DERMAL FILLERS in VS .NET

Generator QR-Code in VS .NET DERMAL FILLERS

CHAPTER 23 DERMAL FILLERS
QR Code 2d Barcode Printer In VS .NET
Using Barcode encoder for .NET Control to generate, create QR-Code image in Visual Studio .NET applications.
QR Code 2d Barcode Recognizer In Visual Studio .NET
Using Barcode scanner for Visual Studio .NET Control to read, scan read, scan image in .NET framework applications.
choice in preoperative rhinoplasty patients SCULPTRA Overview Sculptra is a synthetic, biodegradable, biocompatible, immunologically inert peptide polymer (also known as NewFill)44 46 Sculptra (Dermik Laboratories, Sanofi-Aventis, Bridgewater, NJ) is composed of poly-Llactic acid (PLLA) microspheres, sodium carboxymethylcellulose, and nonpyrogenic mannitol and is manufactured from powdered, absorbable suture material (eg, Vycryl) This agent is not a true dermal filler because it does not fill the dermis the way collagen and HA do but, rather, it promotes the production of new and organized collagen in the dermis Many physicians refer to it as a dermal stimulator Sculptra is thought to foster neocollagenesis by stimulating fibroblasts and gradually restoring facial volume47 49 However, Sculptra is eventually cleared from the skin via phagocytic digestion In the US, Sculptra was approved by the FDA in 2004 for the treatment of HIV-associated facial lipoatrophy, but it has been used off-label for cosmesis, and Dermik is currently applying for approval for its use in facial rejuvenation NewFill has been used in Europe and Asia for many years When it was first introduced, NewFill was diluted with a lower amount of saline and many granules and nodules were reported This led to new recommendations to dilute one bottle with 5 to 10 cc of sterile water and massage after application With the new recommendations, adverse events have been minimal Freeze-dried Sculptra powder is stored at room temperature and reconstituted approximately 2 to 4 hours prior to injection The package label states that the product should be used within 72 hours In our practice, we prefer using Sculptra that has been reconstituted for at least 2 days because the solution is easy to work with and results in less needle clogging Sculptra is reconstituted and kept in the refrigerator for 2 days to 2 weeks Although the package label recommends that the formulation be reconstituted with 5 cc of sterile water, many physicians reconstitute with 4 mL of sterile water and 1 mL of 2% lidocaine with epinephrine The lidocaine decreases pain while the epinephrine reduces bruising Strong agitation of the filed syringes is recommended directly before injection to homogenize the white suspension (Sculptra tends to settle in the bottom of the syringe) By means of tunneling and
Barcode Creation In Visual Studio .NET
Using Barcode creation for .NET framework Control to generate, create bar code image in .NET applications.
Decoding Barcode In .NET Framework
Using Barcode recognizer for Visual Studio .NET Control to read, scan read, scan image in .NET framework applications.
threading techniques, a 25- or 26-gauge needle is utilized to implant Sculptra into overlapping deep dermal and subcutaneous layers of the skin The mechanism of action and proper technique of injecting Sculptra require practitioners to restore volume to a selected treatment plane rather than a specific wrinkle50 Indeed, injecting Sculptra is more similar to fat injection procedures than collagen or HA injections, because it serves to sculpt the prominent hollows and deep grooves associated with loss of deep soft tissue In addition, specialized training to use Sculptra is required prior to injections Small and exact aliquots of Sculptra are injected in the correct tissue plane without overcorrection In general, 2 to 3 cc of the product are used for patients in their thirties, 4 cc for patients in their forties, and 5 cc or more for older patients The cost is approximately $230 per syringe Once Sculptra is injected, there is a transient period lasting about 1 hour during which the patient can see a slight effect because of the volume of fluid injected Once this resolves, results are not seen until about 4 weeks after treatment when results may begin to appear Injections are performed on a monthly basis until desired results have been obtained The number of injection sessions required varies greatly from person to person and it is difficult to predict the total number of sessions needed Injections are performed 3 to 6 weeks apart Anecdotal reports state that premenopausal women and postmenopausal women on hormone replacement therapy (HRT) require fewer sessions than postmenopausal women not on HRT Postmenopausal women not on HRT may require up to eight sessions Men tend to correct more quickly than women for unknown reasons After the procedure, the patient s skin is strenuously massaged with topical arnica (for its anticoagulant properties) for about 5 minutes to reduce bruising, pain, and nodule formation Patients should be told to massage the treated area for 5 minutes every night for five nights Sculptra treatments can be combined with other fillers for instant gratification In this case, Sculptra is injected first, the massage with arnica is performed, and then the HA or collagen filler is applied in the treatment area Sculptra is often used in the cheeks and cheekbone area while an HA filler is used in the nasolabial folds, marionette lines, and the lips Alternatively, a course of three to four Sculptra treatments is
QR-Code Printer In C#
Using Barcode generation for Visual Studio .NET Control to generate, create QR Code ISO/IEC18004 image in Visual Studio .NET applications.
