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The effect and duration of lower jaw formation with Juviderm Vista® Borax



The effect and duration of lower jaw formation with Juviderm Vista® Borax

Jubiderm Vista® Borax XC is one of the hyaluronic acid injection formulations.

In aesthetic medicine, hyaluronic acid is injected with a syringe to improve dents and wrinkles, and is also used as a treatment to form the forehead, nose, chin, etc., in order to deal with a wide range of cosmetological problems. There are types.

To avoid failure in hyaluronic acid injection, it is important to select the right hyaluronic acid for your symptoms. Let's take a look at the characteristics of when to choose Juviderm Vista® Borax XC .

Effect of Juviderm Vista® Borax XC

Juvéderm® VOLUX XC is Allergan's "Juvéderm®" series of hyaluronic acid.

For lower chin and face line only

There are other types of Jubiterm Vista® besides Jubiterm Vista® Borax XC (hereinafter, Borax XC), but the difference is the hardness of hyaluronic acid. Borax XC is a hyaluronic acid with extremely high viscosity and hardness .

While most hyaluronic acid is mainly intended to correct wrinkles and grooves on the face, Borax XC has a strong ability to maintain the same shape, so it can be injected and molded into hard areas such as the face line and chin. Suitable .

For lower chin and face line only

  • Lower chin (chin)
  • Lower chin tip

It fits well with the tissue of the skin, and it is possible to shape the chin into a thin shape or contour it so that it looks like a small face , and the impression of the profile changes.

Domestically approved hyaluronic acid

There are domestically approved and unapproved hyaluronic acid, but Borax XC is injected under the skin and on the periosteum to supplement the volume of the adult face in 2020 by the Ministry of Health, Labor and Welfare. Approved .

Approval in Japan 30200BZX00254000

What is approved / unapproved?

"Approved" in Japan means that the Ministry of Health, Labor and Welfare has confirmed the safety and efficacy through many clinical trials.

However, even if the drug or device is not approved in Japan, it can be obtained by personal import of the doctor, so many cosmetological institutions perform treatment with the drug or device that has not been approved.

Even if it is not approved in Japan, there are some that are approved by the US FDA (Food and Drug Administration), which is the Ministry of Health, Labor and Welfare of Japan, so even if it is FDA certified, check when selecting a drug or device. It may be safe to keep it.

The effect lasts for 18 months or more

The effect of Jubiterm Vista® Borax XC can be confirmed immediately after injection .

After that, it is gradually absorbed into the body, so there are individual differences, but it is said that the effect lasts for 18 months or more , so in order to maintain the molding effect, continue injection about once every 6 to 12 months. I will continue.

Those who recommend Jubiterm Vista® Borax XC

  • I want to make my chin thinner
  • I want to arrange the face line
  • I want a small face effect
  • I want to choose a treatment that will be effective immediately
  • I want to treat with safe and effective drugs
  • I want to receive treatment with a domestically approved formulation

Hyaluronic acid hardness and long-lasting effect

In aesthetic medicine, hyaluronic acid is used not only for hyaluronic acid such as Borax XC, which is injected into the nose and chin to shape it, but also for the purpose of making dents less noticeable by injecting it into the grooves and fine wrinkles of the skin.

The skin is layered with the epidermis and dermis from the outside, but in the treatment to make dents such as grooves and wrinkles inconspicuous, relatively soft hyaluronic acid is injected into the dermis.

On the other hand, when injecting into the chin etc. to shape it, hyaluronic acid with some hardness is injected from under the skin to the periosteum instead of in the skin.

Since the hardness of hyaluronic acid varies from product to product, the treatment is performed by selecting hyaluronic acid with a hardness suitable for the symptoms, and the duration of the injection effect is generally longer in proportion to the hardness. It's a trend. The hardness makes it difficult to absorb.

"Hardness" can also be said to be the degree of binding between hyaluronic acid molecules.

