Kule mihla, izigcwalisi zomlomo lolona nyango lufunekayo kwi-ofisi kagqirha, kodwa imilebe inokuba yindawo yokutofa ngobuqhophololo.Ndizitofe imilebe yam kabini-ixesha lokugqibela kwakusekuqaleni kuka-2017, ngaphambi nje komtshato wam.Nangona kunjalo, ngehlobo lika-2020, ndaya kubona ugqirha wam wesikhumba kwaye waqaphela ukuba imilebe yam ikhangeleka ingalingani, kwaye ndiyiqaphele le nto, kodwa ndicinga ukuba ukuzaliswa kwam kuya kunyibilika ekugqibeleni, xa ndinezinye iintlanzi ezinkulu kufuneka ziqhotyiswe.Andizange ndicinge nokucinga ngokutofa i-hyaluronidase kuba andizange ndiyenze ngaphambili, kodwa kwavela ukuba le yimpendulo yokubuyisela inkangeleko yendalo-nangona yayincinci kunokuba ndandifuna.Nantsi into okufuneka ukwazi ngayo xa i-lip filler inganyibiliki ngexesha elilindelekileyo, kunye nendlela yokubuyela kwisiseko esihle ngoncedo lwengcali.
Izigcwalisi zihlala zihlala iinyanga ezi-6 ukuya kwezingama-24, kuxhomekeke kwindawo.I-dermatologist yaseNew York uMelissa Levin, MD, uthe inokuhlala ixesha elide kwiindawo ezifana ne-mandible, i-cheekbones, kunye neetempile, kodwa kwiindawo ezisebenzayo ezifana nemilebe okanye indawo yeperioral, inokunyibilika ngokukhawuleza.Ukongeza, ndicinga ukuba abantu bacinga ukuba obu bubomi nje bokugcwalisa, kodwa siyaguga kwaye sitshintsha yonke imihla, ke kufuneka siyithathele ingqalelo le nto.
UDavid Hartman, MD, ugqirha weplastiki yobuso e-Dover, e-Ohio, wachaza ukuba i-HA yokuzalisa iisirinji ezikhethwa ngokuqhelekileyo kwimilebe zivame ukuba zilula kwaye zithambile, oku kuthetha ukuba iphinda ichithe ngaphezu kokuzaliswa kwezinye iindawo ngokukhawuleza."Xa kuthelekiswa ne-HA enzima, i-flexible i-HA fillers engasetyenziselwa ukukhupha indawo ye-cheekbone, iintlobo ezithambileyo zivame ukuchithwa ngokukhawuleza," watsho.Ukongeza, ukuzaliswa kwimilebe kuxhomekeke kwiintshukumo eziphantse ziqhubeke 'zisila' ukusuka emilebeni nasemlonyeni, nto leyo ekwakhawulezisa ukubola kwezizaliso.Ngenxa yoku, ndicebisa abathengi bam bokuzalisa imilebe, ukuzaliswa kwemilebe Kuhlala ixesha eli-6 ukuya kwiinyanga ezili-12. ”
"I-HA fillers ayikho kuphela i-hyaluronic acid," kusho uDkt Levine.“Enyanisweni, ukuba sitofa iHA ngqo eluswini, iya kunyamalala ngokukhawuleza.Bandisa ubomi bokugcwalisa ngokudibanisa, ngoko ke ngokusisiseko oku kuthetha ukubeka ezi zibophelelo phakathi kweengqungquthela ze-HA ukuze kuncitshiswe inkqubo yokuthotywa., Nto leyo eyenza ukuba ihlale ixesha elide.Oku kunomdla kuba xa senza i-biopsy ulusu, uya kubona ngokuqinisekileyo iifayili ze-hyaluronic acid ezibekwe kwiminyaka embalwa edlulileyo, kwaye ezi zigcwalisi azisenamsebenzi wokubaluleka kwekliniki.Oku kuthetha ukuba ayisekho i-moisturizing, ayisekho ukuphakamisa, kodwa isekhona esikhumbeni.Umzimba womntu wonke wahlukile kwiifayili ezithoba isidima.Yiyo loo nto abanye abantu besebenzisa ii-HA lip fillers ngaphakathi kweenyanga ezintandathu Kwabanye, ngamanye amaxesha ikho iminyaka emininzi.I-groove yeenyembezi yindawo yakudala apho unokubona ukuzaliswa okuhlala ixesha elide.Asisebenzisi kuphela i-hyaluronidase (uhlobo lwendalo eluswini lwethu).Ii-enzymes ezikhoyo) ukudiliza izithambiso, kwaye sikwanayo ne-phagocytosis.Iiseli zethu zokhuselo lomzimba zibeke esweni kwaye zicoca le nkqubo, emva koko zithobe amasuntswana ngeendlela ezahlukeneyo. ”
Ukuba kukho ukuzaliswa emlonyeni okuhlala ngaphezu kweminyaka emibini, uGqr Hartman uncoma ukubona ugqirha weplastiki okanye i-dermatologist eqinisekisiwe yikomiti ukuze bakwazi ukumisela ukuba yintoni na."Ndifuna ukwazi ukuba i-filler esetyenzisiweyo ayisiyiyo imveliso ye-HA, kodwa olunye uhlobo lokuzalisa, okanye ukuba iqhuma libangelwa imilebe yesigulana esabela kwisigcwalisi."Ngokuqhelekileyo, ezi mpendulo ziyakuvelisa into ebizwa ngokuba yigranulomas.“Igranuloma iyenzeka xa inxalenye ethile yomzimba ivuselelwe ixesha elide, ngokuqhelekileyo ‘ngumzimba wasemzini’—into engcwatywe emzimbeni wethu ngandlel’ ithile—okanye ngezinye izizathu ezingapholiyo inxeba.Ibangelwa,” wongeze watsho uGqr. Hartman.“Nangona kunjalo, andikayiboni le nto kwimilebe etofweyo ye-HA.Ndizitofe ii-HA fillers emlonyeni wam amawakawaka amaxesha.Uphononongo lubonise ukuba iigranulomas kunokwenzeka ukuba zitofwe ngee-non-HA fillers.kwenzeke."
