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Risks, disadvantages and sustainability aimed at improving nose and chin contouring and wrinkles ...



Risks, disadvantages and sustainability aimed at improving nose and chin contouring and wrinkles with Lady Esse injection

Lady Esse is an injection that is injected subcutaneously with a needle and is said to be suitable for contouring the nose and chin and improving deep wrinkles. It is possible to create volume at the injection site by injecting for about 10 minutes instead of surgery using a scalpel. In addition, it has a long-term treatment effect compared to hyaluronic acid, which can form contours and improve wrinkles.

On the other hand, there are disadvantages compared to other cosmetology treatments that can form contours, so it is necessary to know the differences in effects and risks depending on the type of cosmetology treatment before undergoing treatment.

The effect of ready essence injection, not just contouring

A dermal filler that is injected subcutaneously to lift the wrinkle groove and create volume is called a dermal filler. RADIESSE is one of the dermal fillers.

Ready essence injection that can contour the nose and chin

Hyaluronic acid has the property of swelling with water, so when injecting hyaluronic acid, the injected hyaluronic acid may absorb water from the skin and swell more than planned. On the other hand, Lady Esse does not swell due to moisture and maintains an appropriate hardness even after injection.

The property of Lady Esse, which keeps its shape firmly, is utilized in the treatment of sharpening the nose and chin and raising the height, and it is possible to form thin nose streaks and lift the tip of the nose. In addition, since it does not move from the injection site after injection, there are almost no cases of "flowing around and thickening the nose streaks" that rarely occurs with hyaluronic acid injection.

Improve deep wrinkles with Lady Esse injection

Lady Esse can be expected to improve the deeply carved nasolabial fold, Golgo line, and marionette line.

Due to its hardness, if it is injected shallowly into the skin, it may cause lumps and irregularities, and the injection should be done deep into the skin. Therefore, it is not suitable for improving shallow wrinkles that need to be injected shallowly on the skin or for injection into soft areas such as tear pouches under the eyes .

If you want to improve shallow wrinkles, hyaluronic acid injection and collagen injection, which are softer than Lady Esse, are suitable for injection treatment. In addition, botulinum injection is effective for facial expression wrinkles that appear due to facial habits.

Also promotes collagen production

The skin is layered from the outside to the epidermis and dermis, and the dermis contains collagen and elastin, which are the sources of elasticity and firmness of the skin, and fibroblasts that make them. About 70% of the dermis is made up of collagen, but the amount of collagen produced decreases with age, causing the skin to sag.

Lady Esse is also called a collagen stimulant, and when injected subcutaneously, it activates fibroblasts, which increases its own collagen and gives the skin firmness and elasticity . Even after Lady Esse is decomposed and absorbed into the body, the firmness and elasticity of the skin caused by the collagen produced continues.

Immediate effect and long-term treatment effect

Lady Esse has an immediate effect because the volume appears at the injection site immediately after injection, and the treatment effect is said to last for about 10 to 18 months, and it is sometimes called a "long-lasting dermal filler".

Although it depends on the type of hyaluronic acid, it is said that the duration of hyaluronic acid injection is about 6 months to 1 year, so it can be said that it is a dermal filler with a longer duration than hyaluronic acid injection.

Area where Lady Esse can be injected

nose・ Uniforms the unevenness of the nose ・ Through the nose muscles ・ Sharply improves the rounded nose of the nose ・ Improvement of the pig nose (up nose) with the tip of the nose facing up
Temple・ Improved volume of temples that are depressed due to aging
cheek・ Improved cheek volume
Deep wrinkles・ Makes deep wrinkles on the nasolabial fold, Golgo line, and marionette inconspicuous
Chin・ Sharp chin formation ・ Uniform chin shape on the left and right ・ Close to the ideal E line (line connecting the nose and chin) ・ Improvement of retracted chin and broken chin
Back of the hand・ Makes wrinkles on the back of the hand and blood vessels that stand out less noticeable

Again, injection into areas where the skin is thin and shallow, such as the forehead, glabellar, around the eyes, and lips, is not suitable because it can cause lumps and irregularities .

The main component of Lady Esse is calcium hydroxyapatite

Lady Esse Safety

Lady Esse has received safety approval in 10 countries around the world, including the FDA (US Food and Drug Administration), MFDS (Korean Ministry of Food and Drug Safety), and CE (Certification Mark for Standard Conformity under Legal Regulations of European Member Countries). I will. There is less risk of infection or allergies due to infusion, so there is no need for an allergy test before the infusion procedure.