A molecule is the smallest unit that expresses the properties of a substance, and is a collection of multiple atoms. The total atomic weight is the molecular weight, and hyaluronic acid, which has a high molecular weight and a high concentration, has a high viscosity.

It is necessary to process hyaluronic acid to bond molecules to each other, and the processing is called "crosslinking". The method of cross-linking affects the hardness of hyaluronic acid, which changes the duration of the treatment effect of hyaluronic acid injection.

Jubiterm Vista® Borax XC is made from a mixture of high molecular weight hyaluronic acid and low molecular weight hyaluronic acid. By the cross-linking method of filling the gaps between high molecular weight hyaluronic acid with low molecular weight hyaluronic acid, the bonds between the hyaluronic acid molecules are strengthened and the structure is dense .

This is Allergan's original method and is called "VYCROSS technology".

VYCROSS technology used in Borax XC

Allergan's Jubiterm Vista® is made with the following two technologies, which are Allergan's unique technologies.

  • VYCROSS technology
  • HYLACROSS technology

Jubiterm Vista® Borax XC is a formulation made by the latter technology, and there are several Allergan products made by each technology.

Hyaluronic acid by VYCROSS technology
Features: For repairing grooves and wrinkles
Products: Borax XC, Voluma XC, Borax XC, Boraxa XC
Hyaluronic acid by HYLACROSS technology
Features: For improving volume reduction
Product: Ultra Plus (XC), Ultra (XC)

The formulation by VYCROSSR technology has the following features.

  1. Long-lasting
  2. Easy to mold
  3. Hard to change shape after injection
  4. Easy to keep shape
  5. The finish is natural because it blends well with the skin tissue.

This prolongs the duration and makes it easier to mold due to its moderate viscosity, but it is less likely to absorb moisture, reducing the risk of swelling and changing shape with moisture after injection .

Products with VYCROSS technology

Borax XC is the softest hyaluronic acid and the hardest is Borax XC. The hardness of each is due to the different concentration of hyaluronic acid.

Jubiderm Vista® Borax XC
Very hard
Injection site: chin
Injection position: deep
Jubiderm Vista® Voluma XC
Injection site: forehead, nose, nasolabial fold, cheeks, face line, chin
Injection position: deep
Jubiderm Vista® Bolift XC
Medium softness
Injection site: For nasolabial folds and marionette lines, etc.
Injection position: shallow to medium depth
Juviderm Vista® Volvera XC
Injection site: For soft areas such as the lips, tear pouch formation, and around the eyes and mouth
Injection position: shallow

The VYCROSS series, including Borax XC, is suitable for improving volume loss in areas such as temples, dents, cheeks, and chin.

On the other hand, hyaluronic acid produced by HYLACROSS technology is suitable for repairing grooves and wrinkles.

Products with HYLACROSS technology

By mixing normal hyaluronic acid with granular hyaluronic acid in an irregular form, it becomes a smooth hyaluronic acid.

Jubiderm Vista® Ultra Plus XC, Jubiderm Vista® Ultra Plus
Severe groove correction injection site: forehead, cheeks, nasolabial fold, marionette line, chin
Injection position: deep
Jubiderm Vista® Ultra XC, Jubiderm Vista® Ultra
Relatively moderate wrinkle correction injection site: forehead, cheeks, nasolabial fold, mouth area, marionette line, chin
Injection position: shallow

Use Ultra Plus for deeper wrinkles and Ultra for medium to shallow wrinkles.


Juvéderm Ultra Plus is used for volumizing and correcting deeper folds, Juvéderm Ultra is best for contouring and volumizing medium depth facial wrinkles and lip augmentation.

Source : Hyaluronic acid gel (Juvéderm) preparations in the treatment of facial wrinkles and folds

Pain during treatment with Jubiterm Vista® Borax XC

Borax XC contains a pain-relieving ingredient, so there is some tingling pain when injecting the needle into the skin, but injecting the needle under the skin may cause discomfort.

