ARTICLE | VOLUMISATION TECHNIQUES | The authors found that the


combined treatment was effective in rejuvenating the neckÕs skin, reducing wrinkles and laxity, and improving tone and texture.


treatments over a 6–12-week period, comprising microinjections of hyaluronic acid to the skin of the neck immediately followed by non-ablative fractional laser treatment. The authors found that the combined treatment was effective in rejuvenating the neckÕs skin, reducing wrinkles and laxity, and improving tone and texture. Histologically, improvements were observed in the collagen and elastic fibres of the skin.


generated significant improvements in skin elasticity,


surface roughness and hydration at week 12 compared with baseline. Clinically, stabilised hyaluronic acid proved to be significantly superior to non-stabilised hyaluronic acid. Rib• and Rib• 13


non-ablative fractional laser device (Affirm, Cynosure) with Restylane Vital Light (Q-Med, A Galderma Division) treatments on the rejuvenation of the skin of the neck. Nine female patients aged 42–62 years received four


Figure 2 Injection plan for cannula-assisted procedure. Lines in fan-like fashion placed perpendicularly to the smile wrinkles


assessed the interaction between


The treatment process Skin boosting using injectable hyaluronic acid is based, therefore, on a series of treatments, during which the product is evenly distributed in the dermis or in the immediate subdermal plane, without specifically targeting a wrinkle or scar. The purpose is to enrich the dermis with water-holding hyaluronic acid molecules and to stimulate the production of new collagen, and improving skin firmness and elasticity as a result. As the product implantation is intradermal or in the immediate subdermal plane, gentle products are usually required. Good examples of such products are Restylane Vital and Restylane Vital Light. The procedure is performed by either multiple microdroplet injections or by subcutaneous delivery of


44


❚


Figure 3 Before (A) and after (B) three monthly sessions of Restylane Vital injections


April/May 2012 | prime-journal.com


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84