Hyaluronic acid has long been on the list of the most effective and safe substances used by modern aesthetic medicine for facial rejuvenation and correction. Through extensive research and innovation, IBSA has created the unique Profhilo® product, which is a combination of high and low molecular weight HA in one syringe. The main task of the drug – bioremodeling of the skin, and the maximum effect is achieved through the use of a specially developed technique for introducing the product. About the features and benefits of "Profilo" in an exclusive interview for estet-portal.com said Dr. Eyal Kramer.
ED. Please tell us about the features of the technique for injecting Profhilo
E.K. Product Profhilo® (Profilo) is unique. This product is not a dermal filler, although it is based on hyaluronic acid. At the same time, it is important to understand that a new technology is used to connect the molecules – the preparation does not contain either BDDE or protein. Using Profhilo® can be compared to applying a lotion cream under the skin, which increases the elasticity and thickness of the skin from the inside, and not from the outside, as we are used to.
When working with patients, we determine the ideal depth and injection points of the drug to obtain the most pronounced correction results by increasing skin elasticity. That is why the technique "5 BET" (5 bioaesthetic points) was developed.
We are planning to increase the number of injection points Profhilo® according to the corrected zones. Instead of 5 points, we can use, for example, in the perioral area – 2 dots for the upper lip and 3 dots for the lower lip. In this case, the drug is injected into the skin around the lips, and not into the area of the red border – this is a very important point, since our task – improve skin quality. To correct the red area of the lips, it is necessary to use a dermal filler.
Using Profhilo® can be compared to applying a lotion cream under the skin, which increases the elasticity and thickness of the skin from the inside, and not from the outside, as we are used to.
Tell us about the combination of botulinum toxin correction and Profhilo® bioremodelling
When we work with the most superficial layer of the face, i.e. directly on the skin, one solution is never enough. We need to achieve the combined effect – relax the muscles in order to prolong the action of hyaluronic acid, since constant active movements lead to rapid degradation of HA. Also, since our patients are accustomed to the characteristic facial expression after correction with botulinum toxin, we need to wean them from this. I think over time we will be able to use less botulinum toxin and more Profhilo®, because this drug provides a more natural result, allowing you to maintain a natural look both during movement and in the state of relaxation of the face.
ED. Why do you prefer correction with the help of cannula rather than bolus technique when administering the drug "Profailo"?
Profhilo® lidocaine is not included, as it reduces the effectiveness of the drug. Therefore, when injecting with a bolus technique, the treated area is stretched. The drug is injected superficially, and closer to the surface there are more nerve endings. Accordingly, patients feel tension and sometimes tingling.
Working with a cannula, I use a fan technique for injecting the drug – It allows you to reduce the load on the tissues and the degree of pain. Cannula – generally a useful tool that I use most of the time for injecting dermal fillers. This provides greater comfort for the patient. However, if I explain to the patient that the bolus technique will provide the best result in a particular case, he agrees to this option, because beauty requires sacrifice.
ED. What complications do you face in your practice?
There aren't many of them. These are mainly infections, a biofilm, which is formed mainly due to the introduction of large boluses of the drug. Because GK – it is a sugar that attracts pathogens. Accordingly, if you deliver a large bolus, say 2 cm, of course, you will get a great lifting effect. But at the same time, the central point will not be reliably protected by blood leukocytes. This makes the patient vulnerable to infections. In such cases, we have to use antibiotics, sometimes very strong ones, and also resort to the destruction of HA with hyaluronidase.
Another complication – vascular occlusion, the main cause of which is incorrect insertion technique, insufficient knowledge of anatomy, too fast injection.
Plus of IBSA products (officially represented in Ukraine by Cosmetic Group) – the absence of lidocaine in their composition, due to which the introduction of the drug is slower. The result is a better effect, less puffiness and a higher safety profile.
And the last – this is the appearance of seals. But, if you use the right material and follow the protocol of the procedure, the likelihood of developing this complication is very low.
Plus of IBSA – the absence of lidocaine in their composition, due to which the introduction of the drug is slower. The result is a better effect, less puffiness and a higher safety profile.
ED. What are the benefits of Profhilo®? "Profilo" for men?
As a man I can tell you that I want to look natural, but at the same time keep youth as long as possible. I don't like the word anti-aging because we don't actually stop time, we only slow it down, which allows us to age more gracefully. That is why I believe that the drug "Profilo" has many benefits, especially for men. I admit, I inject myself with Profhilo®. I really like the result. I think that in a couple of years I will need to restore the volume lost due to the resorption of fat and bone tissue. However, now I use Profileo exclusively. and I think I look good.
Note that on May 16, 2018, a master class by Dr. Eyal Kramer IBSA day.
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