Superficial Dermal Fillers with Hyaluronic Acid

Abstract

Minimally invasive aesthetic procedures with hyaluronic acid filler have increased drastically since their development in 1989. Patients' desires to avoid surgery and achieve rapid results with minimal recovery led to a transformation in facial plastic surgery, demanding that aesthetic surgeons become proficient in nonsurgical augmentation. Over the years, new hyaluronic acid filler products were developed with different intrinsic properties, allowing clinicians to better treat different deficiencies of the face, reduce postprocedural pain, and optimize outcomes. The purpose of this article is to review the current state of nonsurgical facial plastic surgery with the superficial dermal filler, hyaluronic acid.

Keywords

dermal fillers - hyaluronic acid - esthetics - aging - surgery - plastic

• References

• 1 American Society of Plastic Surgeons. 2017 Plastic Surgery Statistics Report. Available at: https://www.plasticsurgery.org/documents/News/Statistics/2017/plastic-surgery-statistics-report-2017.pdf . Accessed November 20, 2018
• 2 Beasley KL, Weiss MA, Weiss RA. Hyaluronic acid fillers: a comprehensive review. Facial Plast Surg 2009; 25 (02) 86-94
• 3 Donofrio LM. Fat distribution: a morphologic study of the aging face. Dermatol Surg 2000; 26 (12) 1107-1112
• 4 Rohrich RJ, Pessa JE, Ristow B. The youthful cheek and the deep medial fat compartment. Plast Reconstr Surg 2008; 121 (06) 2107-2112
• 5 Shaw Jr RB, Katzel EB, Koltz PF, Kahn DM, Girotto JA, Langstein HN. Aging of the mandible and its aesthetic implications. Plast Reconstr Surg 2010; 125 (01) 332-342
• 6 Wang F, Garza LA, Kang S. , et al. In vivo stimulation of de novo collagen production caused by cross-linked hyaluronic acid dermal filler injections in photodamaged human skin. Arch Dermatol 2007; 143 (02) 155-163
• 7 Edsman K, Nord LI, Ohrlund A, Lärkner H, Kenne AH. Gel properties of hyaluronic acid dermal fillers. Dermatol Surg 2012; 38 (7 Pt 2): 1170-1179
• 8 Wilson AJ, Taglienti AJ, Chang CS, Low DW, Percec I. Current applications of facial volumization with fillers. Plast Reconstr Surg 2016; 137 (05) 872e-889e
• 9 Alam M, Tung R. Injection technique in neurotoxins and fillers: indications, products, and outcomes. J Am Acad Dermatol 2018; 79 (03) 423-435
• 10 Smith KC, Comite SL, Balasubramanian S, Carver A, Liu JF. Vibration anesthesia: a noninvasive method of reducing discomfort prior to dermatologic procedures. Dermatol Online J 2004; 10 (02) 1
• 11 Weinkle SH, Bank DE, Boyd CM, Gold MH, Thomas JA, Murphy DK. A multi-center, double-blind, randomized controlled study of the safety and effectiveness of Juvéderm injectable gel with and without lidocaine. J Cosmet Dermatol 2009; 8 (03) 205-210
• 12 Monheit GD, Campbell RM, Neugent H. , et al. Reduced pain with use of proprietary hyaluronic acid with lidocaine for correction of nasolabial folds: a patient-blinded, prospective, randomized controlled trial. Dermatol Surg 2010; 36 (01) 94-101
• 13 Fulton J, Caperton C, Weinkle S, Dewandre L. Filler injections with the blunt-tip microcannula. J Drugs Dermatol 2012; 11 (09) 1098-1103
• 14 Pavicic T, Frank K, Erlbacher K. , et al. Precision in dermal filling: a comparison between needle and cannula when using soft tissue fillers. J Drugs Dermatol 2017; 16 (09) 866-872
• 15 Macdonald MR, Spiegel JH, Raven RB, Kabaker SS, Maas CS. An anatomical approach to glabellar rhytids. Arch Otolaryngol Head Neck Surg 1998; 124 (12) 1315-1320
• 16 Pickrell KL. Reconstructive plastic surgery of the face. Clin Symp 1967; 19 (03) 71-99
• 17 Carruthers J, Carruthers A. A prospective, randomized, parallel group study analyzing the effect of BTX-A (Botox) and nonanimal sourced hyaluronic acid (NASHA, Restylane) in combination compared with NASHA (Restylane) alone in severe glabellar rhytides in adult female subjects: treatment of severe glabellar rhytides with a hyaluronic acid derivative compared with the derivative and BTX-A. Dermatol Surg 2003; 29 (08) 802-809
