Anna Hoo Clinic

关于皮下填充液（Dermal Filler）: 玻尿酸

在医学美容的世界，其中一个受众人热衷追随的疗程，就是皮下填充液。

接下来说说关于玻尿酸，为什么大家那么的喜欢它。

安全性如何？效果如何？有没有后遗症等等

玻尿酸，学名为透明质酸（Hyaluronic acid,简称 HA）。是一种人体的皮下组织中自然存在的物质。它在人类的真皮层中扮演了基质的重要角色，在组织结构上整体的保养或是细胞之间的运送都有很重要的功能。

原本玻尿酸只是用作保湿的作用，不过目前它已经进入除皱微整形的行列。

在除皱微整形的家庭里，日愈受欢迎的玻尿酸，它的提炼方法是利用细菌发酵所得到的非动物稳定性玻尿酸，然后以注射性医学美容的方式注射进入脸部凹陷的部位，以达到除皱与修饰脸部的效果。

玻尿酸，在人体的组织中以胶状形态存在，负责储存水分，增加皮肤容积，让皮肤看起来饱满，丰盈，有弹性。但玻尿酸会随着年纪增长而消失，皮肤就会逐渐失去储存水分的能力，而开始慢慢暗沉，老化，细小的皱纹也因此而浮现。

当玻尿酸吸收大量水分的时候，使得弹力纤维和胶原蛋白处在充满水分的环境中，皮肤也更有弹性。

年轻的皮肤富含玻尿酸，所以看起来柔软又有弹性。

25岁开始玻尿酸开始流失，30岁时只剩下青春期的大概65%，60岁时只剩下25%，肌肤的老化就越发严重。

Important tips on dermal filler selection: Reversible if problematic

There is no one in this world who can promise you that the injection material and the injection technique will be the perfect one every time you undergo any procedure. You would like to know that when somethings goes wrong, your doctor would be happy to assist you with the correction without having to go through the knife.

Permanent lip filler

Patient : Doc, i don’t like my lips, it’s getting bigger over time.

Doctor : Oh dear, you are the one in a million to have this reaction. I will schedule you for a lips filler removal operation. The cost is USD 20000, a discounted price.

Patient : Why is the correction so much more expensive then the filler, you charged me USD 2000 2 years back?

Doctor : ... ...

Many people fall trap into being prey of permanent / semi permanent filler. The injector may sell you the idea that permanent filler lasts longer and hence you do not need to undergo repeated injections. The fact is, human ages with time. No matter how permanent a filler is, volume loss is ongoing and there will be constant need for further volume replacement. Even after permanent filler injection, one would still require future volume touch up from time to time. So with and without permanent filler injections, one would still require the top up treatment. The apparent saving is not there.

But what you were not told was the fact that once the permanent filler is injected into your body, your body will not have any mechanism to dissolve it. The permanent filler ended up staying in the body for the rest of one’s life. To remove it, one will have to seek the help of a plastic surgeon to remove it surgically. The process of filler removal is a tedious job and even in the best hands, the fillers may not be completely removed in toto.

The other risk is, permanent filler is being recognized as foreign body and in some patients, it attracts inflammation. Chronic inflammation forms granulation tissues or scar tissue which increases the actual “volume” of the fillers over time. One may find the areas treated with permanent filler growing over time and the

treated area may disfigure. To rectify this problem, surgery, will be required.

to be continue....

by
Anna Hoo

Important tips on dermal filler selection: Proven safety record

Dermal fillers are medical prescription products used to treat volume loss, fine lines, wrinkles, and repair facial imperfections, eg hollow cheeks or scars.

If you are interested in dermal fillers as a treatment option, it's important to first understand the different types of dermal fillers, how treatment is administered, and the possible side effects.

We would like to share 2 most important tips on filler selection.

What are the qualities of a good/safe dermal filler?

Proven Safety Record
Reversible If Problematic
Visible Result
Reasonable Longevity

An ideal filer would be one that has

1. Proven safety record

You would like your filler from a reputable company which produce their product with the highest quality. The product must have undergone vigorous studies to ensure its effectiveness, safety and stability. The manufacturer should have the strictest production standards to ensure that their product has consistent, reproducible results and importantly, the defect rate or the rate of the results its product gives deviating from the expected is close to zero. The product has to stand the test of time. It has to show that the product does not cause problems after administration today, and in days to come if used within the prescribed way.

These products may not come cheap but you know that these products share a common idea with you - no compromise in terms of quality when it come to your health.

You don’t want to be the first person to use a certain product and end up being scared.