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Injectables Safety with Dr. Anne Taylor

你是否正在考虑一种方法来软化和减少脸上皱纹和皱纹的出现? Before you choose an injectable or filler to smooth and shape your face, 十大网赌排行榜和食品和药物管理局建议你做足功课. A few things to consider as you plan your procedure include:

1. 找一个专业的整形医生来做你的手术.
2. 与你的委员会认证的整形外科医生讨论适当的治疗注射部位和与手术相关的风险.
3. 请注意，FDA已经审核并批准了不同的产品用于面部不同部位. FDA可能没有审查某些软组织填充物在身体所有部位的使用.
4. 向你的认证整形医生询问他们在面部注射软组织填充物的培训和经验.
5. 阅读并讨论你收到的具体填充物的病人标签. Your doctor can provide this information.
6. 如果出现异常疼痛等症状，请立即就医, vision changes, a white appearance of skin near the injection site, or any signs of stroke (including sudden difficulty speaking, numbness or weakness in your face, arms, or legs, difficulty walking, face drooping, severe headache, dizziness, or confusion) during or shortly after the procedure.

In May 2015, FDA提醒医疗保健提供者和消费者注意由于无意中将软组织填充物注射到脸部血管中而可能发生的罕见但严重的伤害. According to the FDA summary, 这种无意的注射会阻塞血管，限制对组织的血液供应，有时会导致血管栓塞或形成血栓. According to the FDA, symptoms of this injury may include vision impairment, blindness, stroke and damage to the skin or underlying facial structures. 血管堵塞最常发生在眉毛和鼻子之间的皮肤上, in and around the nose, forehead and around the eyes – key locations for fillers. 如果不恰当地注入血管，填充物可能会造成永久性疤痕.

“选择那些受过训练，知道解剖学和面部地图的人。. Anne Taylor, who specializes in cosmetic surgery in Columbus, Ohio, "and only go to a board-certified plastic surgeon's practice."

十大网赌排行榜(American Society of Plastic Surgeons)可以指导消费者选择使用哪种填充物，同时强调研究的重要性，并寻求医疗专业人士来进行微创手术.

"They're predictable and safe," Taylor confirmed. “我建议你找一位经过委员会认证的整形医生，而不是你的家庭医生或妇科医生来做这个手术."

填充物是用来使脸部因脂肪萎缩或皮肤老化而变得更小或更瘪的部分变得丰满, fat and bone, Taylor explained. Dermal fillers are used to plump different areas and depths, and are composed of a variety of formulations. A few examples follow:

Hyaluronic acids 碳水化合物是否已经在体内，所以这些产品被认为是天然的和受欢迎的，因为他们很好，并持续一年. 这些填充物就像一个充气垫子，支撑着泄气的面部结构和组织，同时增强皮肤的外观和感觉. Hyaluronic acid fillers may be used to plump the nasolabial folds, as well as wrinkles and depressed scars.

Collagen is a firm, 不溶性纤维蛋白人体中的不溶性纤维蛋白，常用于美容手术的补充和填充物. 它被用来抚平嘴部和前额周围的皱纹，或者创造更丰满的嘴唇. Many of these fillers may last up to 4 months.

Calcium hydroxylapatite, considered the thickest of facial dermal fillers, 是用来填补面部中度到严重的皱纹，如皱眉或鼻子和嘴周围的木偶纹，还是用来勾画脸颊轮廓.

“它们各有利弊，患者和医生讨论最佳选择是很重要的。," Taylor said. "It's highly personalized and individualized by surgeon and patient. They all work great. They're predictable. But the bottom line is having someone who knows how to do it. 做足功课，找一个专业的面部整形外科医生."

Overall, the products are designed for middle-aged women, she said, and procedures are rarely done on anyone younger than 30 years old. Men interested in the procedures are also on the rise, she said. As the body ages, the face contours appear to cave in and fillers can be added around the eyes, mouth, temples and in the apple of the cheek to make the face appear younger.

“重要的是要教育病人了解利弊，并理解什么对他们是最好的," Taylor said. “如果病人说，‘我想看某个特定的方向’，医生就会说，‘这就是十大网赌排行榜有的.' It's hard to educate patients about what to expect, 因此，这个过程的一部分实际上是尝试产品，以找到你喜欢的! Talk to a physician who is experienced in all the fillers, 并且意识到最终需要做一些手术因为填充物是暂时的."

阅读食品和药物管理局2015年5月关于软组织填充物安全的声明.