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Esthetic Skin Treatments (Fillers)

  • Chapter
Plastic and Reconstructive Surgery

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

Summary

Injectable soft tissue fillers play an important role in the aesthetic treatment of the ageing face. Staving off wrinkles and folds accounts for the most popular minimally invasive procedures performed.

Since the acceptance of collagen as a filler in 1977, new reabsorbable and non-reabsorbable implants have appeared with varying degrees of success. Most of the early dermal-filling materials, of historical interest, were potentially long lasting, even permanent. Today, as we know more about products and their potential complications, a more accurate treatment plan can be arranged for the patient.

The ideal desired characteristics for a soft tissue filler are that they must be safe, biocompatible, easy to inject, readily prepared, easy to store, affordable, have long lasting cosmetic effect, and not provoke any complications. In this chapter, we go through the history of dermal-filling materials, mentioning the most important biodegradable, semipermanent, and nonbiode-gradable fillers. Technical guidelines are given. The conclusion is that today injectable fillers based on hyaluronic acid hold many of the sought-after properties of the ideal filler and please patients' demand for products with little associated risk. Nonbiodegradable fillers can give a definitive correction but involve the risk of severe and permanent adverse reactions.

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Author information

Authors and Affiliations

  1. Department of Aesthetic Surgery Laclinic, Montreux, Switzerland

    Michel E. Pfulg

Authors
  1. Michel E. Pfulg
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  2. Serge Lê-Huu
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Editor information

Editors and Affiliations

  1. Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Maria Z. Siemionow (Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training) (Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training)

  2. Department of Plastic and Aesthetic, Hand, and Reconstructive Surgery, Caritas-Krankenhaus St. Josef, affiliated with Regensburg University, Regensburg, Germany

    Marita Eisenmann-Klein (Director) (Director)

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Pfulg, M.E., Lê-Huu, S. (2010). Esthetic Skin Treatments (Fillers). In: Siemionow, M.Z., Eisenmann-Klein, M. (eds) Plastic and Reconstructive Surgery. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84882-513-0_17

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  • DOI: https://doi.org/10.1007/978-1-84882-513-0_17

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-512-3

  • Online ISBN: 978-1-84882-513-0

  • eBook Packages: MedicineMedicine (R0)

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