Update on injectables in the nose

Wang, Leo; Friedman, Oren

doi:10.1097/moo.0000000000000379

Cited by 21 publications

(17 citation statements)

References 37 publications

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“… 43 , 44 For the same reasons, overcorrection should be avoided in superficial areas such as the melomental folds and the nose. 26 , 30 There are some other precautions that should be taken into consideration. These are of particular importance as the learning curve is longer when compared to HA-based fillers, and the PCL-based collagen stimulator is more technically demanding.…”

Section: Discussionmentioning

confidence: 99%

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Recommendations for volume augmentation and rejuvenation of the face and hands with the new generation polycaprolactone-based collagen stimulator (Ellansé<sup>®</sup>)

Melo¹,

Nicolau

Piovano³

et al. 2017

CCID

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BackgroundThe range of fillers currently available for soft-tissue augmentation is constantly expanding. The latest advances in filler technology include collagen biostimulators that exert their esthetic effect by promoting neocollagenesis. One such product is the next-generation collagen biostimulator (Ellansé®) that demonstrates properties as yet unseen in soft-tissue fillers. It is composed of polycaprolactone (PCL) microspheres in an aqueous carboxymethylcellulose gel carrier. Given its specific characteristics and the number of areas that can be treated with this innovative product, experts’ recommendations were deemed necessary and are therefore presented in this paper with a specific focus on the indications, treatment areas and procedures as well as injection techniques.MethodsA multinational, multidisciplinary group of plastic surgeons and dermatologists convened to develop recommendations with a worldwide perspective. This publication provides information on the specific characteristics of the product and focuses on the recommendations on the injection techniques.ResultsRecommendations on injection techniques are provided for the upper face, mid-face and lower face and zone by zone for each of these areas, as well as hands. Based on the particular anatomy of each area, the focus is on the techniques and devices of injection and the volume and depth of injection. The information is tabulated, and photos are presented for illustration.ConclusionThese recommendations provide a guideline for physicians who wish to perform safe and efficacious treatment with the PCL collagen stimulator for face and rejuvenation with volume augmentation.

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Section: Discussionmentioning

confidence: 99%

“…The PCL-based stimulator is ideal for adding volume to depressed areas of the nose, lifting the tip or smoothing the appearance of irregularities along the bridge of the nose. 30 M, E and L versions with their long-lasting effects are particularly indicated for treatment of this area ( Figure 2A ).…”

Section: Treatment Area and Injection Techniquesmentioning

confidence: 99%

Recommendations for volume augmentation and rejuvenation of the face and hands with the new generation polycaprolactone-based collagen stimulator (Ellansé<sup>®</sup>)

Melo¹,

Nicolau

Piovano³

et al. 2017

CCID

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“…[1][2][3] They allow a minimally invasive approach to facial reconstruction, and their use has become widespread. 4 Due to their minimally invasive nature, patients and providers approach injectables with the notion that they are low-risk procedures. In this article, we highlight one of the significantly deforming complications that may result from the use of injectable silicone fillers, in hopes of increasing awareness of the problem and minimizing the potential harm to patients.…”

Section: Silicone Granuloma Formation Associated With Dermal Injectionmentioning

confidence: 99%

Silicone Granuloma Formation Associated with Dermal Injection

et al. 2018

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“…As such, surgeons should be wary of their use and assess every patient on a case-by-case basis, while being knowledgeable about the various fillers, indications, and proper injection techniques. 41…”

Section: Injectable Biomaterials In Revision Rhinoplastymentioning

confidence: 99%

Functional Compromise in the Middle Vault in the Management of Revision Rhinoplasty

Wang

Friedman

2018

Facial plast Surg

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As rhinoplasty procedures become more common, the need for revision surgeries increases as well. Unlike primary rhinoplasties, revision rhinoplasties can be more challenging because of anatomic differences from initial surgery, a lack of available cartilage, tissue remodeling responses, and other complications. As such, surgeons should be prepared to address revision rhinoplasty patients differently from primary rhinoplasty patients. Here, the authors describe a generalizable approach to revision functional rhinoplasty patients and detail some of the surgical techniques that can be employed to achieve optimal outcomes, with particular attention paid to procedures that can be used in the middle vault.

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Update on injectables in the nose

Abstract: Injectable fillers should continue to be considered for patients on a case-by-case basis, but physicians should be knowledgeable of the various filler types, their indications, and injection technique to prevent serious complications.

Cited by 21 publications

References 37 publications

Recommendations for volume augmentation and rejuvenation of the face and hands with the new generation polycaprolactone-based collagen stimulator (Ellansé<sup>®</sup>)

Recommendations for volume augmentation and rejuvenation of the face and hands with the new generation polycaprolactone-based collagen stimulator (Ellansé<sup>®</sup>)

Silicone Granuloma Formation Associated with Dermal Injection

Functional Compromise in the Middle Vault in the Management of Revision Rhinoplasty

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Update on injectables in the nose

Abstract: Injectable fillers should continue to be considered for patients on a case-by-case basis, but physicians should be knowledgeable of the various filler types, their indications, and injection technique to prevent serious complications.

Cited by 21 publications

References 37 publications

Recommendations for volume augmentation and rejuvenation of the face and hands with the new generation polycaprolactone-based collagen stimulator (Ellans&eacute;<sup>&reg;</sup>)

Recommendations for volume augmentation and rejuvenation of the face and hands with the new generation polycaprolactone-based collagen stimulator (Ellans&eacute;<sup>&reg;</sup>)

Silicone Granuloma Formation Associated with Dermal Injection

Functional Compromise in the Middle Vault in the Management of Revision Rhinoplasty

Contact Info

Product

Resources

About

Recommendations for volume augmentation and rejuvenation of the face and hands with the new generation polycaprolactone-based collagen stimulator (Ellansé<sup>®</sup>)

Recommendations for volume augmentation and rejuvenation of the face and hands with the new generation polycaprolactone-based collagen stimulator (Ellansé<sup>®</sup>)