Hydrogel
is a permanent soft tissue filler. It is made from 5% polyacrylamide
gel and 95% water. The cross-linked Polyacrylamide forms a real gel
that is very similar and highly bio-compatible to human soft tissue.
The gel is injected beneath the skin or muscle (depending on different
places) where it can't be seen or felt and remains in place
permanently. One week after injection there will form a very thin
membrane around the implant which helps to keep it in place. It moves
with facial expressions because it's very elastic. It is easy to
inject, permanent effect, and can be removed at any time after
injection.
During the past 6 years since 1997, more than 20 million ml of hydrogel has been used to treat over 300 thousand patients.
Since first launch in 1997, PAAG has been
used all over the world, including Asia, Europe, United States, South
America, etc. A large number of animal tests and clinic studies done by
big government hospitals and universities proved that the Medical
Polyacrylamide Hydrogel(PAAG) is a safe, ideal and effective
soft-tissue filling cosmetic material, because it is high inertia, good
biologic compatibility, no chemical reactions within human body.
Hydrogel may be used for:
BUTTOCKS AUGMENTATION - This is the most common use for Hydrogel , popular for patients wanting rounder, more firmly shaped buttocks.
Benefits of this procedure over other procedures such as traditional implants or fat grafting are:
1. Hydrogel can mold, shape and increase volume
on the hips, lower, middle and upper part of the buttocks whereas fat
grafting and traditional implants only effect the upper two thirds.
2. Recovery time is minimal
with hydrogel. The procedure itself only takes 45 minutes to 1 1/2
hours with local anesthesia to the buttock area.. After the procedure it
is recommended that you do not sit or lay on your buttock for 24 hours.
Usually the day after the procedure your buttock will be sore and
swollen and some patients will have minor bruising. 48 hours after your
last treatment you may return home and return to normal activities. With
fat grafting you have 8 weeks recovery time for the liposuction and 3
months to see your final results. With the traditional implants you have
2 weeks of not being able to sit or lay on your buttocks and a minimum
one 1 month before returning to normal activities or exercise.
3. Incremental Increases-
Hydrogel allows you the patient to slowly work up to the size and volume
you desire. For example, many women know they want to be bigger but are
not sure how much bigger they want to be. So on the first treatment
they will have for instance 300 cc, and will then have a few days to see
if they like the size and then on their second treatment if they want
more you can then have another 300cc. This series of increases can be
done over a few days, weeks or even a few years.
CALF AUGMENTATION - Hydrogel is used to enhance the legs, particularly the calves when the patient wants to improve the shape of their legs, increase the size of the calves, enlarge the muscle and add definition. Men normally have calf augmentation to enlarge the calf muscles .Women normally want to enhance the curves in their lower leg. Calf augmentation patients are looking for lower legs that are in better balance to the rest of the body, especially the thighs. Hydrogel calf augmentation it an outpatient procedure needs neither hospitalization nor general anesthetic. CHEEK CHEEKBONE AUGMENTATION – Hydrogel is used to enhance the facial structure, The cheekbones are an obvious choice for dramatic changes and improvement. Hydrogel injections in the cheekbones are for patients who want the high, prominent cheekbones that are almost universally considered beautiful. Cheek implants with Hydrogel can balance the facial structure by correcting a depressed cheek area due to heredity, age-related bone restoration or facial trauma. LIP ENHANCEMENT- Hydrogel is used for lip enhancement to increase both projection and volume. The lips are generally considered the sensual point on a woman’s face. Hydrogel is injected into the lips and molded to give a pleasing sensual shape. At the same time imbalance in the lips is also corrected by varying the injection on either side of the mouth. This is an outpatient procedure taking about 30 minutes and does not require hospitalization nor general anesthetic. CHIN ENHANCEMENT - Hydrogel is used for chin enhancement. In order for a face to appear balanced and in proportion the chin is a point of reference to the cheekbones and overall face shape. A week chin can be corrected by injection and molding of Hydrogel to the desired shape. This is often an issue if a patient is enlarging the cheekbones or the lips by a large degree. This is an outpatient procedure taking about 50 minutes and does not require hospitalization nor general anesthetic. NASOLABIAL FOLDS - (LAUGHLINES) Hydrogel is used for removing and reducing the laugh lines from the face. As we get older lines from the outside of the nose to the corners of the mouth deepen and become permanent. Genetic factors, age, and smoking are all elements which can accelerate this process. Hydrogel injections in this are dramatically reduce and even eliminate this clear sign of aging. This is an outpatient procedure taking about 30 minutes and does not require hospitalization nor general anesthetic. FACIAL WRINKLES - Hydrogel is used to fill multiple points in the face, including crow’s feet, deep brow frowns and perioral lines. Any depression where lines or an unpleasing symmetry is visible is a candidate for Hydrogel injections. All of these procedures are handled as an outpatient procedure taking about 30 minutes and do not require hospitalization nor general anesthetic.
VAGINOPLASTY -
Hydrogel is used to fill vaginal spacial defects and general
beautification of the vaginal area. This is an outpatient procedure
taking about 30 minutes and does not require hospitalization nor
general anesthetic..
