PLLA vs Calcium Hydroxylapatite vs Hyaluronic Acid A Comparative Mid Face Enhancement Case Study with 6 Miyezi Zotsatira

Mu luso ndi sayansi yotsitsimutsa nkhope yapakati, kubwezeretsa voliyumu mosakayikira ndilo lamulo lagolide. Komabe, poyang'anizana ndi mitundu yambiri yowoneka bwino ya zodzaza pamsika, kodi mudasokonezekapo: Ndizinthu ziti zomwe zingapatse makasitomala anu zabwino kwambiri, zokhalitsa komanso zachilengedwe?

Hyaluronic acid (HA), hydroxyapatite calcium (CaHA), ndi poly-L-lactic acid (PLLA) amapanga zipilala zitatu zokweza nkhope padziko lonse lapansi popanda opaleshoni. Koma kusiyana kwawo kwakukulu kumaposa mtengo chabe ndi kulimba.

Nkhaniyi ikupatsirani chiwongolero chopanga zisankho zachipatala chomwe chimayendetsedwa ndi deta komanso chokopa kwambiri pogawana nkhani yachipatala ya miyezi isanu ndi umodzi ya kasitomala wapadziko lonse lapansi pogwiritsa ntchito zinthu zathu za AOMA, kuyerekeza ndi kusanthula momwe zimagwirira ntchito komanso kusiyana kwa magwiridwe antchito azinthu zitatu zazikuluzikulu zodzaza nkhope (poly-L-lactic acid, calcium apatite ndi hyaluronic acid).

Kumvetsetsa limagwirira ntchito za fillers atatu

Hyaluronic acid imapindula mwachangu kudzera mu kudzaza thupi

Monga glycosaminoglycan yochitika mwachilengedwe m'thupi la munthu, HA imabweretsanso voliyumu yomwe idatayika kudzera mu mphamvu yake yamphamvu ya hydration. Kafukufuku wa 2019 mu Journal of Cosmetic Dermatology adatsimikizira kuti zotsatira za hyaluronic acid fillers kumatenga miyezi 6 mpaka 12 ndipo akhoza kuonongeka kwathunthu ndi jekeseni hyaluronidase.

CaHA ili ndi njira ziwiri zochitira

Izi zimapangidwa ndi 30% calcium apatite microspheres ndi 70% carboxymethyl cellulose gel. Kuphatikiza zotsatira zachangu ndi kusonkhezera kwa nthawi yaitali ndikupereka chithandizo champhamvu, nthawi zambiri amagwiritsidwa ntchito m'madera omwe amafunikira chithandizo cholimba cha zomangamanga. Histological maphunziro asonyeza kuti kachulukidwe wa kolajeni watsopano anawonjezera ndi 64.5% miyezi itatu jekeseni.

PLA imathandizira kusinthika pang'onopang'ono

Monga polima wopangidwa ndi biocompatibility wabwino, PLLA imayikidwa mu dermis yakuya kudzera m'tinthu tating'onoting'ono ta jakisoni, pang'onopang'ono kuchititsa ma fibroblasts kupanga kuchuluka kwa autologous collagen. Deta yachipatala ikuwonetsa kuti kusinthika kwa collagen kumatha kupitilira miyezi 24, ndi zotsatira zapang'onopang'ono komanso zachilengedwe zomwe zimakhala zotalika kwambiri. Zotsatira zabwino zimachitika pakatha miyezi 3 mpaka 6 mutangobaya jekeseni, kumapangitsa kuti khungu likhale lolimba komanso kuti likhale lolimba.

Phunziro Pankhani Yachiyembekezo: Kutsata Panoramic kwa Mawonekedwe Owonjezera Pankhope pa Miyezi isanu ndi umodzi

Chimodzi mwa zipatala zathu zogwirira ntchito zanthawi yayitali kuchokera ku Europe zidagawana nkhani yoyimilira kwambiri. Chipatalachi chagula kale mitundu ingapo yamafuta apamwamba kuphatikiza AOMA PLLA kukampani yathu. Mmodzi mwa makasitomala awo achikazi azaka 42 adadandaula chifukwa cha kutayika kwa nkhope, maapulo osayanjanitsika a m'masaya, ndi mawonekedwe a cheekbone, kuyembekezera kukwaniritsa unyamata wachilengedwe komanso wokhalitsa.

