Practical Use of Juve´derm: Early Experience
Smith Kevin C.
【 文献重点摘要 】
Background: This article is intended to provide practical information on the use of Juve´derm Ultra and Juve´derm Ultra Plus injectable gel fillers and to highlight differences between the injection techniques and uses of these fillers and those of gel-particle suspensions. The author’s purpose was to provide early information to clinicians who perform aesthetic surgery.
Methods: The author discusses the properties of the Juve´derm family of products, compares these with particulate gel fillers, and makes recommendations for achieving optimal outcomes with Juve´derm as well as dermal fillers in general.
Results: When correcting relatively fine and superficial lines, or for first-time treatment of the lips, Juve´derm Ultra is preferred. Juve´derm Ultra Plus is useful for correction of deeper wrinkles and folds. Cohesive, homogenous gel fillers such as Juve ´derm require gentle, gradual injection, which facilitates very accurate delivery to the site while minimizing the risk of disengagement of the needle from the Luer lock hub of the syringe. These fillers appear to remain in the desired location and do not flow away from the injection point into unintended areas, so that a somewhat smaller amount of filler is required for a given degree of correction. Both the Juve´derm preparations tend to blend in with the treated area in a shorter period of time compared with gel-particle suspensions. Finally, cohesive gels appear to be associated with a lesser degree of swelling in the 24-hour period after the procedure, particularly in the lips.
Conclusions: Juve´derm Ultra and Juve´derm Ultra Plus are new-generation hyaluronic acid fillers used to treat superficial lines and deeper folds, respectively. They require administration by gentle, gradual, and precise injection.
背景:本文旨在提供有关Juve‘derm Ultra和Juve’derm Ultra Plus可注射凝胶填充物使用的实用信息,并强调这些填充物与凝胶颗粒悬浮液的注射技术和用途之间的差异。作者的目的是为实施美容手术的临床医生提供早期信息。
方法:作者讨论了Juve‘derm系列产品的性能,将其与颗粒凝胶填充剂进行了比较,并提出了使用Juve’derm和一般真皮填充物以达到最佳效果的建议。
结果:在矫正相对细微和浅表的线条时,或第一次治疗嘴唇时,最好使用Juve‘derm Ultra。尤文真皮Ultra Plus对矫正更深的皱纹和褶皱很有用。像Juve‘derm这样有凝聚力的同质凝胶填充物需要温和、渐进的注射,这有助于非常准确地将针头输送到现场,同时最大限度地降低针头从注射器的鲁尔锁中心脱离的风险。这些填充物似乎保持在所需的位置,并且不会从注射点流入非预期区域,因此对于给定的校正程度需要稍微少一点的填充物。与凝胶颗粒悬浮剂相比,这两种尤文真皮制剂在较短的时间内就能与治疗区域混合。最后,凝聚性凝胶似乎与手术后24小时内较轻程度的肿胀有关,特别是在嘴唇。
结论:Juve‘derm Ultra和Juve’derm Ultra Plus是新一代透明质酸填充剂,分别用于治疗浅部皱纹和深层皱褶。它们需要通过温和、渐进和精确的注射给药。