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| PRIME PRoMotIon Surprisingly, the results with regard to increased


volume were also positive. Included in the study were subjects who had not asked for an actual increase in volume, but expressed their satisfaction for the slight improvement. In no case was the treatment found to be completely unsatisfactory and the highest efficacy values were recorded for volume and firmness, the latter being visible after just one session. Lip biorestructuration was revealed as a primary


indication in patients — both male and female — who are not interested in lip augmentation, and are therefore not willing to undergo filler treatment. Some such subjects, having overcome the initial impact with the infiltration technique, subsequently asked to be treated with a filler, suggesting that biorestructuration is a technique which improves compliance and recruitment for filler procedures owing to the temporary increase in lip volume caused by the hygroscopic properties of HA (as appreciated by some patients). Biorestructuration is particularly popular among


patients and doctors who are against the use of fillers owing to the higher risk of delayed adverse events caused by cross-linked agents, and who therefore prefer to use natural HA despite the different indications and results. Furthermore, there are lips that do not require an increase in volume or structural changes that can benefit from biorestructuration for improved moisture, firmness and definition of the lips. The aesthetics of the labial structure —


despite having anatomical proportions that should be respected — are highly subject to fashions, which invariably change over time. Today — particularly in Italy — there is an increase not only in the already frequent requests to perform treatments with natural results, but also in the belief that it is far more important to cure and prevent rather than to consider the potential clinical/aesthetic results alone. This lip treatment, involving an important area both with regard to functional aspects and aesthetic considerations of the face, is perfectly in line with this tendency towards natural results. It is becoming increasingly widespread and commendable, in that it is free of significant adverse events and contributes to the prevention of ageing. An important contribution to


this study was


made by the computerised findings obtained using a polarised light source and wood lamp (Figure 4), which revealed both a reduction in wrinkles and an improvement in photo-induced age ‘spots’, testifying to the considerable antioxidant activity.


Conclusions This study undoubtedly requires further confirmation, using a larger case study and more standardised objectives in order to be accredited. However,


Figure 5 Top: Patient before (A) and after (B) treatment. Bottom: Patient before (A) and after (B) treatment


References


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2. Iorizzo M, De Padova MP, Tosti A. Biorejuvenation: theory and practice. Clin Dermatol 2008; 26(2): 177–81


3. Martini F. Fundamentals of Anatomy and Physiology. Benjamin-Cummings: San Francisco, 2004


4. Castelo-Branco C, Figueras F, Martinez de Osaba MJ, Vanrell JA. Facial wrinkling in post- menopausal women. Effects of smoking status and hormone replacement therapy. Maturitas 1998; 29(1): 75–86


5. Coacci A. Studio clinico osservazionale di fase IV sull’efficacia e sulla tollerabilità del dispositivo medico a base di acido ialuronico (Viscoderm®) nella biostimolazione cutanea. Rivista Italiana di Ostetricia e Ginecologia 2008; 5(18): June


6. Lacarrubba F, Tedeschi A, Nardone B, Micali G. Mesotherapy for skin rejuvenation: assessment of the subepidermal low-echogenic band by ultrasound evaluation with cross-sectional B-mode scanning. Dermatologic Therapy 2008; 21(S3): S1–S5


7. Romagnoli M, Burlando M. Bioristrutturazione tridimensionale: dal riempimento della ruga alla terapia della ruga. Atti XXI Congresso Nazionale della Societa’ Italiana di Medicina Estetica: Rome, 2010


8. Romagnoli M. Labbra ideali e dintorni: bioristrutturazione tridimensionale: Atti del Corso Itinerante ‘One Day’ di Dermatologia Patologie del cavo orale e della regione periorale. International Society of Plastic Oncological and Aesthetic Dermatology: Milan, 2009)


it provides a useful start and evidence, as the literature available to date does not include any studies specifically with regard to the biorestructuration of this area.


prime-journal.com | October 2011





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