Lady Esse is an unapproved drug from the Ministry of Health, Labor and Welfare
Drug acquisition route: The acquisition route is individual import from the manufacturer by the doctor of each medical institution.
Drugs to be aware of when importing personally (Ministry of Health, Labor and Welfare page)
Whether or not it is approved in Japan: There is no drug that has the same ingredients and actions as Lady Esse and has been approved in Japan.
Information on safety in other countries: Lady Esse has obtained the following approval from the US FDA. [* 1]
Approval date Approved indications
2007.03.01 Displacement of the larynx to deal with severe suction difficulties and vocal cord dysfunction, enlargement of deformed size

In addition, it is used in Europe with the CE mark acquisition by Merz Pharma [* 2]

[* 1] FDA

[* 2] https://www.merz.com/blog/news/merz-receives-ce-mark-radiesse-lidocaine/

Calcium hydroxyapatite is the main component of bone

The main component of Lady Esse is "Calcium Hydroxyapatite (CaHA)", which consists of calcium and phosphate ions that are naturally present in the body. It is a solid substance that is the main component of bones and teeth, but it can be injected as a dermal filler by making it into particles and wrapping it in a sticky gel.

After injection of Lady Esse, both gel and calcium hydroxyapatite are gradually decomposed and absorbed as waste products by macrophages (macrophages), which are a type of white blood cell, but the gel is decomposed quickly and the remaining calcium hydroxyapatite is decomposed. It works on the improvement and formation of wrinkles.

Calcium hydroxyapatite, by the action of cells that make bone and put into the defect of the bone, there is a property that replaces to your bone, such as the formation of artificial bone and dental treatment, form other than cosmetic medical surgery, orthopedic surgery, It is used in a wide range of medical fields such as otolaryngology and dentistry.

In addition, since the ready essence is injected inside the skin where the cells that make the bone do not exist, and the bone covered with the periosteum is not accidentally touched by the lady essence, new bone is formed by the lady essence. There is no such thing .

Differences from other contouring procedures

In cosmetology, there are hyaluronic acid, thread treatment, and prosthesis insertion as contouring treatments without surgery like Lady Esse.

The big difference is that hyaluronic acid has a solubilizer that can be restored by removing the threads and prosthesis . Also, the prosthesis is not absorbed by the body, so the effect is semi-permanent .

Resolvable with a solubilizer Creviel

CLEVIEL is a hyaluronic acid injection suitable for nasal and chin formation developed for Asians. There are two types of Cleviel, "Contour (concentration 50 mg / ml)" and "Prime (concentration 33 mg / ml)", depending on the difference in hyaluronic acid concentration, and the one with high hyaluronic acid concentration is suitable for formation .

Compared to other hyaluronic acids, it has a higher concentration and density, so it is slowly decomposed and absorbed in the body, and its action is said to last for about 12 months or more. Cleviel is highly viscous and has little effect on absorbing water in the body, so even if it is injected into the nose, there is little risk that it will spread and become thicker after injection .

Hyaluronic acid is dissolved in a dissolving agent called Hyaluronidase, so if Cleviel does not give the desired result, it can be dissolved and reinjected.

If you inject hyaluronidase into the area where you want to dissolve hyaluronic acid, hyaluronic acid will be decomposed in a few hours. After a period of 3 weeks or more, you can re-inject Kleviel to correct it.

Thread lift with absorbent thread that can be returned to the original by removing the thread

Medical absorbent threads made of PCL (polycaprolactone) or PDO (polydeoxanone) can be inserted into the nose or chin to shape them. Medical absorbent thread is a highly safe material used as a suture in surgical operations, and various types of absorbent thread have been developed. The duration of the effect varies depending on each absorbent thread, but it will be absorbed into the body over a period of about one year.

There is almost no downtime because it is not an operation using a scalpel like the operation of inserting a prosthesis, but if you touch the operation site or move depending on the facial expression for about 2 to 3 days after the operation, you will have dull pain. It is said.

In the unlikely event that the desired finish is not achieved, the thread will be removed to restore it, but it must be done before the tissue at the insertion site and the absorbent thread begin to adhere.

Semi-permanent prosthesis

A prosthesis is an artificial cartilage made from medical grade silicone or Gore-Tex, which can be inserted into the nose or chin to shape it. By inserting a prosthesis processed according to your wishes and skeleton, it will be a custom-made treatment according to your facial features.

Unlike Eddie Esse, the insertion of the prosthesis is a surgical operation, which is performed using general anesthesia or intravenous anesthesia. The scar is not noticeable because the nose is inserted through the nose hole and the chin is inserted by making an incision inside the lower lip. In addition, the effect is semi-permanent because it is not absorbed by the body.

Lady Esse has almost no downtime, but prosthesis insertion has about 1 to 2 weeks of downtime such as swelling and internal bleeding, and about 2 to 3 days after surgery, the treatment site is fixed with tape or Gibbs. is needed.

In the unlikely event that you do not get the desired result, you will have to remove the prosthesis.

