Lupo Mary P
Lupo Center for Aesthetic and General Dermatology, New Orleans, LA, USA.
J Drugs Dermatol. 2008 Sep;7(9):833-9.
Filling and volumizing injection procedures are currently widely used for facial augmentation and re-establishing a youthful appearance. Aesthetic physicians have advanced from the practice of treating single lines and wrinkles towards filling large facial areas to globally restore natural facial contours and meet patient demand for nonsurgical rejuvenation. This review describes the different categories of fillers and volumizers based on their duration of action and ability to create a natural looking effect; they can be broadly classified as temporary or long-lasting biodegradable agents, or permanent nonbiodegradable agents. Temporary fillers are effective to correct lines and wrinkles, but may not adequately meet the need for global facial rejuvenation and volume replacement in a long-term, cost-efficient manner. Permanent fillers for global restoration pose the issue of long-term safety, and may not be compatible with changes in facial architecture with continued aging. Longer lasting volumizers provide patients with a durable, effective option for the restoration of facial volume and the re-establishment of youthful facial contours. Temporary fillers and volumizers may also be used in combination to provide a wide source of options for the global restoration and rejuvenation of the face.
填充和容积增加注射程序目前广泛用于面部填充和恢复年轻外观。美容医生已从治疗单一纹路和皱纹的实践，发展到对面部大面积进行填充，以全面恢复自然面部轮廓，满足患者对非手术年轻化的需求。本综述根据填充剂和容积增加剂的作用持续时间以及产生自然效果的能力，描述了它们的不同类别；它们大致可分为临时或长效可生物降解剂，或永久性不可生物降解剂。临时填充剂对纠正纹路和皱纹有效，但可能无法长期以经济高效的方式充分满足全面面部年轻化和容积替代的需求。用于全面恢复的永久性填充剂存在长期安全性问题，并且可能与面部结构随年龄增长的变化不相容。持续时间更长的容积增加剂为患者提供了一种持久、有效的选择，用于恢复面部容积和重建年轻的面部轮廓。临时填充剂和容积增加剂也可联合使用，为面部的全面恢复和年轻化提供广泛的选择。