I-Hyaluronidase yi-enzyme emzimbeni wethu enokuthobisa i-hyaluronic acid."Kwifom yokwenziwa, kukho iimpawu ezimbini ezivunyiweyo ze-FDA ezifumaneka lula e-United States: enye yi-Hylenex kunye ne-Vitrase," kusho uDkt Levine.Ezi zinto zinokutofwa kwindawo ezaliswe yi-HA ukuze zinyibilike ngokukhawuleza.UGqr. Hartman wachaza: “Enyanisweni kuthatha imizuzu embalwa kuphela.“Ngokuphangaleleyo, esi sisicombululo sako konke okanye akukho kwanto.Ndiyakholelwa ukuba imilebe iya kujongeka yendalo kwaye intle ngakumbi, ngoko ke andiyigcwalisi.Ndikhe ndazisebenzisa kanye kuphela kule minyaka mithandathu idlulileyo.IHyaluronidase.
UGqr Levine uthe iindleko zokufumana iinaliti ze-hyaluronidase zixhomekeke ekubeni kufuneka kuthatyathwe malini na, kodwa ixabiso lisuka kwi-US$200 ukuya kwi-US$1,000.“Kwakhona, asingabo bonke oogqirha abakulungeleyo ukutofa i-hyaluronidase, kuba kufana nokuba ujongana neengxaki zabanye abantu ungazi ukuba yintoni na ekuyo,” wongeze watsho.Ndiyazi ukuba iiofisi ezininzi aziyiphathi naxa kuzaliswa, kodwa kum, oku akwamkelekanga.”
“Andiqondi ukuba ukhona umntu okhe wenza uphando kule ndawo, kodwa ngoku ndiyalungisa kwaye ndithatha izinto zokuzalisa ezininzi,” utshilo uGqr Levine.“Ndicinga ukuba oku kungenxa yokuba abantu abaninzi ngakumbi bamkela izigcwalisi, kwaye sinokuqonda okuntsonkothileyo nokuguqukileyo kokuguga nobuhle.Ndicinga ukuba kuninzi ekufuneka sikufundile.Ndihlala ndixelela abahlali ukuba bathambe kwaye basuse iifayili.Ithekhnoloji ephezulu kakhulu kunokugcwalisa imilebe.Ndicinga ukuba siya kuyibona le meko ngakumbi nangakumbi.Kukho ezinye ii-hyaluronic acid fillers kwimarike kwamanye amazwe, kwaye asiyazi ukuba basenokungaqhelananga nathi ngokuNxulunyaniswe nezinye iintlobo zezihluzi.
"Ndiyigqibile kwi-aphoyintimenti, kodwa ayifanelekanga kuba ithatha iiyure ze-48 ezipheleleyo ukubona iziphumo zekliniki ze-hyaluronidase," kuchaza uDkt Levine, okhetha ukujova, kwaye ucela izigulane ukuba zibuye iintsuku ezimbalwa okanye emva. iintsuku ezimbalwa kunye neveki, emva koko ujonge iziphumo, kwaye uphinde uzalise.“Xa ususa ukuzaliswa, kukwachukumisa ngokwenene, kuba umntu udlula kwinkqubo yokuyifumana kwaye acinge ukuba ukhangeleka ngcono, kodwa emva koko aqonde ukuba ukhangeleka engaqhelekanga.Kum, oku kufuna uthethwano oluninzi kwizigulana kunye nokuqonda ukuba umntu ophambi kwakho ucinga ukuba mhle kwaye ubuso babo buhlala bunjani.Iimbono zobuhle obuphambeneyo, yonke into ye-selfie kunye nezihluzi zenza abanye abantu babonakale bengaqhelekanga.Oku kuxhaphake kakhulu kunokuba abantu becinga. ”
“Akunjalo,” watsho uGqr. Levine."Ezinye izihluzi zineekhonkco ezinqamlezileyo, ezinokubenza bahlale ixesha elide.Ukuba isigulana sinento esiyibiza ngokuba yi-hypersensitivity ekulibazisekeni kuyo, andinakusisebenzisa esi sigcwalisi kuba sinokungabonakali.Iasidi iyasabela, kodwa isabela ekudibaneni.
Ixesha lokuposa: Sep-02-2021