In addition, some medical institutions may perform surface anesthesia with tape or cream, so if you are worried about pain, please consult with the medical institution.

Pain is reduced with "lidocaine"

The ingredients of Borax XC are:

  • hyaluronic acid
  • anesthetics
  • Diluted solution

"Lidocaine hydrochloride" is used as an anesthetic. Lidocaine hydrochloride is a local anesthetic that blocks sensory and motor nerves. Due to the inclusion of lidocaine hydrochloride, Jubiterm Vista® Borax XC can be said to reduce pain during infusion .

Those who need to be careful because it contains lidocaine

In addition, administration of lidocaine hydrochloride to people with porphyria may induce acute symptoms such as acute abdomen, quadriplegia, and impaired consciousness, so Jubiterm Vista® Borax XC cannot be used for people with porphyria. ..

In addition, those with cardiac conduction system disorders that may aggravate the symptoms due to lidocaine hydrochloride, and those with severe liver disorders or severe renal disorders that are said to be more likely to develop toxic symptoms should undergo treatment. can not.

References: Medical drugs: Lidocaine

What you need to know before taking Jubiterm Vista® Borax XC

Those who cannot receive treatment

  • Those who are pregnant or may be pregnant or breastfeeding
  • Those who have received or plan to receive laser irradiation treatment or peeling treatment
  • Those who are prone to bleeding or who are using anticoagulants
  • Those with a keloid constitution or those with a constitution that makes it difficult to heal wounds
  • Those who may have an allergic reaction, inflammatory reaction, or infection *

* Those who may have an allergic reaction, inflammatory reaction, or infection are as follows.

  • Those with a history of anaphylactic shock
  • Those who are prone to allergic symptoms such as urticaria
  • Those with a history of streptococcal disease (recurrent sore throat, acute rheumatic fever, etc.)
  • Those with acute rheumatic fever with cardiac complications
  • Those who have an abnormality or a history of immune function
  • Patients receiving immunosuppressive therapy

Risk of Jubiterm Vista® Borax XC Infusion

Internal bleeding

Using a needle for injection may cause internal bleeding for about 2 weeks, so it is recommended that you take it with plenty of time, not just before an important event.

If you experience severe pain , prolonged swelling, and poor skin tone , your blood vessels may be damaged and you should consult your healthcare provider .

Complications such as allergies and impaired blood flow

Accidental entry into blood vessels may cause vascular occlusion, embolism, ischemia or infarction, visual impairment (blindness), stroke (cerebral ischemia, cerebral hemorrhage, cerebral infarction), nasal wing necrosis, and subcutaneous tissue damage. there is.

In addition, there is not enough space for the injection gel at the center line (midline) of the nose and around the orbit (eyelids, under the eyes, wrinkles at the corners of the eyes, etc.) between the eyebrows and the orbit, which may cause blood vessel damage. It will not be injected into the relevant area.

How to deal with risk

In the unlikely event that there is a site where blood flow disorder is suspected, hyaluronic acid can be dissolved with the dissolving agent "hyaluronidase" .

Hyaluronic acid becomes more difficult to dissolve as the bond strength increases, so if hyaluronidase does not improve after about 2 hours, you will need to inject hyaluronidase again.

Other contouring methods besides Borax XC

In addition to borax XC, cosmetology includes ready essence injection and prosthesis insertion.

The big difference between these treatments and Borax XC is that hyaluronic acid has a dissolving agent, so if you do not get the desired finish, you can restore it by injecting the dissolving agent. It can be said that it can be done.

Lady Esse can be expected to improve deep wrinkles

The main component is "calcium hydroxyapatite (CaHA)", which is the main component of bones and teeth, and consists of calcium and phosphate ions that are naturally present in the body.

Unlike hyaluronic acid, it does not swell due to water, so it maintains an appropriate hardness even after injection, has immediate effect, and the treatment effect is said to be about 10 to 18 months .

