Namuhla, ama-lip fillers angenye yezindlela zokwelapha zezimonyo ezidingeka kakhulu ehhovisi likadokotela, kodwa izindebe zingaba isayithi lomjovo olukhohlisayo.Mina ngokwami ngizijové izindebe zami kabili-okokugcina kwakusekuqaleni kuka-2017, ngaphambi nje komshado wami.Kodwa-ke, ehlobo lika-2020, ngaya kudokotela wami wesikhumba futhi waqaphela ukuthi izindebe zami zazibukeka zingalingani, futhi ngakubona lokhu, kodwa ngicabanga ukuthi ukugcwaliswa kwami kuzogcina kuhlakazekile, lapho nginokuningi Izinhlanzi ezinkulu kufanele zithoswe.Angizange ngisho ngicabange ngokujova i-hyaluronidase ngoba ngangingakaze ngiyenze ngaphambili, kodwa kwavela ukuthi lena kwakuyimpendulo yokubuyisela ukubukeka kwemvelo kakhudlwana-nakuba yayincane kunalokho engangikufuna.Nakhu okudingeka ukwazi lapho isigcwalisi sezindebe singancibiliki phakathi nesikhathi esilindelekile, nokuthi ungabuyela kanjani kusisekelo esihle ngosizo lochwepheshe.
Izigcwalisi zivame ukuhlala izinyanga eziyisi-6 kuye kwezingama-24, kuye ngendawo.I-dermatologist yaseNew York uMelissa Levin, MD, uthe ingahlala isikhathi eside ezindaweni ezifana ne-mandible, cheekbones, namathempeli, kodwa ezindaweni ezisebenza kakhulu njengezindebe noma indawo ye-perioral, Ingase ichithe ngokushesha."Ngaphezu kwalokho, ngicabanga ukuthi abantu bavame ukucabanga ukuthi lena yimpilo yokugcwalisa, kepha siyaguga futhi siyashintsha nsuku zonke, ngakho-ke kufanele sikucabangele lokhu."
UDavid Hartman, MD, udokotela ohlinzayo wepulasitiki yobuso e-Dover, e-Ohio, wachaza ukuthi imijovo yokugcwalisa i-HA evame ukukhethelwa izindebe ivame ukuba bushelelezi futhi ithambile, okusho ukuthi iphinde incibilike kunama-filler kwezinye izindawo Ngokushesha."Uma kuqhathaniswa nezihlungi ze-HA ezinzima, eziguquguqukayo ezingase zisetshenziselwe ukudonsa indawo ye-cheekbone, izinhlobo ezithambile zivame ukuhlakazeka ngokushesha," esho.“Ngaphezu kwalokho, ukugcwalisa ezindebeni kungaphansi kokunyakaza okucishe kuqhubeke 'kugaya' kusuka ezindebeni nasemlonyeni, okubuye kusheshise ukubola kokugcwaliswa.Ngenxa yalokhu, ngincoma amakhasimende ami okugcwalisa izindebe, ukugcwaliswa kwezindebe Kuvame ukuhlala izinyanga eziyisi-6 kuye kweziyi-12. ”
"I-HA fillers ayiyona nje i-hyaluronic acid," kusho uDkt Levine.“Eqinisweni, uma sijova i-HA ngqo esikhumbeni, izoshabalala ngokushesha okukhulu.Bandisa impilo yokugcwalisa ngokuxhumanisa, ngakho ngokuyisisekelo lokhu kusho ukubeka lezi zibopho phakathi kwezinhlayiya ze-HA ukuze kuncishiswe inqubo yokuwohloka., Okuyenza ihlale isikhathi eside.Lokhu kuyathakazelisa ngoba uma senza i-biopsy isikhumba, empeleni usazobona izigcwalisi ze-hyaluronic acid ezafakwa eminyakeni embalwa edlule, futhi lezi zigcwalisi azisenabo ukubaluleka komtholampilo.Lokhu kusho ukuthi ayisanyakazi, ayisaphakamisi, kodwa isekhona esikhumbeni.Umzimba wawo wonke umuntu uhlukile kuma-fillers alulazayo.Kungakho abanye abantu besebenzisa izigcwalisi zezindebe ze-HA phakathi nezinyanga eziyisithupha Kwabanye, kwesinye isikhathi iba khona iminyaka eminingi.I-tear groove iyindawo yakudala lapho ungabona khona ukugcwaliswa okuhlala isikhathi eside.Asisebenzisi i-hyaluronidase kuphela (uhlobo lwemvelo esikhumbeni sethu).Ama-enzyme akhona) ukudiliza izigcwalisi, futhi sine-phagocytosis.Amaseli ethu omzimba aqapha futhi asuse le nqubo, abese ehlisa isithunzi izinhlayiya ngezindlela ezahlukene. ”
Uma kukhona ukugcwaliswa odebeni okuhlala iminyaka engaphezu kwemibili, uDkt. Hartman utusa ukubona udokotela ohlinzayo wepulasitiki noma udokotela wesikhumba ogunyazwe yikomiti ukuze bakwazi ukunquma ukuthi kuyini.“Ngifuna ukwazi ukuthi isigcwalisi esisetshenzisiwe empeleni akuwona yini umkhiqizo we-HA, kodwa olunye uhlobo lwesigcwali, noma uma isigaxa sibangelwa izindebe zesiguli eziphendula isigcwalisi.”Ngokuvamile, lokhu kusabela kuzokhiqiza okuthiwa ama-granulomas.I-granuloma izokwakheka lapho ingxenye ethile yomzimba inyakaziswa isikhathi eside, ngokuvamile 'ngomzimba wangaphandle'-into egqitshwe emzimbeni wethu ngandlela-thile-noma ngezinye izizathu ezingapholi isilonda.Imbangela,” kwengeza uDkt. Hartman.“Kodwa-ke, angikaze ngikubone lokhu ezindebeni ezijovwe ze-HA.Ngijove izigcwalisi ze-HA ezindebeni zami izikhathi eziyizinkulungwane.Ucwaningo luye lwabonisa ukuthi ama-granulomas maningi amathuba okuthi ajovwe ngezigcwalisi ezingezona ze-HA.kwenzeke."