• 18 Beleznay K, Carruthers JD, Humphrey S, Jones D. Avoiding and treating blindness from fillers: a review of the world literature. Dermatol Surg 2015; 41 (10) 1097-1117
• 19 Rodriguez LM, Martin SJ, Lask G. Targeted digital pressure to potentially minimize intravascular retrograde filler injections. Dermatol Surg 2017; 43 (02) 309-312
• 20 Minkis K, Whittington A, Alam M. Dermatologic surgery emergencies: complications caused by occlusion and blood pressure. J Am Acad Dermatol 2016; 75 (02) 243-262
• 21 Carruthers JD, Carruthers A. Facial sculpting and tissue augmentation. Dermatol Surg 2005; 31 (11 Pt 2): 1604-1612
• 22 Shaw Jr RB, Katzel EB, Koltz PF. , et al. Aging of the facial skeleton: aesthetic implications and rejuvenation strategies. Plast Reconstr Surg 2011; 127 (01) 374-383
• 23 Shaw Jr RB, Kahn DM. Aging of the midface bony elements: a three-dimensional computed tomographic study. Plast Reconstr Surg 2007; 119 (02) 675-681 , discussion 682–683
• 24 Pessa JE, Zadoo VP, Mutimer KL. , et al. Relative maxillary retrusion as a natural consequence of aging: combining skeletal and soft-tissue changes into an integrated model of midfacial aging. Plast Reconstr Surg 1998; 102 (01) 205-212
• 25 Pessa JE, Zadoo VP, Yuan C. , et al. Concertina effect and facial aging: nonlinear aspects of youthfulness and skeletal remodeling, and why, perhaps, infants have jowls. Plast Reconstr Surg 1999; 103 (02) 635-644
• 26 Rohrich RJ, Pessa JE. The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg 2007; 119 (07) 2219-2227 , discussion 2228–2231
• 27 Mendelson BC. Anatomic study of the retaining ligaments of the face and applications for facial rejuvenation. Aesthetic Plast Surg 2013; 37 (03) 513-515
• 28 Gierloff M, Stöhring C, Buder T, Gassling V, Açil Y, Wiltfang J. Aging changes of the midfacial fat compartments: a computed tomographic study. Plast Reconstr Surg 2012; 129 (01) 263-273
• 29 Goldberg DJ. Correction of tear trough deformity with novel porcine collagen dermal filler (Dermicol-P35). Aesthet Surg J 2009; 29 (3, Suppl): S9-S11
• 30 Kane MA. Treatment of tear trough deformity and lower lid bowing with injectable hyaluronic acid. Aesthetic Plast Surg 2005; 29 (05) 363-367
• 31 Tan SL, Brandt MG, Yeung JC, Doyle PC, Moore CC. The aesthetic unit principle of facial aging. JAMA Facial Plast Surg 2015; 17 (01) 33-38
• 32 Pilsl U, Anderhuber F, Rzany B. Anatomy of the cheek: implications for soft tissue augmentation. Dermatol Surg 2012; 38 (7 Pt 2): 1254-1262
• 33 Kim HS, Lee KL, Gil YC, Hu KS, Tansatit T, Kim HJ. Topographic anatomy of the infraorbital artery and its clinical implications for nasolabial fold augmentation. Plast Reconstr Surg 2018; 142 (03) 273e-280e
• 34 Hedén P. Nasal reshaping with hyaluronic acid: an alternative or complement to surgery. Plast Reconstr Surg Glob Open 2016; 4 (11) e1120
• 35 Johnston VS, Solomon CJ, Gibson SJ, Pallares-Bejarano A. Human facial beauty: current theories and methodologies. Arch Facial Plast Surg 2003; 5 (05) 371-377
• 36 Sarnoff DS, Saini R, Gotkin RH. Comparison of filling agents for lip augmentation. Aesthet Surg J 2008; 28 (05) 556-563
• 37 Zimbler MS, Kokoska MS, Thomas JR. Anatomy and pathophysiology of facial aging. Facial Plast Surg Clin North Am 2001; 9 (02) 179-187 , vii v ii.
• 38 Carruthers J, Carruthers A. Soft Tissue Augmentation. 3rd ed. London/New York: Elsevier Saunders; 2013
• 39 Coleman SR, Grover R. The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthet Surg J 2006; 26 (1S): S4-S9
• 40 Hirsch RJ, Stier M. Complications of soft tissue augmentation. J Drugs Dermatol 2008; 7 (09) 841-845
• 41 Cohen JL. Understanding, avoiding, and managing dermal filler complications. Dermatol Surg 2008; 34 (Suppl. 01) S92-S99
• 42 Dayan SH, Bacos JT, Gandhi ND, Ho TT, Kalbag A. Assessment of the impact of perioral rejuvenation with hyaluronic acid filler on projected first impressions and mood perceptions. Dermatol Surg 2019; 45 (01) 99-107