Injection treatment that is considered to be used in combination with contouring treatment

If there is slack due to fat, use "lipolytic injection" to inject the drug into the area with subcutaneous fat, and if you are worried about the tension of the ella due to the development of the masseter muscle, use "Elabotox" to inject botulinum into the ella. So, the face line may be cleaner.

Risks / Disadvantages and Precautions of Lady Esse Injection

Risk of serious complications

Although unlikely to occur, there is a risk of skin necrosis, blindness, and stroke if a drug accidentally enters a blood vessel and clogs it (embolism), as with other infusion procedures.

Skin if you experience severe pain during or immediately after the procedure, changes in vision, or signs of stroke (difficulty talking, numbness or weakness, difficulty walking, severe headache, dizziness, confusion, etc.) If you experience paleness, please contact your medical institution immediately.

These serious complications are caused by the doctor's infusion skill, not the drug itself. To avoid the risk, you need to be treated by a doctor who is familiar with anatomy.

Side effects of infusion procedure

Since the injection is done by piercing the needle, side effects such as swelling, redness, dull pain, internal bleeding, and itching may occur at the injection site, as with other injection procedures, but in most cases it takes about 2 to 3 days. It is supposed to subside.

Lady Esse has no solubilizer

Hyaluronic acid has a dissolving agent (hyaluronidase), but since Lady Esse has no way to dissolve it after injection, even if you are not satisfied with the finish, you can only restore it by absorbing it in your body. However, since Lady Esse does not move or swell more than the image after injection, it is unlikely that the finish will be different from the reimage due to overfilling.

Possibility of becoming a "lump" by injecting Lady Esse

Since Lady Esse is harder than other dermal fillers, it is not suitable for soft or shallow wrinkles on the skin and may become lumpy when injected into shallow skin. However, it is unlikely that a lump will remain if it is applied by a doctor who has mastered the correct injection method of Lady Esse.

Possibility of Lady Esse appearing on X-ray or CT scan

Hydroxyapatite, which is the main component of Lady Esse, may appear on X-rays and CT scans when it is present in high concentration or in large amounts in the body. In most cases, you will not inject large amounts, so it is unlikely to affect your diagnostic imaging, but please tell your doctor when taking a picture.

Those who cannot receive Lady Esse injection

  • Pregnant or lactating
  • Those who have been treated with other dermal fillers at the desired injection site
  • Those who have silicone or absorbent thread inserted in the desired injection site
  • Those with untreated skin or serious illness

In addition, tell your doctor if you are taking anticoagulants or medications (such as aspirin or warfarin) that may interfere with blood coagulation, as they are more likely to cause bruising and bleeding at the injection site.

Lady Esse injection amount and price quote

The market price is about 10,000 to 20,000 yen per 0.1cc, and about 100,000 to 200,000 yen per 1.5cc bottle.

The amount of injection varies depending on each person's wishes and wrinkle symptoms, but inject while observing the condition from 0.1 cc for the nose muscle, about 0.8 cc for the nasolabial fold, and about 0.5 cc for the chin.

Compared to the case where the same effect is obtained by injecting hyaluronic acid, it is said that the effect can be obtained with a smaller amount than hyaluronic acid.

Flow of Lady Esse injection

(1) Medical examination and counseling

In medical examinations and counseling, we convey hope, share the finished image, and confirm the injection site. We will discuss what you are worried about or anxious about.

(2) Cleansing / washing face

Remove makeup and wash your face to cleanse your skin.

(3) Lady Esse injection

Disinfect the treatment site and inject Lady Esse while adjusting the injection amount while watching the situation. The treatment time is about 10 to 15 minutes.

(4) Cooling

After the injection, the shape is adjusted, and depending on the medical institution, cooling is performed to complete the treatment.

Some medical institutions use a type of anesthesia that is applied before injection. If you are worried about pain, please check with your medical institution for anesthesia.

Precautions after injection of Lady Esse

Immediately after the procedure, you can wash your face and make up by avoiding the injection site, but refrain from excessive irritation such as strong rubbing and the use of household facial equipment.

Also, take proper measures against UV rays until the swelling and redness subside. There is no problem with the shower on the day. It is possible to take a long bath or sauna from the next day. Be careful with alcohol consumption and strenuous exercise, as the promotion of blood circulation may cause pain and redness.

In order not to regret with Lady Esse injection

Lady Esse is considered to be a dermal filler that is safe and has a long duration of effect, but its disadvantage is that it does not have a solubilizer. Also, because it is a hard skin filler, there may be concerns that lumps may remain.

However, experienced doctors are less likely to have a dissatisfied finish or lumps. When receiving a lady essence, it is important to choose a doctor who has the correct knowledge of anatomy and can perform the injection procedure at the appropriate site.