Mazuvano, miromo yekuzadza miromo ndeimwe yeanonyanya kudiwa marapirwo ekuzora muhofisi yachiremba, asi miromo inogona kuve inonyengera jekiseni saiti.Ini pachangu ndakabaya miromo yangu kaviri-nguva yekupedzisira yaive kutanga kwa2017, nguva pfupi yemuchato wangu.Nekudaro, muzhizha ra2020, ndakaenda kunoona dermatologist yangu uye akaona kuti miromo yangu yaitaridzika isina kuenzana, uye iniwo ndakaona izvi, asi ndinofunga mazadza angu anozopedzisira anyungudika, kana ndave neakawanda Hove huru dzinofanirwa kubikwa.Handina kumbofunga nezvekubaya jekiseni hyaluronidase nokuti ndakanga ndisati ndamboita, asi zvakazoitika kuti iyi ndiyo mhinduro yekudzorera chitarisiko chechisikigo-kunyange chaiva chiduku pane chandaida.Hezvino izvo zvaunoda kuziva kana iyo lip filler isingaparare mukati menguva inotarisirwa, uye kuti ungadzokera sei kune yakanaka yekutanga nerubatsiro rwehunyanzvi.
Mafirita anowanzogara kwemwedzi mitanhatu kusvika makumi maviri nemana, zvichienderana nenzvimbo.New York dermatologist Melissa Levin, MD, akati inogona kugara kwenguva yakareba munzvimbo dzakadai semandible, cheekbones, uye temberi, asi munzvimbo dzakawanda dzinoshanda dzakadai semiromo kana perioral area, Inogona kuparara nokukurumidza."Pamusoro pezvo, ndinofunga vanhu vanowanzofunga kuti uhwu hungori hupenyu hwekuzadza, asi isu tiri kuchembera nekuchinja mazuva ese, saka isu tinofanirawo kufunga izvi."
David Hartman, MD, chiremba anovhiya epurasitiki kumeso muDover, Ohio, akatsanangura kuti majekiseni eHA anowanzo kusarudzwa pamiromo anowanzo kuve akapfava uye akapfava, izvo zvinoreva kuti inonyungudika kupfuura mazadza mune dzimwe nzvimbo Nekukurumidza."Kuenzaniswa neyakaoma, isinganyanyi kushanduka HA fillers inogona kushandiswa kupfavisa nzvimbo ye cheekbone, mhando dzakapfava dzinowanzopera nekukurumidza," akadaro."Uyezve, iyo inozadzwa mumiromo inoitwa kunenge kunoramba 'kukuya' mafambiro kubva pamiromo nemuromo, izvo zvakare zvinomhanyisa kuora kwekuzadza.Nekuda kweizvi, ndinokurudzira vatengi vangu vanozadza miromo, kuzadza miromo Zvinogara kwemwedzi mitanhatu kusvika gumi nemiviri. "
"HA fillers haisi hyaluronic acid chete," akadaro Dr. Levine.“Ichokwadi, kana tikabaya HA zvakananga muganda, inonyangarika nekukurumidza.Vanowedzera hupenyu hwemuzadzi kuburikidza nekubatanidza, saka chaizvoizvo izvi zvinoreva kuisa zvisungo izvi pakati peHA particles kuderedza maitiro ekuora., Zvinoita kuti igare kwenguva refu.Izvi zvinonakidza nekuti kana isu biopsy ganda, iwe uchazonyatsoona iyo hyaluronic acid mafirita akaiswa makore mashoma apfuura, uye aya mafirita haachina kukosha kwekiriniki.Izvi zvinoreva kuti haisisiri kunyorova, haisisiri kusimudza, asi ichiripo muganda.Muviri wemunhu wese wakasiyana mukudzikisira fillers.Ichi ndicho chikonzero vamwe vanhu vachishandisa yavo HA lip fillers mukati memwedzi mitanhatu Kune vamwe, dzimwe nguva iripo kwemakore mazhinji.Iyo misodzi groove inzvimbo yakasarudzika uko iwe unogona kuona kuzadza kunogara kwenguva yakareba.Isu hatishandisi chete hyaluronidase (rudzi rwechisikigo muganda redu).Ma enzymes aripo) kuputsa mafirita, uye isu zvakare tine phagocytosis.Masero edu ekudzivirira muviri ari kutarisa uye kujekesa maitiro aya, uyezve kusvibisa zvimedu nenzira dzakasiyana. "
Kana pane kuzadza pamuromo kunogara kwemakore anopfuura maviri, Dr. Hartman anokurudzira kuona chiremba wepurasitiki kana dermatologist akavimbiswa nekomiti kuitira kuti vaone kuti chii."Ini ndinoda kuziva kana iyo filler inoshandiswa isiri chaiyo HA chigadzirwa, asi imwe imwe mhando yekuzadza, kana bundu racho richikonzerwa nemiromo yemurwere inobata kune iyo yekuzadza."Kazhinji kazhinji, maitiro aya anozogadzira anonzi magranulomas."Granuloma inoumbwa apo chimwe chikamu chemuviri chikakurudzirwa kwenguva yakareba, kazhinji ne'neimwe nyika'-chinhu chakavigwa mumuviri wedu neimwe nzira-kana nezvimwe zvikonzero zvisingapore ronda.Zvakakonzerwa,” Dr. Hartman vakawedzera.“Zvisinei, handisati ndaona izvi mumiromo yakabaiwa jekiseni.Ndakabaya maHA fillers mumiromo yangu zviuru zvenguva.Zvidzidzo zvakaratidza kuti granulomas inonyanya kubayiwa neasiri-HA fillers.kuitika."
