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Fast Facts about Soft Tissue Fillers

Filler	FDA Approved	Best Uses	Duration	Potential Side Effects
Purified bovine (cattle) collagen		• Fine lines around the eyes • Enhance lips • Deep facial lines • Acne scars	3 – 12 months	• Allergic reaction • Cold sores • Temporary redness or swelling from the injection
Self-donated body fat	X	• Deep creases around the mouth, nose and chin • Replace facial fat pads lost during aging • Fill scars	1 - 3 years (may last longer when used to fill scars)	Very rare, may include: • Lumps and bumps
Human-based collagen	x	• Fine lines around the eyes • Enhance lips • Deep facial lines • Acne scars	Research needed to determine longevity. May last longer than bovine collagen.	• Usually limited to temporary redness and swelling from injection
Hyaluronic acid		• Larger folds around mouth • Enhance lips, chin • Fill hollow areas of face, including cheeks • Acne scars	About 1 year	Clinical trials show rare, but may see: • Inflammation and abscess formation
Silicone		• Wrinkles • Acne scars • Enhance lips, cheekbones, chin, cheeks • Lipoatrophy	Permanent	• Silicone migration • Allergic eaction • Lumpiness • Body rejects silicone and pushes it through the skin
Calcium hydroxyapatie (CaHA)		• Fill facial creases	May last 2 – 5 years	• Difficult to remove • Lumpiness of unknown duration • Clumping •Allergic reaction • Inflammation
Collagen (bovine)/ plastic microspheres		• Facial wrinkles • Acne scars	Permanent	• Lumps form after injection •Migration of spheres •Allergic reaction
Collagen harvesting		• Fine facial lines •Enhance lips •Scars	Longer than bovine collagen	• Allergicreaction to harvesting substance • Risk of infection

Text G. Need a Lift? New Non-Invasive Radiofrequency Treatment is an Alternative to the Traditional Facelift

(Тезис – основополагающее утверждение, принципиально важное положение)

Dermatologist David Goldberg from New York discussed the benefits of the new non-invasive radiofrequency treatment for aging skin.

The radiofrequency non-surgical facelift is a non-invasive treatment that causes skin contraction and tightening, leading to lifting of the face, brow, and cheeks without surgery and without downtime. “What makes this treatment so appealing to baby boomers is that it typically requires less than an hour and is a safe, gentle procedure,” said Dr. Goldberg. “Patients are able to return to their normal routine immediately without any visible signs that they’ve had any cosmetic work done.”

The radiofrequency non-surgical facelift works by delivering pulses of energy simultaneously with a cool sensation from a cryogen spray to the affected area. The cryogen spray, which is used before, during and after the application of heat from the radiofrequency source, helps lessen the discomfort felt by the patient and prevents damage to the skin. In addition, an anesthetic cream applied one hour before the procedure numbs the surface of the skin to help lessen any discomfort.

Dr. Goldberg’s research team, which subsequently helped lead to the FDA approval of this device, found that tightening skin in certain areas can be advantageous to other non-treated areas.

“If we treat the skin of the forehead using non-invasive radiofrequency, we can actually lift the eyebrows and enhance the appearance of the eyes – making the eyes look more open, less tired and more alert,” explained Dr. Goldberg. “In the past, skin tightening could only be obtained with major surgery. But with this treatment, other areas of the face such as the skin of the cheeks and neck can also be treated non-surgically to reduce loose or sagging skin.”

Although in some non-surgical facelift patients the results are seen immediately, in most patients they will appear gradually over four to six months. “Since the effects are so gradual, the patient may not be aware of the extent of the changes – especially any residual effects that might occur from tightening the original area,” said Dr. Goldberg. “But when these improvements do take shape over time, patients are pleased with the enhanced results. Our recent research confirms that increased improvement can be seen with more than one treatment.”

In addition, Dr. Goldberg reported that other applications of the non-invasive radiofrequency technology such as stomach tightening and breast lifting are currently being tested.

While the radiofrequency non-surgical facelift is a good alternative for those looking to improve their skin with no down time, other “lunchtime” procedures are still valuable in treating specific cosmetic conditions.

“The non-surgical facelift will not replace treatments like botulinum toxin, which treats wrinkles caused by muscle contractions, or filler agents, which are still the treatment of choice for smile lines, but it gives patients another safe and efficient option for treating aging skin. With so many new treatments being introduced every year, it’s vital that patients consult with their dermatologist to choose the treatment that will work best for them,” advised Dr. Goldberg.

The American Academy of Dermatology, founded in 1938, is the largest, most influential, and most representative of all dermatologic associations.

Topic 14. MAKE-UP (ДЕКОРАТИВНАЯ КОСМЕТИКА)

Дата добавления: 2014-10-31