Cambios en el atractivo del rostro joven y de mediana edad mediante una voluminización integral con rellenos de ácido hialurónico reticulados

Walter Sánchez, Cristina Premer

Resumen


Diferentes puntos focales claves de rellenos dérmico, se han descrito en procedimientos inyectables con ácido hialurónico (AH) reticulado en el rostro, teniendo en cuenta su forma, estructura y proporciones y el grado de envejecimiento. Este trabajo reporta una técnica integral en la voluminización del rostro joven y de mediana edad con AH reticulado con y sin complementos de glicina y L-prolina, así como su efecto y cambios en las proporciones generadas por su uso. El estudio fue realizado en 17 hombres y 33 mujeres (edad: 21-59 años), los cuales recibieron dos sesiones de tratamiento bajo el mismo esquema de distribución de inyecciones. Después de aplicar AH reticulado complementado se evidenció su efecto en el reposicionamiento de los tejidos faciales con una redensificación de las capas malares cigomáticas y atenuación de los músculos nasolabiales, mentonianos y pliegues labiomentales, con elevación significativa de la comisura labial, además de una reducción de la pigmentación de las ojeras, de las líneas de expresión y de la profundidad del surco nasoyugal, mejorando la hidratación, luminosidad y textura de la piel. En contraste al AH reticulado sin complementar, solo se observó un reposicionamiento de los tejidos, una disminución de las líneas de expresión y del surco nasoyugal. Los índices de la proporción facial reflejaron una mejora y cambios significativos en 13 de los índices calculados en la voluminizacíon con AH reticulado complementado, en donde el 61% de estos valores después de la intervención se aproximaron al equilibrio de proporción. El 80% y el 71% de los pacientes reportaron que la estética de su rostro estuvo muy mejorada con el AH reticulado complementado y sin complementar, respectivamente. En conclusión, el uso de AH reticulado complementado, ofreció mejores resultados en cuanto a la reposición de los tejidos blandos, cambiando las proporciones del rostro, aumentado la hidratación y calidad de la piel, disminuyendo las líneas de expresión, generando un rostro más atractivo en comparación a los resultados obtenidos con AH no complementado.

Recibido: 01/10/2024
Aceptado: 15/10/2024


Texto completo:

PDF

Referencias


Londono J, Ghasmi S, Lawand G, Mirzaei F, Akbari F, Dashti M. Assessment of the golden proportion in natural facial esthetics: A systematic review. J Prosthet Dent [Internet]. 2024 [cited 2024 Jul 26];131(5):804–10. Available from: https://www.sciencedirect.com/science/article/pii/S0022391322002852

Matoula S, Pancherz H. Skeletofacial morphology of attractive and nonattractive faces. Angle Orthod [Internet]. 2006 [cited 2024 Jul 26];76(2):204–10. Available from: https://meridian.allenpress.com/angle-orthodontist/article-abstract/76/2/204/132010

Papio MA, Fields HW, Beck FM, Firestone AR, Rosenstiel SF. The effect of dental and background facial attractiveness on facial attractiveness and perceived integrity and social and intellectual qualities. Am J Orthod Dentofac Orthop [Internet]. 2019 [cited 2024 Jul 26];156(4):464-474.e1. Available from: https://www.sciencedirect.com/science/article/pii/S0889540619305311

Devgan L, Singh P, Durairaj K. Minimally Invasive Facial Cosmetic Procedures. Otolaryngol Clin North Am [Internet]. 2019 [cited 2024 Jul 23];52(3):443–59. Available from: https://www.oto.theclinics.com/article/S0030-6665(19)30015-5/abstract

Mendelson B, Wong CH. Changes in the facial skeleton with aging: Implications and clinical applications in facial rejuvenation. Aesthetic Plast Surg. 2012;36(4):753–60.

