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Implants and injections|How to reduce wrinkles

How to reduce wrinkles

Implants and injections and the use of topical agent, such as tretinoin, of AHA’s, for reduction of fine wrinkles is the simplest intervention option.  The process is easy and painless, the potential side effects are not severe, and the cost is reasonable. 

There are limits, however, to their effectiveness.  Other more invasive options exist to reverse the signs of aging which include injections (wrinkle-implant therapy and muscle relaxants), resurfacing techniques (lasabrasions and chemical peels), and surgery (face, eyelid, and brow lifts).

Implant Therapy

Wrinkle implants can best be described as fillers.  Substances such as collagen (in its various forms), tissue glue (Hylaform viscoelastic gel).

Gore-Tex SoftForm, fat, or silicone are used to fill furrows creases, and folds in the skin.  These wrinkles are generally deeper than the fine wrinkles caused by sun damage and are often found in areas of muscle pull, for example on either side of the mouth and nose, between the brows, and on the forehead. 

With the exception of silicone, SoftForm and Gore-Tex, which have unique properties and problems, these agents are organic substances injected into the skin to supplement the facial structures altered with age inImplants and injections.

Implant therapy and Implants are not new.  They were used as early as the nineteenth century.  At that time the substances were largely inorganic and included wax, aluminum, gold, cork, ivory, and porcelain.  Unfortunately infections and allergic reactions were common. 

A classic example was the beautiful Duchess of Marlborough who was once the belle of London society in Implant therapy.  She became a recluse after a series of liquid paraffin injections caused irreversible allergic reactions which destroyed her beauty. 

Today, people are more fortunate than the Duchess because the use of soft tissue implants made from organic substances has proven to be highly successful.

What types of implants are available?

Organic implants are made of the following substances: Zyderm and Zyplast collagen suspensions, Koken atelocollagen solution, Fibrel gelatin matrix implant, Hylaform viscoelastic gel and fat (microlipid transfer).  Inorganic implants are made of silicone fluid, Gore-Tex or SoftForm.  Each differs one from another, and each has both positive and negative attributes.

Collagen is one of the building blocks of skin.  Some of the organic implants are forms of collagen which have different agents within their suspensions and solutions.  Zyderm, Zyplast, and Koken are bovine collagen.  Zyderm and Zyplast originate from the skin of cattle and are milky in appearance, whereas Koken is a clear solution originating from the skin of calves.

A significant breakthrough in soft tissue implants is Hylaform viscoelastic gel.  This gel is a derivative of a ubiquitous molecule made of linked starches (polysaccharides) from modified hyaluronan which is located between the structural cells of the skin.  It acts as a type of inter-cellular glue.

Fibrel and microlipid transfers both use substances from the patient’s own body.  Fibrel is unique in that it is composed of gelatin powder and another chemical agent which is mixed with the yellow protein of the recipient’s blood.

In the microlipid transfer, fat is taken from one area of the body, usually from underneath the navel, and injected into the furrows or wrinkles of the same person.

Silicone fluid is an artificial solution of silicon, oxygen, and other elements.  The use of silicone for injecting into wrinkles has not been approved by the Food and Drug Administration in the United States nor the Health Protection Branch in Canada.  Even so, it has been used by numerous practitioners because of its permanent nature, although it has been less popular since the advent of organic implants.

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