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Face 2005 template

  1. 1. DERMAL FILLERS OUTLINE - ABSORBABLE POLYACRYLAMIDE
  2. 2. MEDICAL DISCLOSURE: <ul><li>Dr. Patrick J. Treacy is a Cosmetic Doctor registered in UK and Ireland </li></ul><ul><li>I have previously been registered in United States, Australia, New Zealand and South Africa. </li></ul><ul><li>I have no financial interest or stock in Syneron </li></ul><ul><li>I receive no additional remuneration for product bought by you after attendance at this lecture . </li></ul>
  3. 3.
  4. 4. REPLACE LOST TISSUE VOLUME <ul><li>NOSE TO MOUTH LINES </li></ul><ul><li>LIP AUGMENTATION </li></ul><ul><li>LIPSTICK LINES </li></ul><ul><li>MARIONETTE LINES </li></ul><ul><li>CHEEK VOLUME </li></ul><ul><li>FOREHEAD LINES, FROWN LINE </li></ul><ul><li>CROWS FEET </li></ul>
  5. 5. COLLAGEN <ul><li>CREATED THE MARKET </li></ul><ul><li>COSMETIC TREATMENTS NO LONGER THE DOMAIN OF THE RICH AND FAMOUS </li></ul><ul><li>SAFE, AFFORDABLE, AVAILABLE </li></ul><ul><li>ALLERGY TO COLLAGEN </li></ul><ul><li>COLLAGENASES INDUCED – DURATION OF ACTION SHORTER AND SHORTER </li></ul><ul><li>PATIENTS DEMORALISED – STOP TREATMENT </li></ul>
  6. 6. <ul><li>HISTORY OF DERMAL FILLERS </li></ul><ul><li>REPLACE LIKE WITH LIKE – COLLAGEN </li></ul><ul><li>REPLACE LIKE WITH SIMILAR – HYALURONIC ACID </li></ul><ul><li>REPLACE LIKE WITH ARTIFICIAL – NEWFILL </li></ul><ul><li>SOPHISTICATION OF ARTIFICIAL FILLERS – ABSORBABLE POLYACRYLAMIDES </li></ul>
  7. 7. POLYACRYLAMIDE <ul><li>OCULAR IMPLANTS </li></ul><ul><li>CONTACT LENSES </li></ul><ul><li>ARTIFICIAL TEARS </li></ul><ul><li>SUTURE MATERIAL – CARDIAC MICROSURGERY </li></ul><ul><li>WATER FILTRATION </li></ul><ul><li>WINE FILTRATION </li></ul>
  8. 8. OUTLINE = ABSORBABLE POLYACRYLAMIDE <ul><li>WEAK ESTER BONDS INSERTED INTO POLYACRYLAMIDE (PATENTED) </li></ul><ul><li>METABOLISED BY TISSUE ESTERASES </li></ul><ul><li>SMALLER FRAGMENTS OF POLYACRYLAMIDE ELIMINATED VIA BILE </li></ul><ul><li>PREDICTABLE BREAKDOWN; NON-TOXIC METABILITES </li></ul><ul><li>CAN DEFINE LONGEVITY OF PRODUCT </li></ul><ul><li>CAN INJECT AT ALL TISSUE LEVELS </li></ul>
  9. 9. INSERTION OF WEAK ESTER BONDS: DEFINING LENGTH
  10. 10. METABOLISM OF WEAK ESTER BONDS BY ESTERASES
  11. 11. THE OUTLINE FAMILY <ul><li>OUTLINE ORIGINAL </li></ul><ul><li>OUTLINE ULTRA </li></ul><ul><li>150,000 SYRINGES IN 5 YEARS </li></ul>
  12. 13. OUTLINE ORIGINAL <ul><li>HALF LIFE 2 YEARS </li></ul><ul><li>CLINICAL RESULTS 1 YEAR </li></ul><ul><li>NOSE TO MOUTH LINES </li></ul><ul><li>LIPS, LIPSTICK LINES </li></ul><ul><li>MARIONETTE LINES </li></ul><ul><li>CHEEK AUGMENTATION </li></ul><ul><li>(FOREHEAD LINES, FROWN LINE) </li></ul><ul><li>MID DERMIS; 30g NEEDLE </li></ul>
  13. 14. OUTLINE ORIGINAL 0, 4 WEEKS, 6 MONTHS
  14. 16. FROWN LINE; 0 AND 1 YEAR
  15. 17. OUTLINE ULTRA <ul><li>T ½ 5 YEARS </li></ul><ul><li>CLINICAL RESULTS 2-3 YEARS </li></ul><ul><li>DEEP LINES AND FOLDS </li></ul><ul><li>NOSE TO MOUTH LINES </li></ul><ul><li>POOR QUALITY LIPS </li></ul><ul><li>SUBDERMAL INJECTION 27G </li></ul><ul><li>BASE FOR ORIGINAL </li></ul>
  16. 18. INJECTION TECHNIQUES <ul><li>ALWAYS RETROGRADE TUNNELLING </li></ul><ul><li>MINIMISE PUNCTURE HOLES </li></ul><ul><li>DO NOT OVER FILL </li></ul><ul><li>FLATTEN GENTLY; DO NOT MASSAGE </li></ul><ul><li>AVOID UV AND ALCOHOL 24 HOURS </li></ul><ul><li>REPEAT 4 WEEKS + IF NECESSARY </li></ul>
  17. 19. CONTRAINDICATIONS <ul><li>AS FOR ALL INJECTABLE FILLERS: </li></ul><ul><ul><li>ALLERGY (SKIN TEST AVAILABLE) </li></ul></ul><ul><ul><li>IMMUNOSUPRESSION </li></ul></ul><ul><ul><li>ACTIVE INFECTION </li></ul></ul><ul><ul><li>PREGNANCY, LACTATION </li></ul></ul><ul><ul><li>AUTOIMMUNITY </li></ul></ul><ul><ul><li>HERPES SIMPLEX VIRUS – ORAL ANTIVIRAL ESSENTIAL FOR LIPS </li></ul></ul><ul><ul><li>CAUTION </li></ul></ul><ul><ul><ul><li>LET OTHER FILLERS GROW OUT </li></ul></ul></ul><ul><ul><ul><li>AVOID ARTECOLL SITES </li></ul></ul></ul><ul><ul><ul><li>SEVERELY ALLERGIC PEOPLE </li></ul></ul></ul><ul><ul><ul><li>SEVERELY ILL PEOPLE </li></ul></ul></ul><ul><ul><ul><li>WARFARIN OR OTHER ANTICOAGULANT TREATMENT </li></ul></ul></ul><ul><ul><ul><li>ASPIRIN, NSAIDS </li></ul></ul></ul>
  18. 20. OUTLINE <ul><li>VERSATILE RANGE OF FILLERS </li></ul><ul><li>LONG LASTING </li></ul><ul><li>NON-PARTICULATE, PREFILLED SYRINGE, CONSTANT VISCOSITY </li></ul><ul><li>INJECT AT ALL LEVELS </li></ul><ul><li>30G NEEDLE </li></ul><ul><li>ROOM TEMPERATURE </li></ul><ul><li>SWELLS 3 HOURS ONLY </li></ul>
  19. 21. OUTLINE <ul><li>GOOD COST:BENEFIT RATIO </li></ul><ul><li>GOOD SAFETY PROFILE </li></ul><ul><li>EASY TO STORE AND TO USE </li></ul><ul><li>1ML AND 0,5ML SYRINGES </li></ul><ul><li>PATIENT HAPPY </li></ul><ul><li>DOCTOR HAPPY </li></ul>

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