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全脸真皮填充剂治疗的回顾性分析:产品选择、用量及治疗部位

A Retrospective Analysis of Full-face Dermal Filler Treatments: Product Choice, Volume Use, and Treatment Locations.

作者信息

Dhillon Benjeev, Patel Tapan

机构信息

Dr. Dhillon is with Define Clinic in Beaconsfield, United Kingdom. Dr. Patel is with PHI Clinic in London, United Kingdom.

出版信息

J Clin Aesthet Dermatol. 2020 Sep;13(9):33-40. Epub 2020 Sep 1.

Abstract

The Vycross™ range of hyaluronic acid (HA) fillers supports a full-face approach to facial rejuvenation. It is important to understand how much filler can be safely injected and which products to use where, particularly for injectors who are new to this range. This study assessed whether Vycross fillers can be effectively and safely used in larger quantities and tracked real-world usage across facial zones. This was a single-center, retrospective analysis set in normal clinical practice. The study included 66 consecutive adult female patients undergoing full-face rejuvenation with Vycross fillers within a single treatment plan guided by MD Codes. Filler usage and location were noted, and any adverse events were recorded. The mean age was 48.0 years, and median time from consultation to first filler usage was 18 days. Most patients (n=40; 60.6%) had only one filler session. Forty-seven patients (71.2%) also received botulinum toxin type A. In total, 309 filler syringes were used (mean: 4.7 per patient). Sixteen (5.2%), 181 (58.6%), and 112 (36.2%) syringes were used in the upper, mid and lower face, respectively. In the upper and midface, the majority was Voluma (15/16 and 120/181 syringes, respectively). In the lower face, filler use was split across Voluma, Volift and Volbella (41, 44 and 27 syringes, respectively). Five adverse events were reported at three weeks (swelling, n=2; asymmetry, n=2; lumps, n=1). All were easily resolved. No delayed events were reported. Substantial volumes of Vycross fillers can be effectively and safely used as part of a full-face approach to facial rejuvenation.

摘要

Vycross™系列透明质酸(HA)填充剂支持全面部的面部年轻化方法。了解能够安全注射多少填充剂以及在何处使用哪种产品非常重要,特别是对于初次使用该系列产品的注射医生而言。本研究评估了Vycross填充剂是否能够有效且安全地大量使用,并追踪了其在面部各区域的实际使用情况。这是一项在正常临床实践中进行的单中心回顾性分析。该研究纳入了66例成年女性患者,她们在由MD Codes指导的单一治疗方案中接受了Vycross填充剂全面部年轻化治疗。记录了填充剂的使用情况和位置,并记录了所有不良事件。平均年龄为48.0岁,从咨询到首次使用填充剂的中位时间为18天。大多数患者(n = 40;60.6%)仅进行了一次填充剂治疗。47例患者(71.2%)还接受了A型肉毒杆菌毒素治疗。总共使用了309支填充剂注射器(平均每位患者4.7支)。上半脸、中脸和下半脸分别使用了16支(5.2%)、181支(58.6%)和112支(36.2%)注射器。在上半脸和中脸,大部分使用的是Voluma(分别为15/16支和120/181支注射器)。在下半脸,填充剂的使用分布在Voluma、Volift和Volbella之间(分别为41支、44支和27支注射器)。在三周时报告了5例不良事件(肿胀,n = 2;不对称,n = 2;肿块,n = 1)。所有事件均易于解决。未报告延迟事件。大量的Vycross填充剂可以有效且安全地用作全面部年轻化方法的一部分。

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