Silicone. Several forms of
liquid injectable silicone are FDA-approved for ophthalmic but not
cosmetic uses. The American Society for Aesthetic Plastic Surgery has
warned against the use of liquid injectable silicone for cosmetic
purposes pending further investigation. Unfortunately, silicone oil
injections can cause granulomas and long-term inflammatory changes and
can migrate. Several series and anecdotes report the use of liquid
silicone for HIV-related lipoatrophy, building on experience with use
in other forms of lipoatrophy.
Given the potential risk of silicone relative to alternative agents, it is not a preferred treatment option. Studies evaluating the risk versus the benefit of silicone oil in HIV-associated facial lipoatrophy are ongoing. Expanded Polytetrafluoroethylene (ePTFE) Implants (Gore-Tex/Gore SAM, SoftForm). These FDA-approved implants are more appropriate for correction of significant facial abnormalities. They can be inserted using a small incision while the patient is under local anesthesia. There are potential problems with lumpiness and physical obviousness of the implant. In general, cosmetic use of ePTFE implants is reported to cause adverse events, including movement of the implant, infection, swelling, induration, and uncommonly extrusion (emergence of the implant through the skin). Calcium Hydrogel (Radiance). Preparations based on calcium hydroxylapatite (CaHA) microspheres suspended in carboxymethylcellulose gel were first FDA-approved for vocal cord injections and for use in a range of orthopedic surgery approaches and in radiology (CaHA is radiopaque) but have also been widely used for treatment of wrinkles and lip augmentation. CaHA is bioabsorbable over several years. Reported problems include hardening and overcollaginization requiring corticosteroid injections. Limited data exist regarding its use in HIV-associated lipoatrophy. Polymethylmethacrylate (Artecoll/Artefill).
Polymethylmethacrylate (PMMA) in smooth
microspheres suspended in bovine collagen has also been approved by the
FDA. The bovine collagen in the implant is reabsorbed over time, but
the presence of the PMMA microspheres generates new collagen production
in that same site. PMMA has been used in Europe for close to a decade
and is available in other countries. A large series in Brazil
described its use in HIV-associated lipoatrophy, although clear
systematic collection of safety data was lacking. Side effects reported
included postinjection swelling and pain. Ultrasonographic data
indicated an increase of dermal thickness sustained up to 5 years.
Polyacrylamide gel (Aquamid, Contura, Bio-alcamid). These agents are not FDA-approved, but they have been used in clinics in Europe (where they are approved) and Latin America. Reported data consist mostly of large clinical series accompanied by impressive photographs. Some systematically collected data have been reported with Bio-alcamid.
The different polyacrylamide gel products
have similar characteristics. They are relatively viscous and are
injected subcutaneously. Some authors suggest that use of a dental
block is advisable to limit discomfort at the time of facial injection.
Following injection, the substances encapsulate, enabling at least
partial removal, such as with a large-bore needle, at a later time. This
makes them of interest for use in a condition that may partially
resolve over time. In a case series of 73 HIV-infected patients with up
to 3 years of follow-up, "excellent" aesthetic results were reported,
with no episodes of implant dislocation, migration, granuloma, or
allergic reaction recorded.
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Most patients
will recover smoothly after Injections surgery. But as in every medical
procedure, complications are always possible. These instances are
uncommon and are virtually always treatable.
Possible Complications and reactions to be aware of:
Injection area damage
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- Swelling
- Redness
- Pain
- Tenderness and warmth in the butt area
Infection is a possibility with any buttocks Injection.
Reactions to anesthesia or pain medication
- Advise your doctor or anesthesiologist if you had ever experienced a reaction during a previous procedure.
Discharge instructions
- Your Doctor will give you a set of guidelines of what to do and expect over the first week.
Recovery
- A full recovery is expected in three days
- You will be given leave to go home about one hour after the procedure.
- You must take it very easy the first three days and avoid sitting directly on the injection area
Medication
- Resume medications you were taking before your procedure, unless directed by your Surgeon.
As pain decreases, take Tylenol . - Your Surgeon may prescribe medication although for buttocks Injections this is not very common.
Activity Physical Guidelines
- Follow the physical activity guidelines instructed by your doctor.
Buttocks precautions:
- Limit sitting in the injection area to an absolute minimum for the first three days.
- Sleep on your Stomach . Even for laying in bed to watch television, lay or your side or stomach
- Watch for signs of infection and swelling.
Bathroom
- Avoid Public toilets. Use sterilized toilet in your home when possible for first three days
- Avoid sitting down when going to the bathroom
Stairs
- Avoid any large amount of stairs for the first two day as this puts pressure on your glutinous muscles .
Sports
- No participate sports during the first three days after getting your body filler
- No exercise equipment, or spas until your doctor tells you it is okay.
Sexual activity
After buttocks Injections, most people are
concerned about resuming sex.The general rule is until you are cleared
for sports by your doctor, having sex is not recommended.
Driving
- No driving for at least two days.
Care of your wound
- If your injection area was closed with sutures you will need the doctor to remove them
- Wash your incision area with only mild soap and take care to pat it dry
- Do not take a bath.
- No lotions on your incision unless directed by your doctor
Signs of infection-what to keep an eye out for.
Each day with your shower, Check the injection area for any of these signs of infection:
- Redness
- Drainage
- Sudden Swelling
- If you see any of these signs, call your doctor ASAP.
Antibiotics
- Are generally no prescribed for body fillers and body injections in general
Swelling
- Swelling ( edema) is to be expected after any procedure, this is common and should go down in a few hours to one day for this procedure.
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