I-Hyaluronidase iyi-enzyme emzimbeni wethu engakwazi ukwehlisa i-hyaluronic acid."Ngefomu lokwenziwa, kunezinhlobo ezimbili ezigunyazwe yi-FDA ezitholakala kalula e-United States: enye i-Hylenex kanti enye i-Vitrase," kusho uDkt Levine.Lezi zinto zingajovwa endaweni egcwele i-HA ukuze zihlakazwe ngokushesha okukhulu.“Empeleni kuthatha imizuzu embalwa kuphela,” kuchaza uDkt. Hartman.“Ngokujwayelekile, leli yikhambi eliphelele noma elingenalutho.Ngikholwa ukuthi izindebe zizobukeka ngokwemvelo futhi zizinhle kakhulu, ngakho-ke angizigcwalisi ngokweqile.Ngizisebenzise kanye kuphela eminyakeni eyisithupha edlule.I-Hyaluronidase.
UDkt Levine uthe izindleko zokuthola imijovo ye-hyaluronidase zincike ekutheni ingakanani i-filler okufanele ithathwe, kodwa izindleko zisukela ku-US$200 kuya ku-US$1,000.“Futhi, akubona bonke odokotela abazimisele ngokujova i-hyaluronidase, ngoba kufana nokuthi ubhekana nezinkinga zabanye abantu ungazi ukuthi yini ekuyona,” wengeza.“Ngiyazi ukuthi amahhovisi amaningi awayiphathi ngisho nalapho egcwalisa, kodwa kimina akwamukelekile lokho.”
“Angicabangi ukuthi ukhona umuntu oke wenza ucwaningo kule ndawo, kodwa manje ngiyalungisa futhi ngithatha inqwaba yokugcwalisa,” kusho uDkt Levine.“Ngicabanga ukuthi lokhu kungenxa yokuthi bayanda abantu abamukela ama-fillers, futhi sinokuqonda okuyinkimbinkimbi nokuguqukile kokuguga nobuhle.Ngicabanga ukuthi kuningi okufanele sikufunde.Ngihlale ngitshela izakhamizi ukuthi zithambise futhi zisuse izigcwalisi.Kuwubuchwepheshe obuthuthuke kakhulu kunokugcwalisa izindebe.Ngicabanga ukuthi sizosibona kakhulu lesi simo.Kukhona amanye ama-hyaluronic acid filler emakethe kwamanye amazwe, futhi asazi ukuthi angase awajwayele kangako Ahlobene nezinye izinhlobo zokugcwalisa.”
“Ngiyiqede ngesikhathi esibekiwe, kodwa ayilungile ngoba kuthatha amahora angu-48 agcwele ukubona imiphumela yomtholampilo ye-hyaluronidase,” kuchaza uDkt Levine, othanda ukujova, futhi ucela iziguli ukuthi zibuye izinsuku ezimbalwa noma Ngemva izinsuku ezimbalwa nesonto, bese uhlola imiphumela, bese ugcwalisa futhi.“Uma ususa ukugcwaliswa, kubuye kube nemizwa impela, ngoba umuntu udlula ohlelweni lokukuthola bese ecabanga ukuthi ubukeka engcono, kodwa abone ukuthi ubukeka eyinqaba.Kimi, Lokhu kudinga ukubonisana okuningi neziguli nokuqonda ukuthi umuntu ophambi kwakho ucabangani ukuthi muhle nokuthi ubuso babo buvame ukubukeka kanjani.Imibono yobuhle obuhlanyayo, yonke into yesithombe ozishuthe sona nezihlungi kwenza abanye abantu babukeke bengajwayelekile.Lokhu kuvame kakhulu kunalokho abantu abakuqaphelayo.”
“Akunjalo,” kusho uDkt. Levine.“Amanye ama-filler anama-cross-link amaningi, okungawenza ahlale isikhathi eside.Uma isiguli sinalokhu esikubiza ngokuthi i-hypersensitivity ebambezelekile kuso, ngingahle ngingasisebenzisi lesi sigcwalisi ngoba kungenzeka singabi sobala.I-asidi iyasabela, kodwa isabela ekuxhumaneni okuphambene. "
Isikhathi sokuthumela: Sep-02-2021