [7–9]. In most cases, patients are happy to wait for the spontaneous resolution of the dimple as this phenomenon References tends to be short-lived and resolves with time. However, there is a small group of patients who are severely 1. Carruthers JDA, Glogau RG, Blitzer A (2008) Advances in facial emotionally distressed by the presence of dimpling [7]. rejuvenation: botulinum toxin type A, hyaluronic acid dermal We employ a previously undocumented technique which is fillers, and combination therapies—consensus recommendations. Plast Reconstr Surg 121(suppl 5):5S–30S indicated in this subgroup of patients and we found it to be 2. Klein AW, Fagien S (2007) Hyaluronic acid fillers and botulinum a useful tool in the hands of the plastic surgeon. It is toxin type A: rationale for their individual and combined use for advantageous to use medium-density hyaluronic acid fillers injectable facial rejuvenation. Plast Reconstr Surg 120(6 S (Restylane®) to temporarily fill the defect. Careful injection SUPPL):81S–88S 3. Verpaele A, Strand A (2006) Restylane SubQ, a non-animal of this filler using the fanning and tunnelling technique is stabilized hyaluronic acid gel for soft tissue augmentation of the necessary to prevent any irregularities or a palpable mass. It mid- and lower face. Aesth Surg 26(suppl1):S10–S17 is better. Inject without local anaesthetic as this can mask 4. Raspaldo H (2008) Volumizing effect of a new hyaluronic acid sub- the defect, and we found that these injections can leave a dermal facial filler: a retrospective analysis based on 102 cases. J Cosmet Laser Therapy 10(3):134–142 small transient bruise. 5. Buck DW II, Alam M, Kim JYS (2009) Injectable fillers for This filler has an expected longevity similar to that of the facial rejuvenation: a review. Plast Reconstr Aesthe Surg 62 resolving dimple, so this will solve a practical problem as (1):11–18 6. Lindqvist C, Tveten S, Bondevik BE, Fagrell D (2005) Random- the filler will be slowly reabsorbed while the defect is ized, evaluator-blind, multicenter comparison of the efficacy and subsiding. We advocate the use of medium-density hyalur- tolerability of Perlane versus Zyplast in the correction of nasolabial onic acid fillers for this technique; otherwise, the high- folds. Plast Reconstr Surg 115(1):282–289 7. Mendelson BC (1997) SMAS fixation to the facial skeleton: rationale and results. Plast Reconstr Surg 100(7):1834–1842 : : 8. Tyres AG (2006) Brow lift via the direct and trans-blepharoplasty S. Ramman M. Ritz (*) W. McMillan approaches. Orbit 25(4):261–265 Melbourne Institute of Plastic Surgery, 9. Guyron B (2006) Endoscopic forehead rejuvenation: I. Limitations, 253 Wattletree Road, Malvern, Victoria 3144, Australia flaws, and rewards. Plast Reconstr Surg 117(4):1121–1123 e-mail: morrisr@melbplastsurg.com http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Restylane for facial dimpling following surgery

Free
1 page
Loading next page...
1 Page
 
/lp/springer_journal/restylane-for-facial-dimpling-following-surgery-ebX3PZbRkw
Publisher
Springer-Verlag
Copyright
Copyright © 2011 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-011-0554-5
Publisher site
See Article on Publisher Site

Abstract

Eur J Plast Surg (2011) 34:313 DOI 10.1007/s00238-011-0554-5 LETTER TO THE EDITOR Saif Ramman & Morris Ritz & Will McMillan Received: 29 September 2010 /Accepted: 17 January 2011 /Published online: 23 February 2011 Springer-Verlag 2011 Sir, density hyaluronic acid is easily palpable and causes Hyaluronic acid fillers have had a well-documented use irregularities if placed too superficial. This has been a for restoring volume in facial aesthetic procedures [1–6]. well-tolerated technique for those affected postoperative There has also been an appreciable rate of dimpling patients. Typically only 0.5 ml is needed, and repeat or documented following facial surgery when suspension incremental treatment is possible. sutures are placed close to the dermis. This can be seen with MACS face-lifting and in some cases of SMAS face- lifting, and it will affect the appearance during a period of Conflict of interest None. time [7–9]. In most cases, patients are happy to wait for the spontaneous resolution of the dimple as this phenomenon References tends to be short-lived and resolves with time. However, there is a small group of patients who are severely 1. Carruthers JDA, Glogau RG, Blitzer A (2008) Advances in facial emotionally distressed by the presence of dimpling [7]. rejuvenation: botulinum toxin type A, hyaluronic acid dermal We employ a previously undocumented technique which is fillers, and combination therapies—consensus recommendations. Plast Reconstr Surg 121(suppl 5):5S–30S indicated in this subgroup of patients and we found it to be 2. Klein AW, Fagien S (2007) Hyaluronic acid fillers and botulinum a useful tool in the hands of the plastic surgeon. It is toxin type A: rationale for their individual and combined use for advantageous to use medium-density hyaluronic acid fillers injectable facial rejuvenation. Plast Reconstr Surg 120(6 S (Restylane®) to temporarily fill the defect. Careful injection SUPPL):81S–88S 3. Verpaele A, Strand A (2006) Restylane SubQ, a non-animal of this filler using the fanning and tunnelling technique is stabilized hyaluronic acid gel for soft tissue augmentation of the necessary to prevent any irregularities or a palpable mass. It mid- and lower face. Aesth Surg 26(suppl1):S10–S17 is better. Inject without local anaesthetic as this can mask 4. Raspaldo H (2008) Volumizing effect of a new hyaluronic acid sub- the defect, and we found that these injections can leave a dermal facial filler: a retrospective analysis based on 102 cases. J Cosmet Laser Therapy 10(3):134–142 small transient bruise. 5. Buck DW II, Alam M, Kim JYS (2009) Injectable fillers for This filler has an expected longevity similar to that of the facial rejuvenation: a review. Plast Reconstr Aesthe Surg 62 resolving dimple, so this will solve a practical problem as (1):11–18 6. Lindqvist C, Tveten S, Bondevik BE, Fagrell D (2005) Random- the filler will be slowly reabsorbed while the defect is ized, evaluator-blind, multicenter comparison of the efficacy and subsiding. We advocate the use of medium-density hyalur- tolerability of Perlane versus Zyplast in the correction of nasolabial onic acid fillers for this technique; otherwise, the high- folds. Plast Reconstr Surg 115(1):282–289 7. Mendelson BC (1997) SMAS fixation to the facial skeleton: rationale and results. Plast Reconstr Surg 100(7):1834–1842 : : 8. Tyres AG (2006) Brow lift via the direct and trans-blepharoplasty S. Ramman M. Ritz (*) W. McMillan approaches. Orbit 25(4):261–265 Melbourne Institute of Plastic Surgery, 9. Guyron B (2006) Endoscopic forehead rejuvenation: I. Limitations, 253 Wattletree Road, Malvern, Victoria 3144, Australia flaws, and rewards. Plast Reconstr Surg 117(4):1121–1123 e-mail: morrisr@melbplastsurg.com

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Aug 1, 2011

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off