The Mandell-Brown
Plastic Surgery Center
Cosmetic Surgeons - Collagen
Cincinnati - Dayton - Ohio
Call 513.984.4700
E-mail
Collagen
is the “Gold Standard” for tissue
augmentation |
Collagen
Soft
tissue fillers such as collagen have been used
for years to augment the face. These fillers are
used to fill out creases, acne scars, facial wrinkles,
other areas of skin unevenness, or for lip enhancement.
Some
of these soft tissue fillers include:
- Collagen
( Zyderm & Zyplast) temporary filler
- Softform
permanent filler each of these
- Goretex
Strands permanent filler
- Alloderm
temporary/permanent filler
- Fat
temporary filler
Collagen is the “Gold Standard” for
tissue augmentation. Collagen, which is derived
from
Bovine collagen, has been used for almost two
decades. After extensive study, Zyplast was introduced
to the public in 1981. There is a 1% chance of
an allergic reaction so a skin test is performed.
After four weeks, the collagen can then be injected.
Zyderm is used for fine lines. Zylplast is more
commonly used as it lasts longer and tends to
fill out the depressions better than the Zyderm.
For lip augmentation, collagen is our first choice.
It can make the lips more full and sensuous. Although
it only lasts two months to six months, it provides
the patient the opportunity to try lip augmentation
before committing to a permanent material.
Softform is a Goretex or synthetic-made product.
This synthetic product has been used for over
20 years in heart and hernia surgery. The Goretex
tube is loaded on a special introducer and through
a micro-incision is inserted under the skin. This
is ideal for the deep cheek creases by the mouth
(nasolabial folds) Softform can be used to fill
out the upper lip line creases, forehead furrows,
and some deep cheek creases..
Individual synthetic Goretex strands are also
available and loaded on a small needle. This is
threaded under the skin to fill out shallow lines
and creases. The needle is removed and the material
stays permanently under the skin. With the Goretex
strands, no incision is required.
Alloderm is derived from the dermis of donors.
The tissue banks are similar to blood banks. The
tissue and donor are screened for various diseases.
The cells such as red and white blood cells are
removed in a special process to render the tissue
safe for transplanting. Alloderm is ideal for
lip enhancement, wider and deeper acne scars or
cheek furrows. Compared to Goretex, Alloderm is
much softer. Unfortunately, the Alloderm can resorb
from 20% to 100%. Each patient is unique and the
permanence differs.
Fat transplantation from one area of the body
to another was very popular several years ago.
Fat could be liposuctioned or aspirated in a syringe
and reinjected into needed facial areas. Unfortunately,
the fat always dissolves. It lasts less than the
collagen –only four to eight weeks.
Before
and after photos:

Chin Implant

Chin Implant

Chin Implant

Chin Implant

Soft Tissue Filler: Gortex

Collagen for Lips

Collagen for Lips

Alloderm for Lips

Collagen for Wrinkles
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