Emer J, Sundaram H. Aesthetic applications of calcium hydroxylapatite volumizing filler: An evidence-based review and discussion of current concepts: (Part 1 of 2). J Drugs Dermatology [Internet]. 2013 [cited 2024 Jul 23];12(12):1345–54. Available from: https://europepmc.org/article/med/24301235

Donis AA, Gutiérrez PG, Domínguez NR, Moreno GS, Ruiz Ávila J. Revisión de materiales de relleno. Dermatologia Cosmet Medica y Quir [Internet]. 2015 [cited 2024 Jul 27];13(1):54–64. Available from: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=57456

Lefebvre-Vilardebo M, Trevidic P, Moradi A, Busso M, Sutton AB, Bucay VW. Hand: Clinical anatomy and regional approaches with injectable fillers. Plast Reconstr Surg [Internet]. 2015 [cited 2024 Jul 26];136(5):258S-275S. Available from: https://journals.lww.com/plasreconsurg/FullText/2015/11001/Midface__Clinical_Anatomy_and_Regional_Approaches.31.aspx

Cotofana S, Gaete A, Hernandez CA, Casabona G, Bay S, Pavicic T, et al. The six different injection techniques for the temple relevant for soft tissue filler augmentation procedures – Clinical anatomy and danger zones. J Cosmet Dermatol [Internet]. 2020 [cited 2024 Jul 26];19(7):1570–9. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.13491

Casabona G, Kaye KO. Invited Discussion on: Combining Calcium Hydroxylapatite and Hyaluronic Acid Fillers for Aesthetic Indications: Efficacy of an Innovative Hybrid Filler. Aesthetic Plast Surg. 2022;46(1):382–4.

Bourguignon LYW. Matrix hyaluronan-activated CD44 signaling promotes keratinocyte activities and improves abnormal epidermal functions. Am J Pathol [Internet]. 2014 [cited 2024 Jul 29];184(7):1912–9. Available from: https://www.sciencedirect.com/science/article/pii/S0002944014002223

Antoszewska M, Sokolewicz EM, Baranska-Rybak W. Wide Use of Hyaluronic Acid in the Process of Wound Healing—A Rapid Review. Sci Pharm [Internet]. 2024 [cited 2024 Jul 29];92(2):23. Available from: https://www.mdpi.com/2218-0532/92/2/23

Cotofana S, Koban K, Pavicic T, Yankonva M, Frank K, Green JB, et al. Clinical Validation of the Surface Volume Coefficient for Minimally Invasive Treatment of the Temple. J Drugs Dermatology [Internet]. 2019 [cited 2024 Jul 26];18(6):533–40. Available from: https://europepmc.org/article/med/31251545

Hernandez CA, Freytag DL, Gold MH, Pavicic T, Ascher B, de Almeida AT, et al. Clinical validation of the temporal lifting technique using soft tissue fillers. J Cosmet Dermatol. 2020 Oct 1;19(10):2529–35.

Müller DS, Prinz V, Sulovsky M, Cajkovsky M, Cotofana S, Frank K. Volumization of the young and the old temple using a highly cross-linked HA filler. J Cosmet Dermatol. 2021;20(6):1634–42.

Attenello NH, Maas CS. Injectable fillers: Review of material and properties. Facial Plast Surg [Internet]. 2015 [cited 2024 Jul 26];31(1):29–34. Available from: https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0035-1544924

Moradi A, Shirazi A, David R. Nonsurgical Chin and Jawline Augmentation Using Calcium Hydroxylapatite and Hyaluronic Acid Fillers. Facial Plast Surg. 2019;35(2):140–8.

