Corduff Niamh, Goldie Kate, Lin Frank, Lowe Stephen, Siew Tuck Wah, Vachiramon Vasanop, Chao Yates Y, Lesthari Indra, Ong-Amoranto Beverly, Lim Ting Song, Choi Ho Sung, Hong Wonkyu, Lam Yui
Dermatology, RiverEnd Aesthetics, Newtown, AUS.
Dermatology, Clinic 77, London, GBR.
Cureus. 2025 Jul 14;17(7):e87878. doi: 10.7759/cureus.87878. eCollection 2025 Jul.
Dermal fillers such as calcium hydroxyapatite-carboxymethylcellulose (CaHA-CMC), polycaprolactone (PCL), and poly-l-lactic acid (PLLA) are increasingly used as 'biostimulators' to stimulate native collagen production for longer-lasting aesthetic improvement. Volume replacement should, ideally, renew local tissue architectures and functions, but the replaced volume may not align structurally or functionally with the original tissue. The ability to achieve this regenerative, biostimulatory aesthetic rejuvenation requires a thorough understanding of the principles and mechanisms of tissue regeneration and its proper application. We reviewed the concepts of regenerative medicine, regenerative aesthetics, and biostimulation in the context of PLLA and CaHA and discussed the effects on immunological pathways and neocollagenesis when these materials are used as biostimulators in clinical aesthetics. Additionally, to understand how the concept of regenerative aesthetics is applied in the real world, we present cases demonstrating best practices and outcomes when using CaHA-CMC in a group of 11 Asian patients. Asian physicians' practices with CaHA-CMC have evolved beyond its volumizing and contouring benefits to its ability to induce regeneration in aging tissues. This has been achieved through the use of CaHA-CMC as monotherapy or in combination with other modalities. Moreover, CaHA-CMC allows physicians to offer a single, minimally invasive product to patients seeking treatment for skin laxity, wrinkles, crepiness, and volume loss while achieving multiple visible aesthetic improvements. Unlike conventional dermal fillers, the ability to leverage the regenerative qualities of CaHA-CMC effectively resolves age-related aesthetic issues in a durable manner using their body's own systems, allowing patients to emphasize their own unique features.
诸如羟基磷灰石 - 羧甲基纤维素(CaHA - CMC)、聚己内酯(PCL)和聚左旋乳酸(PLLA)等真皮填充剂越来越多地被用作“生物刺激剂”,以刺激天然胶原蛋白生成,实现更持久的美学改善。理想情况下,容量填充应恢复局部组织结构和功能,但填充的容量在结构或功能上可能与原始组织不一致。要实现这种再生性、生物刺激性的美学年轻化,需要深入了解组织再生的原理和机制及其正确应用。我们在PLLA和CaHA的背景下回顾了再生医学、再生美学和生物刺激的概念,并讨论了这些材料在临床美学中用作生物刺激剂时对免疫途径和新胶原蛋白生成的影响。此外,为了解再生美学的概念在现实世界中的应用方式,我们展示了在11名亚洲患者中使用CaHA - CMC的最佳实践和效果案例。亚洲医生使用CaHA - CMC的实践已从其填充和塑形益处发展到其在衰老组织中诱导再生的能力。这是通过将CaHA - CMC作为单一疗法或与其他方式联合使用来实现的。此外,CaHA - CMC使医生能够为寻求治疗皮肤松弛、皱纹、皮肤粗糙和容量缺失的患者提供一种单一的、微创的产品,同时实现多种可见的美学改善。与传统真皮填充剂不同,有效利用CaHA - CMC再生特性的能力能够利用患者自身身体系统以持久的方式有效解决与年龄相关的美学问题,使患者能够突出自身独特特征。
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