In addition, Lady Esse can be injected not only into contouring but also into deeply carved wrinkles such as nasolabial folds, gorgo lines, and marionette lines, and can be expected to have the effect of reducing wrinkles .

Semi-permanent prosthesis

"Prosthesis insertion" is a procedure to shape the shape by inserting it into the nose as well as the chin. A prosthesis is artificial cartilage, which is made from medical grade silicone or Gore-Tex and can be processed according to your wishes and skeleton, so it can be said that it is a custom-made treatment .

The effect is semi-permanent because the prosthesis insertion is not absorbed by the body.

Since it is a surgical operation, there is a period of downtime such as swelling and internal bleeding of about 1 to 2 weeks, and the operation site is fixed with tape or cast for about 2 to 3 days after surgery.

In the unlikely event that you do not get the desired result, you can restore it by removing the prosthesis.

Jubiterm Vista® Borax XC Treatment Fee

Hyaluronic acid injection is not covered by insurance and is a free medical treatment, and the fee varies depending on the medical institution, but it is about 38,000 to 100,000 yen per bottle (1cc = 1ml).

There are some medical institutions where the charges for the first time and the second and subsequent ones are set cheaper.

Injection amount

The injection volume depends on the desired form, but European clinical trials have reported that the standard injection volume for the lower jaw was 3.4 mL, and when re-injected, it was about 3.0 mL. ..

There is no limit to the number of treatments, but the annual usage per person with a body weight of 60 kg is limited to 20 mL, and safety has not been established when more injections are obtained.

References: Hyaluronic Acid Soft Tissue Injection Jubiderm Vista Borax XC

Jubiterm Vista® Borax XC injection procedure flow and precautions

Flow of treatment

(1) Counseling

A doctor (a counselor depending on the medical institution) will explain the procedure.
If you have any concerns or concerns, check them here until you are satisfied.

(2) Design

Share the desired design with the doctor and decide the injection amount and injection point.

(3) Treatment

We will inject hyaluronic acid according to the decided design. Inject little by little over a wide area to avoid lumps. After injection, massage and mold so that it fits around.

After the procedure, it may be cooled with an ice pack to reduce swelling and pain. It is recommended to refrain from makeup immediately after the procedure, but it is possible from the day of the procedure.

The actual injection time is about 10 minutes per location.

Precautions after treatment

Shower bath on the day

Since the act of improving blood circulation may promote swelling and pain, it is recommended to take a shower instead of taking a long bath on the day.

Massage from 1 week later

To prevent the injected hyaluronic acid from moving and collapsing the molding, refrain from massaging the injection site for about a week.

To receive a satisfactory treatment

Hyaluronic acid injection is a highly satisfying procedure because it causes less pain and has immediate effect if performed correctly . On the other hand, it is a cosmetological treatment in which the injection effect is likely to change depending on the practitioner, such as "the finish is unnatural". Therefore, in order to receive a satisfactory treatment, please consider the following points by referring to the medical institution's website, SNS, doctor's blog, etc.

Doctor familiar with anatomy

Since the face has many nerves and blood vessels running, there is a risk of causing various disorders such as vascular disorders, visual abnormalities, stroke and skin necrosis if the injection amount and location are incorrect.

Therefore, if you are a doctor who is familiar with facial anatomy, you can rest assured.

Doctor with injection technique and sense

Allergan has an injection technique called MD-codee (formerly Vista Shape) for injecting hyaluronic acid.

For example, when injected into the inside of the temporal region, the effects of injection are summarized for each injection point based on facial anatomy, such as improving the dents in the temples and making it easier to open the eyes indirectly.

By injecting along this MD-codee, the injection point becomes clear, and even if the treatment is performed by an inexperienced doctor, a certain effect can be seen. However, it can be said that a higher therapeutic effect can be obtained by changing the injection amount and injection position according to each individual. The aesthetic sense for that is very important.

It is recommended that you check the doctor's case photo to see if it looks like the finish you want.