Acne Scarring Tissue Augmentation page 2

 

In the PDF file this table on Tissue augmentation was along the side and hard to read. I changed it to this format to try to make it a little easer to read.

Table V. Tissue augmentation

Synthetics

PMMA
ArteFill (plus bovine collagen)
Artecoll (plus bovine collagen)

Silicone
Adatosil
Silikon 1000
Biopolimero
Silskin
Polydimethylsiloxane gel

Hyaluronic acid
Hylaform
Hylaform Plus
Restylane
Restylane Fine Lines
Perlane
Captique
Juvederm
Dermalive (plus 40% acrylate)
Dermadeep (plus 40% acrylate)
Teosyl
Reviderm Intra (plus dextran)

Polylactic acid
Newfill
Sculptra

Polyacrylamides
Outline
Evolution
Bio-Alacamid
Agriform
Aquamid


Polyoxyethylene/ polyoxypropylene polymer
Profill

Epsilon-aminocaproic acid (plus porcine gelatin, patient plasma)
Fibrel

Calcium hydroxyapatite Radiesse

PMMA, Polymethyl-methacrylate

An initial harvest of the patient’s skin was required to produce Autologen (a product no longer available). Injectable product (1 mL) was obtained from 2 sq in of tissue. The autologous human collagen fibers were sterilized and then provided as an injectable 4% or 6% suspension. Several injections were required and overcorrection had to be achieved because there was approximately 20% to 30% volume loss after injection from fluid reabsorption.57 Dermalogen, also unavailable, was similar to Autologen but it was allogenic, sterilized, primarily intact collagen fibers obtained from tissue-banked skin. It was screened for viral, bacterial, fungal, and prion presence. In addition, skin tests were not required before use. Several injections of the 3.5% solution were required over time and overcorrection should have been done with each administration. A duration of benefit around 3 to 6 months was regularly achieved.58

Introduced in 1992, Alloderm is an allogenic human collagen acellular graft derived from tissuebanked skin. It must be implanted by incision rather than injected so only a limited number of acne scars may benefit from its use. There is no skin testing required and there is possible longer benefit as a result of the method of placement. Cymetra is a micronized, injectable from of Alloderm. It is allogenic acellular human collagen obtained from screened, standardized US skin and tissue banks. It is a dried product that requires resuspension before use. Again, no skin testing is necessary before injection but multiple injections over time and overcorrection are both advised.59

Next Page 

Acne Scarring A review and current treatment modalities

BACKGROUND and ACNE SCARS

ACNE SCARS page 2

ACNE SCAR TREATMENT and MEDICAL MANAGEMENT

SURGICAL MANAGEMENT

PROCEDURAL MANAGEMENT

PROCEDURAL MANAGEMENT page 2

TISSUE AUGMENTATION

TISSUE AUGMENTATION page 2

TISSUE AUGMENTATION page 3

TISSUE AUGMENTATION page 4

Light, laser, and energy therapy

Light, laser, and energy therapy page 2

Light, laser, and energy therapy page 3

Light, laser, and energy therapy page 4

Conclusion and REFERENCES

Manufacturers of brand name drugs mentioned in this article