Amanda Min

Restoring volume and contours through collagen stimulation

By Dr Amanda Ong

Aesthetic convergence

Over the past few years, the fields of medicine and cosmetic surgery have continued to converge. The closer
they entwine, the less need for invasive surgical procedures to achieve equally successful results.

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Contours and collagen

Latest dermal fillers

The latest dermal fillers are now outstandingly effective. “Bio-stimulating” fillers based on Polycaprolactone (PCL), like ELLANSÉ, have first-rate safety records, offer high viscosity and elasticity and boast an impressive longevity due to their ability to revive the body’s own defence against ageing.
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Being specific

“Bio-stimulating”work by triggering the body’s natural response to foreign bodies. To be specific, they stimulate the formation of fresh collagen around the microspheres. This, being a natural response, is retained for longer by the body – meaning the results are more long-term. Ultimately, this treatment offers a versatile, non-surgical approach to increase soft tissue and contouring, and opens up a variety of potential cosmetic uses.
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Extensive Benefits

The aim is not only to provide a smoother, more youthful-looking skin surface, but also to restore the face’s individual features, evening out the filler’s lifting effect across the face’s curved and hollowed areas. The use of PCL dermal fillers has now moved beyond just treatments designed to restore and rejuvenate the face. Most commonly, plastic surgeons use it to complement an existing surgical procedure.
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An Effective Formula

ELLANSÉ is made up of an aqueous (water-based) carboxymethylcellulose gel, containing synthetic Polycaprolactone (PCL) microspheres. PCL is used at a fixed concentration – but since it contains polymers with varying chain lengths, they break down in the body at different rates, offering variable levels of longevity and durability.
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The microspheres

The PCL microspheres are completely smooth and round, and are therefore the perfect shape for use in dermal fillers. It’s purely an outpatient procedure, using ELLANSÉ in a variety of ways depending on the specific flaw we’re aiming to redress. It can involve a range of different injection techniques, including linear threading, fanning technique, and ELLANSÉ dermal filler.
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INDICATION:

The EU approved intended use is: Ellansé (a Poly-ɛ-caprolactone-based dermal filler) is an injectable implant, indicated for subdermal implantation in the face for the lasting correction of wrinkles and facial aging signs or conditions.

INDICATION:

The EU approved intended use is: Ellansé (a Poly-ɛ-caprolactone-based dermal filler) is an injectable implant, indicated for subdermal implantation in the face for the lasting correction of wrinkles and facial aging signs or conditions.

Important Safety Considerations:

Like all procedures of this type there is a possibility of adverse events, although not everybody experiences them. These adverse events include but are not limited to infection, minimal acute inflammatory tissue reaction (redness, swelling, rash, oedema, erythema, lumps/nodules etc.), pain (which may be temporary or persistent in nature), transient haematoma or bruising.

Other potential adverse events include

- Injection related reactions, include itching, discoloration or tenderness may occur at the site of the injection. These usually resolve spontaneously within several days after the injection.

- As with any implant material possible adverse reactions that may occur include, but are not limited to the following: hypersensitivity, allergic reactions, inflammation, infection, fistula formation, haematoma, seroma, extrusion, induration formation, inadequate healing, skin discoloration, oedema, contusions/bruises, ecchymosis, inadequate or excessive augmentation, loss of correction, interference with local circulation if injected into a blood vessel resulting in vessel laceration, occlusion, embolism, infarction, and abscess at implant site which may result in induration and/or scar formation.

- Rare but serious adverse events associated with the intravascular injection of soft tissue fillers in the face have been reported and include temporary or permanent vision impairment, blindness, cerebral ischemia or cerebral hemorrhage, leading to stroke, skin necrosis, damage to underlying facial structures, nausea and vomiting, lack of ocular movement, significant skin changes, ptosis, exotropia and neurological complications.

- Adverse events, other than mentioned above, could occur as can be with any medical intervention.

All (potential) adverse side effects and incidents should be reported immediately to the Sinclair Corporate Safety Group: quality@sinclair.com