Dokotala wa chipatala adapanga dongosolo lachirengedwe lathunthu:

Khope yakumanzere yapakati: Bayikirani CaHA kuti mutengere mwayi pakuthandizira kwake kwamphamvu komanso kukondoweza kwa collagen.

Nkhope yapakati kumanja: Bayitsani hyaluronic acid (HA) kuti mukwaniritse kudzazidwa ndi kukweza nthawi yomweyo.

Nkhope yathunthu: Majekeseni a subcutaneous a AOMA PLLA amaperekedwa kawiri (ndi nthawi ya masabata a 4) mpaka nkhope yonse, pofuna kukwaniritsa kusintha kwa khungu ndi kubwezeretsa mphamvu.

Nthawi yotsatila: Musanapereke jakisoni, sabata imodzi, miyezi itatu, ndi miyezi 6 mutatha jekeseni.

Kusanthula zotsatira:

● Patatha mlungu umodzi jakisoni

Kuyang'ana: Mbali zonse za kumanzere (CaHA) ndi kumanja (HA) zimasonyeza kuchira kwakukulu kwa voliyumu ndi kusintha, ndipo fupa la zygomatic fupa limalimbikitsidwa nthawi yomweyo. Mbali ya HA imakhala ndi mphamvu ya hydration, zomwe zimapangitsa kuti khungu liwoneke bwino. Zotsatira zonse za PLLA sizinawonetsedwebe.

Kufunika kwachipatala: Gawoli latsimikizira zotsatira zaposachedwa za HA ndi CaHA monga 'instant fillers', zomwe zimatha kukwaniritsa zomwe makasitomala amayembekeza koyambirira pazotsatira.

● Patatha miyezi itatu jakisoni

Kuwonetsetsa: Zotsatira za kumanzere (CaHA) zakhala zikuphatikizidwa komanso zachilengedwe, ndi kumverera kolimba kothandizira, kusonyeza mphamvu yoyamba ya kukondoweza kwa collagen. Pali kagayidwe kakang'ono kumanja (HA), koma kumakhalabe ndi mawonekedwe abwino. Panthawiyi, zotsatira za AOMA PLLA zimayamba kusonyeza kwambiri: mawonekedwe a khungu pa thupi lonse amakhala olimba, ndipo pakatikati amapereka 'chidzalo' kuchokera mkati.

Kufunika kwachipatala: Iyi ndi nthawi yofunika kwambiri pamene PLLA iyamba kukwera, ndipo zotsatira zake zachilengedwe zimayamba kukondedwa.

● Patatha miyezi 6 jakisoni

Zindikirani: Panthawiyi, kusiyana pakati pa atatuwa kumawunikira kwambiri.

HA mbali: Pali mphamvu ya kagayidwe kachakudya komanso kufooka kwa mphamvu. Chithandizo choyenera chiyenera kuganiziridwa.

Mbali ya CaHA: Zotsatira zake zimakhala zokhazikika, chifukwa cha collagen yomwe yangopangidwa kumene, ndipo idakali ndi chithandizo chabwino.

PLLA Yokwanira: Zotsatira zake zimafika pachimake. Minofu yapakatikati ya nkhope imakhala yochuluka komanso yolimba, yokhala ndi zosalala komanso zachilengedwe, ngati kuti wina wabwerera ku chikhalidwe chaching'ono. Wogulayo mwiniyo adakhutira kwambiri ndi zotsatira za PLLA pa miyezi isanu ndi umodzi.

Tinaitana mwapadera dokotala wamkulu wa chipatala cha ku Ulaya chimenechi kuti afotokoze zimene zinamuchitikira:

Pakusankha kwazinthu kwanthawi yayitali, takhala tikufunafuna nthawi zonse chinthu chomwe chingapereke makasitomala 'chidziwitso choletsa kukalamba'. AOMA PLLA yakhala chisankho chathu chanzeru. Monga momwe nkhaniyi ikuwonetsera, HA ndi CaHA adagwira ntchito zazikulu kumayambiriro, koma panthawi yovuta ya miyezi isanu ndi umodzi, mtengo wa PLLA unaphwanyidwa.