Hyaluronidase is enzyme mumuviri wedu inogona kukanganisa hyaluronic acid."Muchimiro chekugadzira, kune mabhii maviri anogamuchirwa neFDA anowanikwa nyore nyore muUnited States: imwe Hylenex uye imwe yacho Vitrase," akadaro Dr. Levine.Izvi zvinhu zvinogona kubaiwa muHA izere nzvimbo kuti zvinyungudiswe nekukasira.“Kunongotora maminitsi mashomanana chete,” Dr. Hartman akatsanangura kudaro."Kazhinji, uyu ndiwo mushonga wezvose-kana-hapana.Ndinotenda kuti miromo ichaita seyakasikwa uye yakanyanya kunaka, saka ini handiizadze.Ndakangodzishandisa kamwe chete mumakore matanhatu apfuura.Hyaluronidase.
Dr. Levine vanoti mari yekubaiwa majekiseni ehyaluronidase inoenderana nekuti inoda kutorwa majekiseni akadii, asi mari yacho inotangira paUS$200 kusvika paUS$1 000.“Zvakare, havasi vanachiremba vese vanoda kubaya jekiseni rehyaluronidase, nekuti zvinoita sekunge uri kusangana nematambudziko evamwe vanhu usingazive zvirimo,” akawedzera."Ndinoziva kuti mahofisi mazhinji haatombozvitakura kana achizadza, asi kwandiri, izvi hazvitenderwe."
“Handifunge kuti pane aita tsvakiridzo munzvimbo iyi, asi iye zvino ndinogadzirisa uye ndinobvisa mafiritsi akawanda,” akadaro Dr. Levine."Ini ndinofunga izvi zvinodaro nekuti vanhu vazhinji vari kugamuchira mafirita, uye isu tine kunzwisisa kwakaoma uye kwakashanduka kwekuchembera uye runako.Ndinofunga tine zvakawanda zvekudzidza.Ndinogara ndichiudza vagari kuti vapfave uye vabvise ma fillers.Iyo tekinoroji yepamusoro kupfuura yekuzadza miromo.Ndinofunga tichaona mamiriro ezvinhu aya zvakanyanya.Kune mamwe hyaluronic acid mafirita pamusika kune dzimwe nyika, uye isu hatizive kuti vanogona kunge vasinganyanyi kujaira kwatiri Zvinoenderana nemamwe marudzi ekuzadza.
"Ndakazvipedza panguva yakatarwa, asi hazvina kunaka nokuti zvinotora maawa 48 akazara kuti ndione migumisiro yekliniki ye hyaluronidase," anotsanangura kudaro Dr. Levine, uyo anofarira majekiseni, uye anokumbira varwere kuti vadzoke kwemazuva mashomanana kana Pashure. mazuva mashoma nesvondo, wotarisa zvabuda, wozozadzazve."Paunobvisa kuzadza, zvinotonyanya manzwiro, nekuti mumwe munhu anopinda nepakati pekuitora ofunga kuti anotaridzika zviri nani, asi anobva aona kuti anotaridzika zvishoma.Kwandiri, Izvi zvinoda kubvunzana kwakawanda kune varwere uye kunzwisisa izvo munhu ari pamberi pako anofunga kuti akanaka uye kuti chiso chavo chinowanzoita sei.Anopenga runako, iyo yese selfie phenomenon uye mafirita anoita kuti vamwe vanhu vataridzike zvisina kujairika.Izvi zvakajairika kupfuura zvinofungwa nevanhu. ”
“Kwete,” Dr. Levine vakadaro."Mamwe mafirita ane mamwe ma-cross-links, ayo anogona kuita kuti agare kwenguva refu.Kana murwere aine yatinoti kunonoka hypersensitivity kwairi, ini handingashandise iyi filler nekuti inogona kunge isiri pachena.Asidhi inobata, asi inopindirana nekubatanidza. "
Nguva yekutumira: Sep-02-2021