Soft Tissue Augmentation Cincinnati
Soft tissue augmentation typically refers to augmenting (enlarging) areas of the face but may also include the hands or body. Facial wrinkles, lines, acne scarring, and contour abnormalities can also be improved by augmenting soft tissue. Augmentation can be accomplished by surgically implanting material or by simple needle injection of products.
Commonly augmented areas of the face include cheek bones (zygoma), naso jugal grooves (the line directly under the lower lid), sub brow area, chin, lips, and the jaw line. Wrinkles (rhytids) may be improved or eliminated in the frown lines, crows’ feet, nasolabial folds, marionette lines, and the sub labial crease.
To achieve a more youthful look one must analyze the factors which cause an aged appearance. With age comes a thinning of skin, loss of fat, and drooping of soft tissue.
This causes a loss of volume and subsequent wrinkling of the skin. Rejuvenation of the face can include surgical and non-surgical means. Surgical methods include repositioning of the droopy tissue (facelift) or implantation of solid implants (chin or cheek.). Non-surgical methods include needle injections of specific products. For the most impressive results a combination of products may be used. There are a myriad of substances which can be used for soft tissue augmentation and many of the most promising products have been introduced over the last 5 years. Below is a list of the most commonly used products by Dr. Martin.
One of the earliest and most commonly used products for soft tissue augmentation is your own fat. Advantages of using your own fat include no rejection issues, lower cost of material, and possibility of permanent results. Another advantage is a virtually unlimited supply of grafting material (unless you are very thin). For this reason, Dr. Martin recommends fat when grafting the entire face. Disadvantages include longer post-operative swelling and the need for a harvesting procedure. Fat is harvested from any area of the body using gentle liposuction harvesting techniques. If you are planning on having a liposuction you should consider adding a fat grafting procedure. Once harvested, the fat is then centrifuged, washed, and placed into a syringe where it is injected into its target area using a special needle. The fat cells that are harvested are alive and will graft into their new location. On average, 10-50% of the cells resorb over the next 3-6 months. What’s left after 6 months will usually last many years and can be considered permanent.
Earlier known as Radiance, Radiesse consists of calcium hydroxylapatite microspheres suspended in a polysaccharide gel. Radiesse is basically synthetic bone and similar to the hydroxyapatite found in our bones and teeth. Hydroxyapatite has been used for many years in reconstructive surgery including dental surgery and bone reconstruction of the cheeks, cranium, and chin. The product comes in syringes of 1.3 cc’s and 0.3 cc’s. Radiesse is FDA approved for medical use and for cosmetic applications (nasolabial folds). So what happens when we place hydroxyapatite in soft tissues? Over time the hydroxyapatite is resorbed and replaced with your own collagen, creating a long lasting augmentation. Results typically last 6 -12 months but can be permanent. Advantages of Radiesse include moderate cost per application, long lasting results, and the ability to augment deeper wrinkles. Disadvantages include the possibility of lumping which can be very difficult to correct. When choosing a plastic surgeon to inject Radiesse, make sure he possess the knowledge and experience necessary to achieve outstanding results with minimal complications. Dr. Martin has an extensive 5 year experience using Radiesse. The newest application for Radiesse is it”s use in hand rejuvenation. For more information go to the Bioform website at www.bioforminc.com.
Approved by the FDA for cosmetic use, Restylane is a non-animal hyaluronic acid occurring naturally in the human body. It has a jelly like consistency and comes packaged in a 0.4 cc or 1.0 cc syringe. Restylane is injected directly into the dermis (middle layer of skin) or if indicated may be injected into deeper tissues. Advantages include no need for sensitivity testing (like collagen), minimal to no downtime, and low rate of complications. Disadvantages include some chance of lumping and less ability to augment a deeper wrinkle. Restylane lasts 6-12 months on average so repeated injections will be necessary. Cost is typically $ 500 per syringe. For more information go to the Restylane website at www.restylaneusa.com
One of the newest soft tissue fillers to be FDA approved, Sculptra is a poly-l-lactic acid polymer similar to a substance already used in absorbable suture material. Scultra is injected by needle into the dermis to achieve augmentation in the face. Advantages include minimal contour abnormalities and longer lasting results. Disadvantages are higher cost and need for retreatment. For more detailed information log onto the Dermik website at www.sculptra.com
FDA approved to last up to one year, Juvederm is a smooth consistency gel made of non-animal hyaluronic acid. Consisting of a high concentration of cross-linked hyaluronic acid, Juvederm offers a safe and effective nonsurgical option for smoothing facial wrinkles and folds including “laugh lines,” “smile lines” or “parentheses” (nasolabial folds), or “marionette lines” (oral commissures). A typical Juvederm treatment only takes 15 minutes, has minimal down time, and requires no anesthesia. Results are immediate and one can expect some transient swelling. For more information, visit www.juvederm.com