Kusintha kwapang'onopang'ono komanso kosawoneka bwino kwachilengedwe kwathandizira kwambiri kukhutira ndi kukhulupirika kwamakasitomala. Kukankhira kosavuta komanso kulolerana kwamakasitomala kwa AOMA PLA kumatipatsanso chidaliro pantchitoyi. Chakhala chinthu chofunikira kwambiri pachipatala chathu chothandizira kukonzanso nkhope.

Thandizo Lachidziwitso Chovomerezeka: Chifukwa Chiyani Miyezi Sikisi Ndi Chiwonetsero Chagolide cha PLA?

Zomwe taziwona pamilandu yathu zimagwirizana kwambiri ndi zomwe zalembedwa m'mabuku ovomerezeka azachipatala. Kafukufuku wofalitsidwa mu Aesthetic Plastic Surgery yotchedwa 'Poly-L-lactic Acid for Midface Volume Restoration: Phunziroli ' A Retrospective Case Series ndi 12-Month Follow-Up ' akuwonetsa momveka bwino kuti zotsatira za PLLA zimayamba kuwonekera patatha miyezi 1-3 jekeseni, imafika pachimake pa miyezi 6, ndipo ikhoza kusungidwa mokhazikika kwa miyezi iwiri kapena yotalikirapo. ndendende chifukwa chachikulu chomwe zotsatira zake zimakhala zachilengedwe komanso zofanana ndi kusinthika kwa minofu yake.

Upangiri Wopanga zisankho: Momwe Mungasankhire Zodzaza Zoyenera Kwa Makasitomala Anu?

Makasitomala amafuna mbiri	Ndondomeko yolangizidwa	Mtengo wapakati
Kufunafuna zotsatira zaposachedwa kapena kuyesa koyamba kudzaza	Hyaluronic acid	Zotsatira zake ndi zolondola komanso zosinthika, zomwe zimakwaniritsa kufunikira kowonjezera kukongola mwachangu.
Ndikufuna thandizo lamphamvu ndikuyembekeza kuwongolera khungu langa	CaHA	Zotsatira ziwiri za 'kudzaza + kukondoweza' zimaphatikizidwa, kupereka chithandizo chapadera.
Fufuzani kutsitsimuka kwanthawi yayitali komanso kwachilengedwe kuti muthane ndi kuchepa kwa mawu ndi kumasuka	PLLA	Zotsatira zake zimakhala zautali komanso zimasinthika mwachilengedwe, zomwe zimapangitsa kuti ikhale ndalama zanthawi yayitali zomwe zimakulitsa mtengo.

Monga momwe chipatala chathu chinachitira, kuphatikiza chithandizo nthawi zambiri ndi njira yabwino kwambiri. Pogwiritsa ntchito AOMA HA kapena CaHA kuthana ndi zovuta zamakonzedwe ndi ma contour ndikuyambitsanso pulogalamu yanthawi yayitali yokonzanso ya AOMA PLLA, mutha kupatsa makasitomala anu zotulukapo zochiritsira zosasunthika komanso zokongoletsedwa mosalekeza, zomwe zimakulitsa mtengo wanthawi zonse wamakasitomala anu.

Mapeto

Miyezi isanu ndi umodzi yowonera zachipatala idatsimikizira kuti chilichonse mwazinthu zitatu zodzaza zili ndi ziwonetsero zomveka. Hyaluronic acid ndi yoyenera kwa milandu yomwe imatsatira zotsatira zaposachedwa. Calcium apatite imapereka njira yabwino yothetsera atrophy ya minofu yochepetsetsa, pamene poly-L-lactic acid (AOMA PLLA) ili ndi ubwino waukulu pakuwongolera kwa nthawi yaitali. Ndibwino kuti madokotala apange chisankho chokwanira malinga ndi zosowa za kasitomala, maziko a bungwe ndi zotsatira zomwe zikuyembekezeka.