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南国の美容クリニック。宮城美容外科クリニックです。

電話でのご予約・お問い合わせはTEL.098-860-9120

〒900-0016 沖縄県那覇市前島2-2-1-3F

    

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注入剤は当分、美容医療必須アイテム
FILLERS are here to stay









In the beginning, there were the silicone and paraffin fillers in the 60's and 70's.
Because of issues they still show nowadays, collagen fillers replaced.
Collagens dissolve so fast, so hyaluronic acid(HA) appears in the scene,
After HA, many injectables such as Radiesse and hydrogels came out to obtain long lasting effect.
But unfortunately, they were not good enough, so we are back now to HA as the main filler of today.

That is how the history of filler flows, and still it is one of the main procedure of aesthetic medicine menu and has no sign of fading away from the list.

More outstanding injections is not available/
That is the main reason of HA'S realm.

’It sems so easy to erase wrinklies by pulling my cheek skin like this,' point out most patients when they come for counseling.
They are implying that facelifting might also pull well the wrinkles around the mouth and nose.
In fact, facelift surgery irons out cheek loosening well,
but folds along the nose and mouth cannot be pulled even with such aggresive approach.

The reason: there is no effective means that is as good as the fingers that the patient used to pull the nasolabial wrinkles.
Even if the stretched skin is tucked tightly to the front of the ear,
the skin at the front of the ear cannot withstand the gravity which consequently pulls the ear
making the stretched skin loose a bit to show up again the wrinklings.

Let's stop the persistent explanation at this point and go tp the details of where and how to use HA in a sequence of its popular part usage:


1.nasolabial folds     The wrinles from the sides of the nose to the corners of the mouth are the most treated wrinkle parts.



folds injection bef/aft

Some called them 'parentheses' or 'smile lines', and, of course, HA is the choice of treatment.
Because it is seen as part of the center of the face, people become anxious how the people look at them in a face-to-face situation.

Restylane is one of the HA brands that is mainly used and the first to produced it.







It has been already almost 30 years since the started it.
And it is still a popular brand.

Injecting HA to the dermis(lower skin layer)makes a very natural outcome.

Completely making the wrinkles pressed flat is a difficult task,
but filling them to show a shallow lines can show more natural rejuvenation.


2.marionette lines    From the corner of the mouth to the sides of the chin are the marionette line, which are also good candidates for HA treatment.






It is quite clear, though, their name is from marionette's mouth, the puppet.

Filling up these lines with HA does not only shallow the lines
but also camouflage the jowls that are sagging at their sides.









HA has also effect on lifting mouth corners.


3.lower eyelid circles    In Japan, these spots are the number one spots that everyone feels the aging process.
Anatomically they are called 'lower eyelid sulcus', they sunk deeper as the years go by.
They are like ’annual rings’that goes deeper instead of increasing in numbers.

They become obvious accordingly to the angles of the light.
Like lights that shines form the ceiling in a dim room,
or refections when you are outside looking at a window glass.
HA injection is the simplest solution.





Lower eyelid fat removal or lower eyelift(blepharoplasty) are more effective,
but if surgery is not the interest, HA is an option.

4.lips injection
Besides removal of vertical wrinklings that line your lips in aging process, HA injection to lips is gettting popular nowadays due to the demand of
flared full lips among the youths also.





lips HA bef/aft

HA for wrinkles might lasts for almost a year, but lip's might dissolve faster.
HA for lip wrinkles

Fuller lips sometimes make someone become more greedy to have bigger ones,
so caution for over-injecting is needed to avoid unnecessary strange outcome.


5. cheek、temple、hand enhancements          
It is not bothersome for young people to have sunken face parts.
But
at certain age, they help show aging looks.

HA is the answer.



temple injection bef/aft

Instantaneously the effect is obvious.
Even astonishing for some who repeatedly come and inject it.
hand HA bef/aft

Exception is the
difficulty of treating the mid-face sulcus
a dent that runs slantly down at the center of the cheekbone part.










Introducing shallowly of HA to the skin might help a bit,
or tearing of a strong ligament that pulls it might be needed before HA injection.
But this sometimes ends in vain.

Fat Injection is an alternative for HA filling.
Permanent effect might be accomplished, but multiple treatment is needed
because only about 20% of the fats remains .
And the fact that surgery is needed to gather fats makes some think twice to undergo the procedure.


6. glabella(frown lines)      Vertical frown lines are expression lines created by muscles at the corners of the eyebrows, so Botox injecton is the first choice.


glabella Botox bef/aft

But
wrinkles that appear even without any expression need combination of HA and Botox treatment.




Botox+HA


Ocassional Botox treatment can remove permanent lines in a longer run.に


7. breast enhancement
Breast enlargement can be done also with HA fillers.






A HA for breast filling can achieve a
half bra cup size.


8. forehead、nose、chin、tear bags        Parts that need enhancement beside the breasts.
Nose enhancement is popular among Asians.




nose HA bef/aft

Radiesse(bone-based filler) was the main filler for these parts before, but issues occur, so HA is now the main remedy for these procedure.
Cannula (blunt needle) must be used with these procedure to avoid vascular damage,

Chin and forehead are the next popular parts.



chin HA bef/aft


To enhance volume of the parts,
Juvederm's Voluma is the new HA brand that is firmer and holds tissues stronger than regular HA.


9. cheekbone、jaw enhancement            These parts are separately stated from the above parts because they are not only unpopular to Asians, but they are parts that should be reduced.
Only western people, especially Americans want to
enlarge these portions.




jawline enhancement with HA


Some said that this is kind of a routine in Hollywood which requires obviously-emphasized facelines to match requirements on the screen appearance.


This has been the details of HA injection.


さらなる詳細
 、 further details

Miyagi Cosmetic Surgery宮城美容外科クリニック

〒900-0016
沖縄県那覇市前島2−2−1(3F)

2-2-1-3F Maejima, Naha City
Okinawa, Japan 900-0016

TEL 098-860-9120
FAX 098-860-9176

※電話が混み合っている場合、メールでの予約も受けております。In case line is busy, please contact us through e-mail.
e-mail  info@miyagi-clinic.info
         or
   miyagics@woody.ocn.ne.jp

 
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