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The Liquid Lift: Looking Natural Without Lumps.

de Felipe I, Redondo P - J Cutan Aesthet Surg (2015 Jul-Sep)

Bottom Line: Owing to the lifting effect of this mixture we called this procedure liquid lift (LL).Sixty two (72%) considered LL less painful than the previous treatment and only eight (9.3%) could detect lumps or nodules 1 month after LL was performed compared with 46 (53.5%) that described this problem with previous needle injections.Injection of diluted HA with saline and anesthetic agents through a cannula all over the face or LL can provide more natural results and less lumps or nodules, and is less painful than traditional treatments involving needle injection of nondiluted HA.

View Article: PubMed Central - PubMed

Affiliation: Clinica Dermatologica de Barcelona, Barcelona, Spain.

ABSTRACT

Context: Hyaluronic acid (HA) is the most common filler used to rejuvenate. Today, a three-dimensional approach prevails over previous techniques in which this material was used in specific areas of the face such as the nasolabial fold, the marionette line, and the eye trough giving a strange appearance that does not look natural. Even with a volumizing purpose, the injection of HA can sometimes produce clinically detectable nodules or lumps where the filler is deposited.

Aims: To develop a new technique of injecting HA that can provide more natural results and avoid the lumpiness and nodular appearance that sometimes occurs with the injection of HA. To detect whether mixing HA with diluted anesthetic agent modifies its behavior.

Settings and design: Prospective, case control, single-center study on a private clinic setting.

Materials and methods: Eighty six patients were enrolled in this study. All of them had a previous treatment with nondiluted HA using a needle at least a year before. Patients were injected with 8 mL of reticulated HA (RHA) mixed with 6 mL of saline and 2 mL of anesthetic agent. The mixture was administered through a cannula inserted in the face, one at mid-cheek and another at frontal-temporal point of entry. Owing to the lifting effect of this mixture we called this procedure liquid lift (LL). Patients were evaluated 1 month, 6 months, and a year later and asked to compare the LL with previous experiences in terms of natural look, pain, and appearance of nodules.

Statistical analysis used: Student's t-test.

Results: One month after the treatment, 83 out of 86 patients (96.5%) thought LL produced a more natural look than the previous treatment with the needle. Sixty two (72%) considered LL less painful than the previous treatment and only eight (9.3%) could detect lumps or nodules 1 month after LL was performed compared with 46 (53.5%) that described this problem with previous needle injections. The incidence of bruising was also clearly lower (7% with LL vs 17.4% with traditional needle).

Conclusions: Injection of diluted HA with saline and anesthetic agents through a cannula all over the face or LL can provide more natural results and less lumps or nodules, and is less painful than traditional treatments involving needle injection of nondiluted HA.

No MeSH data available.


Related in: MedlinePlus

Forty four year old female patient before and after a LL procedure with 8 mL RHA mixed with 8 mL saline and mepivacaine 0.5%. On the mid malar area, it is possible to see a small stich that covers the injection site where the cannula enters to deliver the filler
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Figure 3: Forty four year old female patient before and after a LL procedure with 8 mL RHA mixed with 8 mL saline and mepivacaine 0.5%. On the mid malar area, it is possible to see a small stich that covers the injection site where the cannula enters to deliver the filler

Mentions: The LL procedure takes 15 min to finish. Patients look very natural immediately after the injection and are able to resume their regular activities [Figure 3]. At 1-month follow-up, the volume restoration is remarkable and no lumpiness or irregularities was noted [Figures 4 and 5].


The Liquid Lift: Looking Natural Without Lumps.

de Felipe I, Redondo P - J Cutan Aesthet Surg (2015 Jul-Sep)

Forty four year old female patient before and after a LL procedure with 8 mL RHA mixed with 8 mL saline and mepivacaine 0.5%. On the mid malar area, it is possible to see a small stich that covers the injection site where the cannula enters to deliver the filler
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4645141&req=5

Figure 3: Forty four year old female patient before and after a LL procedure with 8 mL RHA mixed with 8 mL saline and mepivacaine 0.5%. On the mid malar area, it is possible to see a small stich that covers the injection site where the cannula enters to deliver the filler
Mentions: The LL procedure takes 15 min to finish. Patients look very natural immediately after the injection and are able to resume their regular activities [Figure 3]. At 1-month follow-up, the volume restoration is remarkable and no lumpiness or irregularities was noted [Figures 4 and 5].

Bottom Line: Owing to the lifting effect of this mixture we called this procedure liquid lift (LL).Sixty two (72%) considered LL less painful than the previous treatment and only eight (9.3%) could detect lumps or nodules 1 month after LL was performed compared with 46 (53.5%) that described this problem with previous needle injections.Injection of diluted HA with saline and anesthetic agents through a cannula all over the face or LL can provide more natural results and less lumps or nodules, and is less painful than traditional treatments involving needle injection of nondiluted HA.

View Article: PubMed Central - PubMed

Affiliation: Clinica Dermatologica de Barcelona, Barcelona, Spain.

ABSTRACT

Context: Hyaluronic acid (HA) is the most common filler used to rejuvenate. Today, a three-dimensional approach prevails over previous techniques in which this material was used in specific areas of the face such as the nasolabial fold, the marionette line, and the eye trough giving a strange appearance that does not look natural. Even with a volumizing purpose, the injection of HA can sometimes produce clinically detectable nodules or lumps where the filler is deposited.

Aims: To develop a new technique of injecting HA that can provide more natural results and avoid the lumpiness and nodular appearance that sometimes occurs with the injection of HA. To detect whether mixing HA with diluted anesthetic agent modifies its behavior.

Settings and design: Prospective, case control, single-center study on a private clinic setting.

Materials and methods: Eighty six patients were enrolled in this study. All of them had a previous treatment with nondiluted HA using a needle at least a year before. Patients were injected with 8 mL of reticulated HA (RHA) mixed with 6 mL of saline and 2 mL of anesthetic agent. The mixture was administered through a cannula inserted in the face, one at mid-cheek and another at frontal-temporal point of entry. Owing to the lifting effect of this mixture we called this procedure liquid lift (LL). Patients were evaluated 1 month, 6 months, and a year later and asked to compare the LL with previous experiences in terms of natural look, pain, and appearance of nodules.

Statistical analysis used: Student's t-test.

Results: One month after the treatment, 83 out of 86 patients (96.5%) thought LL produced a more natural look than the previous treatment with the needle. Sixty two (72%) considered LL less painful than the previous treatment and only eight (9.3%) could detect lumps or nodules 1 month after LL was performed compared with 46 (53.5%) that described this problem with previous needle injections. The incidence of bruising was also clearly lower (7% with LL vs 17.4% with traditional needle).

Conclusions: Injection of diluted HA with saline and anesthetic agents through a cannula all over the face or LL can provide more natural results and less lumps or nodules, and is less painful than traditional treatments involving needle injection of nondiluted HA.

No MeSH data available.


Related in: MedlinePlus