Edsman K, Nord LI, Öhrlund Å, Lärkner H, Kenne AH. Gel properties of hyaluronic acid dermal fillers. Dermatologic Surg [Internet]. 2012 [cited 2024 Jul 26];38(7 PART 2):1170–9. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1524-4725.2012.02472.x

Fundarò SP, Salti G, Malvin Hernandez Malgapo D, Innocenti S. The rheology and physicochemical characteristics of hyaluronic acid fillers: their clinical implications. mdpi.comSP Fundarò, G Salti, DMH Malgapo, S InnocentiInternational J Mol Sci 2022•mdpi.com [Internet]. 2022 [cited 2024 Jul 29];2022:10518. Available from: https://www.mdpi.com/1422-0067/23/18/10518

Kim S, Matic DB. The anatomy of temporal hollowing: The superficial temporal fat pad. J Craniofac Surg [Internet]. 2005 [cited 2024 Jul 26];16(5):760–3. Available from: https://journals.lww.com/jcraniofacialsurgery/fulltext/2005/09000/Zygomaticotemporal_Nerve_Passage_in_the_Orbit_and.6.aspx

Alghoul MS, Vaca EE, Mioton LM, Zins JE. The Functional Anatomy of the Deep Facial Fat Compartments: A Detailed Imaging-Based Investigation. Plast Reconstr Surg [Internet]. 2020 [cited 2024 Jul 26];145(4):870E-871E. Available from: https://journals.lww.com/plasreconsurg/fulltext/2019/01000/the_functional_anatomy_of_the_deep_facial_fat.12.aspx

Cotofana S, Schenck T, Trevidic P, Sykes J, Massry G, Liew S, et al. Midface: clinical anatomy and regional approaches with injectable fillers. Plast Reconstr Surg [Internet]. 2015 [cited 2024 Jul 27];136(5S):219S-234S. Available from: https://journals.lww.com/plasreconsurg/abstract/2015/11001/midface__clinical_anatomy_and_regional_approaches.31.aspx

Tan M, Clinics TK-FPS, 2015 U. Midface volumization with injectable fillers. kinampark.comM Tan, TC KontisFacial Plast Surg Clin 2015•kinampark.com [Internet]. 2015 [cited 2024 Jul 27];23:233–42. Available from: http://kinampark.com/PL/files/Tan 2015, Midface volumization with injectable fillers.pdf

Rivera I, Ollarves V, Ortiz D, Caballero V, Lugo D, Ucrós C, et al. Evaluación del efecto de un tratamiento combinado utilizando fórmulas lipolíticas y de estimulación celular para el remodelado mandibular. Acta Bioclínica [Internet]. 2024 [cited 2023 Dec 18];14(27). Available from: http://erevistas.saber.ula.ve/index.php/actabioclinica/article/view/19450

Braz A, De Paula Eduardo CC. Reshaping the lower face using injectable fillers. Vol. 53, Indian Journal of Plastic Surgery. Georg Thieme Verlag; 2020. p. 207–18.

Scarano A, Rapone B, Amuso D, Inchingolo F, Lorusso F. Hyaluronic Acid Fillers Enriched with Glycine and Proline in Eyebrow Augmentation Procedure. Aesthetic Plast Surg. 2022;46(1):419–28.

Yutskovskaya Y, Kogan E, Leshunov E. A randomized, split-face, histomorphologic study comparing a volumetric calcium hydroxylapatite and a hyaluronic acid-based dermal filler. J Drugs Dermatology [Internet]. 2014 [cited 2024 Jul 26];13(9):1047–52. Available from: https://europepmc.org/article/med/25226004

Mance M, Mosler EL. Premixed hyaluronic acid and calcium hydroxyapatite dermal fillers: A new generation of aesthetic injectables case presentation and review of literature. Open J Clin Med Images [Internet]. 2024 [cited 2024 Jul 26];4(1). Available from: https://www.jclinmedimages.org/articles/OJCMI-v4-1178.pdf

Zheng R, Ren D, Xie C, Pan J, Zhou G. Normality mediates the effect of symmetry on facial attractiveness. Acta Psychol (Amst) [Internet]. 2021 [cited 2024 Jul 26];217. Available from: https://www.sciencedirect.com/science/article/pii/S0001691821000615

Peron APLM, Morosini IC, Correia KR, Moresca R, Petrelli E. Photometric study of divine proportion and its correlation with facial attractiveness. Dental Press J Orthod [Internet]. 2012 [cited 2024 Aug 5];17(2):124–31. Available from: https://www.scielo.br/j/dpjo/a/Lp6sGrTXm7Hx4k5DPkpZGPv/

