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Goldie, Katherine; Voropai, Daria; Tzaribachev, Nikolay; Hilven, Paulien; Frank, Konstantin; Cotofana, Sebastian und Mosahebi, Afshin (2021): Clinical Validation of Superficial Lip Injections Utilizing Cohesive Polydensified Matrix Hyaluronic Acid-Based Soft Tissue Fillers. In: Journal of Drugs in Dermatology, Bd. 20, Nr. 9: S. 940-945

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Abstract

Background: A combination of optimal injection technique and dermal filler choice is key for improving lip architecture with natural and long-lasting results. Objective: To investigate the positioning of Cohesive Polydensified Matrix (TM) (CPM) hyaluronic acid (HA) fillers after superficial lip injections and document their tissue integration and effects on lip architecture and shape. Methods: Eligible patients underwent lip contouring and volumization using a superficial direct tissue action technique. All injections were performed with CPM-HA lip fillers using a 30G needle and retrograde microthreading. Total injected volume was 0.8-1.2 mL. High-resolution ultrasound (US) imaging, 3D surface scanning, and Global Aesthetic Improvement Scale (GAIS) assessments were performed before, and 1, 3 and 6 months post-injection to define the anatomy, positioning, longevity and patient satisfaction. Results: Sixteen patients were injected (mean age, 33.2 years). US measurements revealed an increased skin-orbicularis oris muscle distance up to 1 month post-injection after which measurements returned to baseline values. This observation correlated with complete product integration into the surrounding tissue visualized by US at 3 months. An increased dry mucosa thickness (vermilion body) remained at 6 months, and GAIS scores revealed 70% of patients continued to experience visible lip improvements. 3D analyses revealed significantly increased total lip surface area at 3 months with increased Cupid's bow distance, philtral height, and anterior upper lip projection. Conclusion: Superficial injection of CPM-HA fillers offers an effective and safe tool for improving lip architecture and volume. Results showed homogeneous dermal integration of the product and aesthetic outcomes maintained up to 6 months.

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