Document Detail


The biology of facial fillers.
MedLine Citation:
PMID:  19415574     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The biologic behavior of a facial filler determines its advantages and disadvantages. The purpose of this article is to look at the relevant biology as part of a logical basis for making treatment decisions. Historical perspectives and biologic characteristics such as local tissue reaction (including phagocytosis and granulomatous inflammation) cross-linking, particle concentration, immunogenicity, biofilm formation, gel hardness, and collagen neogenesis are considered. Bovine collagen is the most immunogenic facial filler. Porcine and bioengineered human collagen implants have very low immunogenicity, but allergic reactions and elevations of IgG are possible. Cross-linking and concentration affect the longevity of collagen and hyaluronic acid fillers. Gel hardness affects how a hyaluronic acid filler flows through the syringe and needle. Calcium hydroxylapatite, poly-L-lactic acid, and polymethylmethacrylate fillers have been shown to stimulate collagen neogenesis. It appears that any facial filler can form a granuloma. Bacterial biofilms may play a role in the activation of quiescent granulomas. Various authors interpret the definition and significance of a granuloma differently.
Authors:
Stuart H Bentkover
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Publication Detail:
Type:  Journal Article     Date:  2009-05-04
Journal Detail:
Title:  Facial plastic surgery : FPS     Volume:  25     ISSN:  1098-8793     ISO Abbreviation:  Facial Plast Surg     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-05     Completed Date:  2009-07-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405303     Medline TA:  Facial Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  73-85     Citation Subset:  D    
Affiliation:
Bentkover Facial Plastic Surgery and Laser Center, Worcester, Massachusetts 01608, USA. stuart.bentkover@drbentkover.com
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MeSH Terms
Descriptor/Qualifier:
Animals
Biocompatible Materials / administration & dosage,  adverse effects,  metabolism*
Biofilms
Cattle
Chondrogenesis
Collagen / administration & dosage,  immunology,  metabolism
Cosmetic Techniques*
Durapatite / administration & dosage,  immunology,  metabolism
Face
Granuloma, Foreign-Body / etiology
Humans
Hyaluronic Acid / administration & dosage,  immunology,  metabolism
Injections, Subcutaneous
Lactic Acid / administration & dosage,  immunology,  metabolism
Microspheres
Phagocytosis
Polymers / administration & dosage,  metabolism
Polymethyl Methacrylate / administration & dosage,  metabolism
Silicones / administration & dosage,  metabolism
Swine
Chemical
Reg. No./Substance:
0/Biocompatible Materials; 0/Polymers; 0/Silicones; 0/glutaraldehyde-cross-linked collagen; 1306-06-5/Durapatite; 26100-51-6/poly(lactic acid); 50-21-5/Lactic Acid; 9004-61-9/Hyaluronic Acid; 9007-34-5/Collagen; 9011-14-7/Polymethyl Methacrylate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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