In our contemporary postmodern society, a modified perception of the human body is accompanied by an increasing demand for body shaping procedures. The treatment needs to be effective but it is just as important that they are safe and can be easily integrated into the daily working and routine schedule. While the options for minimally invasive volume addition are largely limited to injectable implants based on hyaluronic acid or autologous fat, a multitude of options are available for volume reduction. Before deciding on the method of choice, the following needs to be considered: which indications need to be treated, the extent of the reduction in volume and how much pain and possible undesired reactions the patient is prepared to accept.
Cellulite beschreibt eine lokalisierte Veränderung der Hauttopographie, die häufig an den postero lateralen Oberschenkel, dem Gesäß und dem Bauch vorkommt. Wegen ihres welligen und dellenartigen Aussehens wird die Cellulite charakteristisch auch als Orangenhaut bezeichnet. Literatur www.springermedizin.de/aesthetische-dermatologie Korrespondenzadresse Dr. rer. nat. Stefanie Lübberding
Background: Primary focal hyperhidrosis can significantly reduce quality of life. Therefore a lot of treatment options in a range of conservative, physical and surgical techniques are available. Objective: To assess the efficacy of an antiperspirant containing aluminum chloride compared to a Botulinumtoxin A treatment for patients with primary focal hyperhidrosis.Methods and material: In this randomized, single-center, half-side trail, a clinical score was done by patients and physician to evaluate the severity of hyperhidrosis. Gravimetric tests were performed to gather the amount of sweat per unit of time. Furthermore the efficacy was determined using a four point questionnaire. Skin irritation was assessed by measuring pH value and transepidermal waterloss.Results: A total of 22 patients were enrolled. Two weeks after baseline the hyperhidrosis level was significantly reduced (BTX-A: ﹣92.9%, AL: 66.7%). In addition both treatment options induced a significant reduction of sweat production (BTX-A: ﹣80.8%, AL: 68.8%). Please change in: Patients evaluated good resp, very good efficacy for both treatment options at day 28. pH value and TEWL never left physiological range.Conclusion: Both botulinum toxin A treatment and an antiperspirant containing aluminum chloride in the evaluated galenic formulation are an effective and safe treatment option for axillary focal hyperhidrosis.
ZusammenfassungInjektionen mit Soft-Tissue-Fillern, insbesondere Hyaluronsäure, gehören heute zu den beliebtesten minimal-invasiven Behandlungsmethoden der Gesichtsverjüngung. Mit zunehmendem Verständnis der anatomischen Hautstrukturen und dem Wissen über die Physiologie der Hautalterung haben sich gezielt Behandlungsstrategien und -methoden entwickelt, um Patienten nach ihren Wünschen so optimal wie möglich zu behandeln. Grundlegend können Patienten entsprechend ihrem Behandlungswunsch in die Kategorien Prophylaxe, Optimierung oder Regeneration eingeteilt werden. Der Markt an Füllpräparaten liefert für jedes Behandlungsziel geeignete Präparate. Dieser Beitrag gibt einen grundlegenden Überblick zur Gewebeaugmentation mit Füllpräparaten und gibt Anregungen, um sichere Behandlungen mit optimalem Ergebnis strukturiert zu planen und durchzuführen.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.