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| Plastic Surgery |
Lip enhancement (Lip enlargement) To have full, pouting lips appears to be one of the characteristics for beauty. Inborn thin, narrow lips give a "peaky" appearance and ageing changes the structure of the lips. The subcutaneous tissues and the muscle loose their elasticity due to hormonal changes making the skin thinner and the upper lip longer. The border between the white and red skin of the lip, vermilion or lip roll is in the younger lip well defined and elevated. This structure diminishes with ageing. The described visual changes are not so evident on the lower lip. There are some different treatments according to the demanded correction.
Enhancement of fullness: All these procedures can be done under local anaesthetic. Operations:
Injections:
What happens afterwards?
AQUAMID Recently a new filler for permanent tissue augmentation by injection was introduced in Europe, Aquamid® . The information about this material is put in front of our normal information on lip augmentation, which of course still should be read by anyone seeking information about this type of operation. The clinic expects the treatment with Aquamid® to replace some of the suggested operations. As general tissue augmentation like breasts, lips, malars, chins and calf for a long time have been and still are demanded corrections, the industry has been seeking a suitable substance for this indication. Through years injectables with time restricted durability like collagen and hyaluronic acids have been used. Due to resorbtion the injections had to be repeated. Allergic reactions have been reported. Other injectable substances with more or less permanent durability have also been used. These are silicone and polymethylmethacrylate, which can aggregate and cause lumps or disappear depending on the molecular size. Again other materials as a permanent filler is the Gortex® tube. Autologous tissues with a variety of long term results have been used. Fat injections do mostly have a transient filling effect and are no alternatives for permanent augmentation. Fat-dermis or fascia implants do commonly have a permanent filling effect, although they can be absorbed. Acellular implants from corps does also exist for this purpose. Biologic auto transplants need vascular ingrowth to survive and if this does not occur, the material is partially or totally absorbed. Bigger augmentations like breasts, muscle, buttocks etc. can only be achieved by implants today. Aquamid® is a neutral hydrogel consisting of a stable chain of polyacrylamide in 90% of water. Polyacrylamide should not be confused with the poisonous acryl amide. The gel can be directly injected into the subcutis where it integrates with the tissues. If injected gel is to be removed, it can at least partially be aspirated or pressed out during the fist 8 months after injection. After this time there is an ingrowth of fibrous tissues into the gel which makes a surgical removal necessary to ablate it. Polyacrylamide gel has been used successfully for over 10 years in Ucraine, mostly for breast augmentation and facial corrections. The cosmetic results have been excellent with a very low frequency of side effects/complications of about 0,02%. This information is related to facial corrections as the only officially cleared indication. Method: With a very thin needle, the gel can be introduced into areas to be filled or enlarged. Typical areas: There will be a short swelling and erythema that will disappear within 12 hours. There will be no pain. The injected gel stays soft or hard depending of the injection technique and it does not migrate. The treatment is done under local or general block anaesthetic. The anaesthesia makes the face feel hard and big, but have no fear, it is invisible! The analgesia disappears within a couple of hours. No after treatment is needed. Side effects:
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| Face | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Good for : Fullness of lips | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| OT: 30 min - 60 min | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Anaesthetic: Local anaesthesia | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Minimum stay in Poland: 1days | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Convalescence: 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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