Proven safety and final result: personal experience with hyaluronic filler

The key requirements that cosmetologists and their patients place on hyaluronic fillers – This is proven safety and efficacy. At the same time, it is desirable for the doctor to be able to evaluate the results of contour correction as early as possible in order to be sure that they meet the patient's needs. With Institute Hyalual Alexa fillers, the aesthetic effect can be assessed already during the first procedure. Due to what this is possible, the readers of estet-portal.com were told by candidate med. Sci., Combustiologist of the highest category, Associate Professor of the Department of Combustiology, Reconstructive and Plastic Surgery of the Kharkiv Medical Academy of Postgraduate Education. Specialist in aesthetic medicine and plastic surgery, certified trainer,

As a specialist in aesthetic medicine, I have been using biodegradable fillers for a long time, and as a plastic surgeon – I often treat patients (fortunately, not mine) with complications after contouring with fillers. There are many reasons for adverse events that occur after implantation of fillers. The main ones – these are technical violations during the procedure and the reaction of tissues to the filler substance itself.  

Recently, there are more and more cases of formation of seals, persistent local edema after the introduction of fillers. It is not easy to make an accurate diagnosis, although the doctor, in addition to the examination, has an ultrasound and, if necessary, an MRI.

Therapy is symptomatic, or surgical intervention is required, which, of course, no one is interested in. The safety of the procedure largely depends on the characteristics of the implant, and I was very interested in the information about the physiology of the Alexa Smooth/medium/volume line of fillers from the

Institute Hyalual.

Alexa products have the most optimal pH level - 7.2-7.4, which corresponds to the physiological range of the human body.

The pH level affects the reaction of tissues in the implantation area. Working with the Alexa line of fillers, I have never noticed increased discomfort in patients. They do not complain about the feeling of pressure and fullness after the manipulation, and the hyperemia goes away in the near future.

It is known that swelling after the procedure is affected by the osmolarity of the gel, which indicates the amount of certain salts that attract the intercellular fluid to itself. And if the osmolarity differs from physiological, then this provokes instant edema, making it difficult to assess the volume of filler correction. Such fillers do not allow the specialist to guarantee the procedure as required. And the result may not meet the request and expectations of the patient. No specialist is interested in this!

The osmolarity of Alexa Smooth/medium/volume fillers is 300 mlsmol/L, which corresponds to the normal state of the human body.

Alexa does not attract interstitial fluid in the injection site. This is very important in the work of an injector, as it makes it possible to evaluate the result immediately.

The doctor can use enough filler and get a visible result right on the first treatment, which is the end result!

Bridge of the nose, between the eyebrows done by Alexa volume

Important benefits of working with the preparation:

•    this saves time for us and our patients;•    there is no need to additionally injure the area of ​​the previous filler plasty during the subsequent correction procedure, to spread the drug on the already implanted substance, and not on intact tissues;
•    there is no need to store the gel for additional correction, because we immediately have the opportunity to evaluate the resulting volume and boldly use a larger amount of filler;
•    there is no risk of infection of the stored preparation (we all use – we store nothing).

As we have already said, adverse events after contouring with fillers may be associated with the technique of the procedure. I almost 100% use a cannula, including for lip contour correction, which further minimizes the risk of a negative tissue reaction to the procedure. And kneading the drug after the injection I consider it expedient only when working with the softest drug - Alexa smooth and in the most superficial layers of the skin in the so-called Finelifting technique. If the drug is selected and administered according to clinical indications and in the correct technique – deeper than the dermis, then it does not need intensive kneading.

So, my experience with the Alexa line of fillers from

Institute Hyalual

has shown that the expected aesthetic effect is possible immediately after the procedure. I rejoice with the patients beautiful and accurate results. I'm sure Alexa – it's proven safe and the ultimate result!