HylaformŽ gel is a new FDA-approved dermal (skin) filler made from a highly purified form of hyaluronic acid that mimics the effects of natural hyaluronic acid. When injected just below the surface of the skin, HylaformŽ adds volume to the skin, smoothing unwanted lines and wrinkles.

What is hyaluronic acid?

Healthy skin contains important components that keep it supple and young looking. One of these is hyaluronic acid. Hyaluronic acid is a natural sugar found in all living cells that helps maintain skin volume by attracting and binding over 1000 times its weight in water. However, with time, sunlight and other factors, the hyaluronic acid in your skin diminishes, your skin loses volume, and lines and wrinkles appear. Hyaluronic acid is a natural sugar. It is found in the human body in the skin, cartilage, joints and the eyes. In skin tissue, hyaluronic acid fills the space between collagen and elastin fibers. The role of hyaluronic acid in skin is to deliver nutrients to hydrate the skin by holding in water and to act as a cushioning agent.

What are the benefits of HylaformŽ Gel?

• Immediate treatment - No pre-testing required
• Immediate results
• Long-lasting
• Proven safety - used in international markets for nearly a decade
• Mild adverse post-treatment responses (such as redness, bruising and swelling)

What areas can HylaformŽ be used for?

• Smile lines
• Marionette lines
• Lip lines
• Frown lines
• Enhance and define lip borders
• Increase lip fullness

How does HylaformŽ Gel work?

HylaformŽ is injected just beneath the skin's surface temporarily adding volume to the layers of the skin that have deteriorated due to age and other factors. HylaformŽ, when injected, is used to raise depressions in the skin, providing temporary correction of wrinkles and folds. HylaformŽ provides immediate, natural-looking results. Treatment and recovery usually take as little as one hour.

How long does it last?

Over time, HylaformŽ gradually breaks down and is naturally reabsorbed by your body; therefore, your physician may recommend touch-up treatments two or three times a year to maintain optimal correction.

Do the injections hurt?

In general, injections may cause some mild discomfort. HylaformŽ is injected directly into the skin using a fine needle to reduce injection discomfort. Our physicians may choose to anesthetize the treatment area to further minimize discomfort. He may also choose to use a dental block, which ensures a more comfortable procedure.

Is the product safe?

Yes, for most people. The primary ingredient in HylaformŽ is hyaluronic acid, which is a component of skin. In humans and other mammals, the compound is primarily found in connective tissue, in the eyes, the umbilical cord and in joint fluid, where it acts like a cushion. HylaformŽ is extracted from rooster combs and then highly purified through a rigorous filtering process

HylaformŽ has undergone extensive testing including scientific clinical trials to establish its safety and effectiveness. HylaformŽ is FDA-approved for treatment of moderate to severe facial wrinkles and folds (such as smile lines).

What should I do prior to treatment?

Avoid taking aspirin, non-steroidal anti-inflammatory medications, St. John's Wort and high doses of Vitamin E supplements one week prior to procedure. This will help minimize any bruising or bleeding at the injection site.

Can anyone be treated with HylaformŽ Gel?

Your physician will ask about your medical history to determine if you are an appropriate candidate for treatment.

How will my skin look and feel immediately after treatment?

Most people feel comfortable in resuming their normal activities following treatment. Temporary puffiness of the treated areas, however, should be expected.

As with any injection, you may also notice temporary redness, slight bruising, and tenderness around the treatment sites. Like the puffiness, these are normal occurrences and all should clear up within a few days. Although the injected material is generally not visible through the skin, some people have reported that they were initially able to feel the outline of the injected material.

When should I notify my physician?

Be sure to report any redness and/or visible swelling that last for more than a few days or any other symptoms that cause you concern to your physician.

What concerns should I have after treatment?

Your physician will review with you what to expect following with HylaformŽ Gel. If there is swelling or redness after the injection you should minimize your exposure to sun and UV lamps.

Within the first 24 hours, patients should avoid strenuous exercise, extensive sun or heat exposure and alcoholic beverages as exposure to these may cause temporary redness and swelling at injection sites. Make-up may be applied a few hours after treatment if no complications are present such as open wounds, bleeding and infection.

When may I apply make-up?

Make-up may be applied a few hours after treatment if no complications are present such as open wounds, bleeding and infection.

Does the correction last forever?

No, correction is temporary, therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal correction. The need for touch ups will be influenced by ongoing mechanical forces (such as smiling or other muscle activity) and biological changes (such as aging) that caused the original skin depressions.

How often will I require treatment?

Everyone's skin is different. That is why the timing of any additional treatment varies from person to person. Over time HylaformŽ Gel will be absorbed by your body; this is why you may want ongoing treatments. If you choose not to continue with your treatment, any remaining gel is simply absorbed by your body over time and your skin gradually returns to its natural shape.

Without touch-up injections, how will my skin look?

Correction will reduce gradually until your skin looks like it did before treatment with HylaformŽ Gel. Touch-up injections will help you maintain correction of the skin surface.

What else should I know about HylaformŽ Gel?

• HylaformŽ Gel is indicated for injection into the skin for correction of moderate to severe facial wrinkles and folds (such as the nasolabial folds, the lines that fun from the nose to the corner of the mouth).
• The safety and effectiveness of HylaformŽ Gel use longer than one year has not been evaluated in clinical trials.
• As with all injections into the skin, the injection of HylaformŽ Gel has a risk of infection.
• The safety of HylaformŽ Gel for use during pregnancy, in breastfeeding females or on patients under 18 years has not been studied.
• HylaformŽ Gel should not be used in patients with a known potential for keloid formation or hypertrophic scarring (heavy scarring) or pigmentation disorders.
• HylaformŽ Gel should be used with caution in patients on immunosuppressive therapy.
• Patients who are using substances that can prolong bleeding, such as aspirin, non-steroidal anti-inflammatory drugs and warfarin may, as with any injection, have increased bruising or bleeding at injection sites.
• After receiving injections of HylaformŽ minimize exposure of the treated areas to excessive sun, UV lamp exposure, and extreme cold weather, until any swelling and redness have disappeared.
• If laser treatment, chemical peeling or similar procedure is considered before or after treatment with HylaformŽ Gel, there is a possible risk of an inflammatory reaction (such as redness, swelling) at the HylaformŽ injection site.

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