QR Code Drawer In .NET
Using Barcode maker for ASP.NET Control to generate, create Denso QR Bar Code image in ASP.NET applications.
used and then an HA filler is used after Sculptra at the last visit Sculptra should always be used first, then massaged, before the HA is injected so that the lidocaine and epinephrine in the Sculptra will reduce the pain and bruising of the HA injection, and the massaging will not affect the placement of the HA filler Bene ts Sculptra does not require prior skin testing It is ideal for treating volume loss in the cheeks, nasolabial folds, and the malar area Once the desired result is achieved, results last about 18 to 24 months42,44,51,52 The correction is very natural looking Having been used successfully in various medical devices for more than 30 years, PLLA has an established safety record53 Moreover, new product guidelines and injection techniques (eg, using a more dilute product, avoiding overcorrection, not injecting too superficially, and postinjection massage) have reduced the incidence of side effects (ie, formation of granulomas and nodules) as compared to when the product was originally packaged as NewFill54 Drawbacks Sculptra injection results are not immediate and multiple courses are required to achieve the optimal cosmetic effect, with the number of treatments depending on volume of the defect being treated45 Preinjection reconstitution can contribute to scheduling limitations because it must be made at least 2 hours in advance Injecting suspension can be slightly difficult because of recurrent clogging of the needles, which leads to frequent needle changes Adverse events are rare, but PLLA can cause postinjection site pain, bruising, and swelling, as compared to other products, partly because of the larger needle used Adding lidocaine to the diluent mitigates injection pain Ecchymoses can be reduced by mixing epinephrine into the PLLA suspension and taking bromelain supplements (500 mg twice daily) after injection (see 21) Hyperkinetic areas (eg, crow s feet and the corner of the mouth) and regions with thin skin (eg, around the eyes, smoker s lines above the lips) should not be treated with Sculptra because of irregular papules that can emerge Most lumps that do arise are from superficial administration of Sculptra and are not visible, although they are palpable by the patient Reassuring patients that these lumps are transient in nature is important Nodule and hematoma formation are the other rare adverse effects that
QR Creation In Visual Basic .NET
Using Barcode maker for .NET framework Control to generate, create QR Code JIS X 0510 image in Visual Studio .NET applications.
Bar Code Creation In .NET
Using Barcode maker for VS .NET Control to generate, create bar code image in .NET framework applications.
Make Barcode In .NET Framework
Using Barcode generator for .NET framework Control to generate, create barcode image in .NET applications.
Drawing UCC - 12 In .NET Framework
Using Barcode generation for .NET Control to generate, create UCC - 12 image in .NET framework applications.
Print Matrix Barcode In VS .NET
Using Barcode encoder for .NET Control to generate, create Matrix Barcode image in .NET applications.
Leitcode Drawer In .NET Framework
Using Barcode generator for VS .NET Control to generate, create Leitcode image in VS .NET applications.
UPC - 13 Decoder In Java
Using Barcode scanner for Java Control to read, scan read, scan image in Java applications.
Reading EAN-13 Supplement 5 In C#.NET
Using Barcode scanner for Visual Studio .NET Control to read, scan read, scan image in Visual Studio .NET applications.
Recognizing DataMatrix In None
Using Barcode reader for Software Control to read, scan read, scan image in Software applications.
Recognize UCC - 12 In VB.NET
Using Barcode reader for .NET Control to read, scan read, scan image in .NET framework applications.
Read Barcode In Java
Using Barcode Control SDK for BIRT reports Control to generate, create, read, scan barcode image in Eclipse BIRT applications.
Encode EAN13 In Java
Using Barcode encoder for Java Control to generate, create EAN / UCC - 13 image in Java applications.
Read Code 128B In Java
Using Barcode decoder for Java Control to read, scan read, scan image in Java applications.
Make Code 39 Extended In None
Using Barcode creation for Software Control to generate, create Code 39 Extended image in Software applications.
Copyright © OnBarcode.com . All rights reserved.