Lasting treatment of facial HIV and non HIV lipoatrophies through the use of SAM GoreTex malar implants and polyacrylamide hydrogel filler Eutrophill. About 90 consecutive cases

Annales de chirurgie plastique et esthétique
B Mole

Abstract

HIV-related lipoatrophy (HIV LA) stands out with regard to its recent discovery, increasing incidence, multiple etiologies, relatively low morbidity, apparently irreversible effects, and unequivocal clinical features. The underlying cause of HIVLA is still controversial but there is an increasing demand of correction. We describe a technique using soft malar implants and acrylamid gel injections separately or in combination. Expanded polytetrafluoroethylene (Gore SAM) malar implants are used for augmentation of the most sunken areas below the eye; they should be placed subperiostealy and more medially than conventional implants. After trying sheets and custom made implants, preshaped GoreTex) Sam implants are now used systematicaly. Eutrophill) is a 2.5% polyacrylamide hydrogel obtained by polymerization of acrylamide monomers with an official half-life of 5 years. The soluable chains are more or less slowly released by enzymatic degradation and subsequently cleared via interstitial tissue without further metabolism or degradation. Injection should be performed continuously and evenly from one side to the other in the deepest part of the sunken area at the subcutaneous level only. A total of 90 consecutive patients were treated...Continue Reading

References

Aug 1, 1992·Plastic and Reconstructive Surgery·B Mole
Nov 15, 2002·Aesthetic Plastic Surgery·Ning-Xin ChengHong Zhong
Mar 14, 2003·Archives of Facial Plastic Surgery·Tom D Wang
May 21, 2003·Archives of Facial Plastic Surgery·Michael GodinEdwin Williams
Aug 7, 2003·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Andrew CarrUNKNOWN HIV Lipodystrophy Case Definition Study Group
Dec 3, 2003·Aesthetic Plastic Surgery·Gottfried LemperleUlrich Charrier
Jan 27, 2004·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Carmelo ProtopapaNazzareno Cammarota
Apr 30, 2004·Aesthetic Plastic Surgery·Vibeke BreitingAllan Rosetzsky
Jan 1, 2004·Aesthetic Surgery Journal·Catherine Bergeret-Galley

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Citations

Oct 27, 2010·AIDS·Giovanni GuaraldiEsteban Martínez
Feb 17, 2010·Magyar sebészet·János VargaLajos Kemény

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