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Novel Administration Technique for Large-Particle Stabilized Hyaluronic Acid-Based Gel of Nonanimal Origin in Facial Tissue Augmentation

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Abstract

The use of large-particle stabilized hyaluronic acid-based gel of nonanimal origin (NASHA™) for facial aesthetic procedures is widespread and increasing. A panel of experts with extensive clinical experience with NASHA-based gel recently attended an advisory board meeting to develop guidelines for its use in volumetric tissue augmentation. Discussions included details of the blunt-cannula injection technique currently recommended for administration of large-particle NASHA-based gel. With the aim of optimizing patient comfort and control over administration of NASHA-based gel, the panel members explored an alternative, sharp-needle technique. In this article we describe the new technique in detail, together with practical recommendations and precautions. The technique has several advantages over blunt-cannula injection: improved patient comfort, lack of need for a skin incision, increased precision regarding the implant position, and improved control of injection volume. However, the sharp-needle technique requires a high level of skill and a good knowledge of facial anatomy.

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Authors and Affiliations

  1. Woffles Wu Aesthetic Surgery & Laser Centre, 1 Orchard Boulevard, Suite 09-02, Camden Medical Centre, Singapore, 249615, Singapore

    Woffles Wu

  2. Cabrini Hospital, Malvern, Australia

    Ian Carlisle

  3. Rebecca Cosmetic Center, Tao Yuan City, Taiwan

    Peter Huang

  4. Institut Dra. Natalia Ribé, Barcelona, Spain

    Natalia Ribé

  5. Xsana Clinique, Modena, Italy

    Rosalba Russo

  6. Fachärztin für Plastische und Ästhetische Chirurgie, Transmed Privatklinik GmbH, Wiesbaden, Germany

    Claudia Schaar

  7. Coupure Centre for Plastic Surgery, Ghent, Belgium

    Alexis Verpaele

  8. University Hospital, Uppsala, Sweden

    Anders Strand

Authors
  1. Woffles Wu
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  2. Ian Carlisle
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  3. Peter Huang
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  4. Natalia Ribé
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  5. Rosalba Russo
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  6. Claudia Schaar
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  7. Alexis Verpaele
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  8. Anders Strand
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Corresponding author

Correspondence to Woffles Wu.

Additional information

The consensus meeting was arranged by Q-Med and held on 12th February 2008 in Melbourne, Australia. All panel members received an honorarium for providing lectures and participating in this workshop.

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Wu, W., Carlisle, I., Huang, P. et al. Novel Administration Technique for Large-Particle Stabilized Hyaluronic Acid-Based Gel of Nonanimal Origin in Facial Tissue Augmentation. Aesth Plast Surg 34, 88–95 (2010). https://doi.org/10.1007/s00266-009-9433-x

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  • DOI: https://doi.org/10.1007/s00266-009-9433-x

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