Manzini JL. Declaración de Helsinki: principios éticos para la investigación médica sobre sujetos humanos. Acta Bioeth [Internet]. 2000;6(2):321–34. Available from: https://doi.org/10.4067/s1726-569x2000000200010

Farkas L, Munro I. Anthropometric facial proportions in medicine [Internet]. Charles C Thomas. Illinois; 1987 [cited 2024 Aug 5]. Available from: https://cir.nii.ac.jp/crid/1373664917190081284

Edler R, Agarwal P, Wertheim D, Greenhill D. The use of anthropometric proportion indices in the measurement of facial attractiveness. Eur J Orthod [Internet]. 2006 [cited 2024 Aug 5];28(3):274–81. Available from: https://academic.oup.com/ejo/article-abstract/28/3/274/404711

Newsome HA, Chi JJ. Mastering Midface Injections. Clin Plast Surg [Internet]. 2023 [cited 2024 Jul 23];50(3):437–46. Available from: https://www.facialplastic.theclinics.com/article/S1064-7406(22)00025-6/abstract

Akinbiyi T, Othman S, Familusi O, Calvert C, Card EB, Percec I. Better Results in Facial Rejuvenation with Fillers. Plast Reconstr Surg - Glob Open [Internet]. 2020 [cited 2024 Jul 23];8(10):E2763. Available from: https://journals.lww.com/prsgo/fulltext/2020/10000/Better_Results_in_Facial_Rejuvenation_with_Fillers.17.aspx?context=LatestArticles

Anand C. Facial contouring with fillers, neuromodulators, and lipolysis to achieve a natural look in patients with facial fullness. J Drugs Dermatology [Internet]. 2016 [cited 2024 Jul 23];15(12):1536–42. Available from: https://europepmc.org/article/med/28095576

Fakih-Gomez N, Kadouch J. Combining Calcium Hydroxylapatite and Hyaluronic Acid Fillers for Aesthetic Indications: Efficacy of an Innovative Hybrid Filler. Aesthetic Plast Surg [Internet]. 2022 [cited 2024 Jul 26];46(1):373–81. Available from: https://link.springer.com/article/10.1007/s00266-021-02479-x

Santos J. Estudo da proporção áurea em fotografias faciais de indivíduos com oclusão normal [dissertação] [Internet]. Universidade Metodista de São Paulo.; 2003 [cited 2024 Aug 5]. Available from: https://scholar.google.com/scholar?hl=es&as_sdt=0%2C5&q=Estudo+da+proporção+áurea+em+fotografias+faciais+de+indivíduos+com++oclusão+normal+%5Bdissertação%5D&btnG=

Ricketts RM. The biologic significance of the divine proportion and Fibonacci series. Am J Orthod [Internet]. 1982 [cited 2024 Aug 5];81(5):351–70. Available from: https://www.sciencedirect.com/science/article/pii/0002941682900732

Farkas L, Kolar J. Anthropometric and art in the aesthetics of Women face. Clin Plast Surg [Internet]. 1987 [cited 2024 Aug 5];14:599–615. Available from: https://scholar.google.com/scholar?hl=es&as_sdt=0%2C5&q=Anthropometric+and+art+in+the+aesthetics+of+woman+faces&btnG=

Vegter F, Mulder JW, Hage JJ. Major Residual Deformities in Cleft Patients: A New Anthropometric Approach. Cleft Palate-Craniofacial J. 1997 Mar;34(2):106–10.




DOI: https://www.doi.org/10.53766/AcBio/

Se encuentra actualmente indizada en:

tanaman herbal berkhasiat obat  

Creative Commons License
Todos los documentos publicados en esta revista se distribuyen bajo una
Licencia Creative Commons Atribución -No Comercial- Compartir Igual 4.0 Internacional.
Por lo que el envío, procesamiento y publicación de artículos en la revista es totalmente gratuito.