Jonathan Swift in "Gulliver's Travels" describes the ideological conflict ostrokonechnikov and big-endian: some advocated for what boiled eggs should be broken with a sharp end, others - that, respectively, with a blunt.The unrelenting feud lasted for many years, and come to a compromise and it was not possible.Eternal dichotomous dilemma - fillers or implants - in aesthetic medicine, fortunately, has not reached such alarming proportions.Some patients are categorically against any foreign bodies established by the body, some are willing to let almost everything, some try to keep the golden mean.
If the dispute ostrokonechnikov and big-endian truth could not be born by default - because there is no right or wrong answer as to which side to break the egg - in the matter, to give preference to fillernym techniques or large-scale surgical operations with the installation of implants,You can clearly define that in any case will be the best choice.
In order to better understand the situation in which fillers can do, and where the desired result can only be achieved with implants, we talked to Dmitry Rat, one of the leading plastic surgery hirurgovkliniki "Studiomed."
Dmitry, talk to the beginning of the fillers.What types of fillers exist, what are the benefits of their use in some cases they appear to use?
First of all, I want to draw your attention to the fact that the non-encapsulated fillers - that is, those who do not have a silicone shell - is not officially allowed in the world.Naturally volumizing correction using large amounts of fillers still held, but in 90% of cases, this outpatient manipulations which provide no guarantees: the first concerns "experts" wash their hands, no one wants to deal with the consequences of incorrect procedures performed.
By types of fillers can be divided into two groups.First - it is produced on a large scale medical industry used by doctors.The second group - the "home".Typically, as a "primitive" fillers protrude liquid petrolatum, different ointment formulations (including tetracycline ointment).The introduction of such fillers are likely to provoke the development oleogranulёmy (focal necrosis of fat tissue).A very common case of appeal to a plastic surgeon about getting oleogranulёm treatment of male patients, because of his youth and stupidity decided to resort to psevdofilleram for penis enlargement.In this case, the only way to remove the "gel" - the so-called operation Reich, implying large-scale peeling of the skin.
And how biocompatible fillers?They are also banned?
Biocompatible fillers (such as Zyderm, Rizoplast, Fibrel) are based on hyaluronic acid, which is a natural component of the cells.They are allowed, as are involved in the metabolic processes of the body and eventually dissolve.But different polyacrylamide gels - they are commonly used for lip volumizing and correction of different folds - are allowed for use at a concentration of no more than 1 ml.But even with the introduction of biocompatible gels must carefully follow all the rules septic tanks, because the accident unit tunes infection can cause inflammation, locate and block that will be more difficult because of the presence of the filler.
It turns out that for a significant correction - the volume of the breast or giving, such as the buttocks - it is better to rely on implants?
Anyway, not exactly on synthetic fillers.In my practice was a case where a woman asked, which increased buttocks somehow cheap gel.When the inflammation has gone, all that helped her - this advice to see a doctor.As a result, during the year she underwent 5 scale operations and 80 dressings - under general anesthesia because they are accompanied by severe pain.Remove unencapsulated, ie not enclosed in a skin gel is very difficult - almost impossible to ensure that all the particles were extracted at a time, and therefore has to carry out several operations.
formed under the skin to drain the pus must be constantly (to pump), which means that it remains an open wound that is healing by secondary intention, that is, from the bottom up, and this way, in turn, leads to the formation of large noticeable scar.But there can be no beauty, when because of the outbreak of sepsis (inflammation provoked by bacteria trapped outside or infection) at risk the health and life of the patient, the more so because the scar can be removed later as a means of plastic surgery and cosmetology.And yet we should not forget that the fillers, as well as any physical body, subject to the laws of gravity and gravity often migrate (ie, shifted) from the crotch to the buttocks, lower legs from ankle to ...
If gels cancause serious inflammation, it is safe to install the implants?Silicon shell - this is also a synthetic material.
very Silicone is inert, it almost does not react with any chemicals in the body.Because it is made even heart valves and stents, and because they are in constant interaction with the blood.Implants also established to increase the breast and buttocks, and lower legs form correction, virtually no contact with the blood, so that the risk of inflammation completely minimized.In addition, around the implant it forms a sort of tissue capsule, which not only protects against the risk of inflammation, but also prevents the displacement of the implant - in contrast to the non-encapsulated filler, it just will not migrate.
sum up our conversation, what would you advise patients who wish to adjust the appearance and they can not decide between the fillers and implants?
in the first place - not to carry out procedures to increase the volume of any part of the body using synthetic fillers.Even fairly primitive implants filled with saline (liquid filler silicone shell having the same consistency and density of the blood, most often made on the basis of the solution of various salts), in this case, preferably: although they are easily felt and not very natural looking, theyat least, not endanger the health and life of the patient.
Biocompatible fillers based on hyaluronic acid - is officially permitted materials are very effective for the correction of facial wrinkles, as well as healing and moisturizing the skin.Synthetic fillers is also allowed, but only when using them performed very slight correction, and the volume of the substance is less than 1 ml.
