PROMOTION
PLURYAL : GLOBAL REJUVENATION OF THE FACE
Dr Thomas Rappl discusses the benefits of the Pluryal® range of dermal fillers, and how he uses them to treat the signs of ageing
DR THOMAS RAPPL, Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University Graz, Austria; and Schwarzl Klinik, Lassnitzhöhe, Austria
Contact:
www.plastic-surgery.cc; Thomas.rappl@klinikum-
graz.at
the volume of the lips. With experience and a growing demand from patients for ‘lunchtime’ treatments, physicians are now using hyaluronic acid fillers not only to fill wrinkles, but also to perform a global rejuvenation. This is possible as the choice of fillers available has become more sophisticated, ranging from light versions acting as ‘skin boosters’, to deep volumising fillers that can rebuild facial contours. However, the challenge for any physician is to use the
W
right range of products, according to their safety and efficiency profiles, as well as practicability. With Pluryal® fillers, it is possible to achieve a global
facial rejuvenation with only three different products, thanks to their unique viscoelastic properties and high remanence.
The Pluryal® products In 2010, MD Skin Solutions (Luxembourg), specialists in innovative anti-ageing solutions, launched the Pluryal® products, composed of monophasic hyaluronic acid. The P.R.E.M.I.U.M. Conceptual Design* guarantees the unique characteristics of Pluryal® products and ensures safe, reliable and durable results for patients. The range comprises three products, ideally used together to rejuvenate the face naturally and in a harmonised manner.
Pluryal® Versatile filler concentrated at 23 mg/ml of purified hyaluronic acid of non-animal origin, Pluryal® is injected in the mid-dermis to treat all kinds of wrinkles and lines. It also remodels the contour of the lips.
HEN THE FIRST COLLAGEN AND hyaluronic acid dermal fillers were launched, for many years physicians and patients looked at these medical devices mainly as tools to fill wrinkles and enhance
Pluryal® Volume Volumising filler with the same concentration of hyaluronic acid, but with a higher reticulation, Pluryal® Volume is injected in the deep dermis to restore the facial volumes that are lost over time. It can also be used to give fullness to the lips.
Pluryal® Booster The latest product by MD Skin Solutions is composed of stabilised hyaluronic acid (18 mg/ml) with glycerol (20 mg/ml). The latter is a potent antioxidant that stabilises the hyaluronic acid, reinforcing the product’s viscosity and cohesion, by increasing the intermolecular interactions between the hyaluronic acid chains. The stabilisation ensures lasting and efficient results. Pluryal® Booster is injected in the superficial dermis, to revitalise, rehydrate and restore the density of the skin.
How to address the ageing process The ageing process to the face is global. Some age-related skin alterations are obvious, such as pigmentary changes and loss of skin elasticity, followed by consecutive soft tissue sagging. Many signs of ageing are the result of a loss of subcutaneous fat; the dermis thins by approximately 20%. Wrinkles develop, primarily owing to a loss of collagen, loss of water and a reduced level of hyaluronic acid. Changing of the facial contour follows the loss of volume of the soft tissue in the different fat compartments and a gradual loss of bone density. While it is not possible to change genetics, it is possible
to address the volume and skin alterations by replacing volume, and by treating the wrinkles in a specific manner. Global facial rejuvenation should examine the different levels of ageing to provide a perfectly customised treatment plan. The loss of facial volumes and contour changes are mainly visible in the following areas: ■The cheeks (loss of soft tissue volume, changing of the bony structures, sagging of the soft tissue)
■The temporal region (loss of volume) ■The tear trough hollow in the lower lid–cheek junction (loss of soft tissue volume, sagging of the mid face)
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■The mandibular area where the facial contour is blurred (sagging of the mid-face, dimples following the mandibular retaining ligament). The triangular shape of the face — with high cheeks and a smooth mid-face, characterising youth — is transformed into a more rectangular shape owing to ptosis of the skin
March 2013 |
prime-journal.com
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