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


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Referencias


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