The Injectable Fibroblast-Hyaluronic Acid Complex for Augmentation Rhinoplasty

Hyaluronic Acid와 배양된 섬유모세포의 혼합주입을 이용한 융비술

  • Shin, Seung-Han (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine) ;
  • Han, Seung-Kyu (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine) ;
  • Lee, Byung-Il (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine) ;
  • Kim, Woo-Kyung (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine)
  • 신승한 (고려대학교 의과대학 성형외과학교실) ;
  • 한승규 (고려대학교 의과대학 성형외과학교실) ;
  • 이병일 (고려대학교 의과대학 성형외과학교실) ;
  • 김우경 (고려대학교 의과대학 성형외과학교실)
  • Received : 2005.04.09
  • Published : 2005.09.10

Abstract

Although several suspension biomaterials have been considered to be relatively safe and convenient, varying degrees of resorption have required repeated percutaneous injection. In the previous animal study the authors have reported that cultured human fibroblasts suspended in $Restylane^{(R)}$, which is modified hyaluronic acid, could produce human dermal matrices and prolong the effect of this gel. This study was undertaken to evaluate the clinical efficacy of this method. A total of 11 patients ranging from 25 to 57 years of age were included in this study between January of 2002 and December of 2003. All the patients were treated for the purpose of augmentation rhinoplasty. $1{\times}10^7/ml$ or $1.5{\times}10^7/ml$ cultured fibroblasts were suspended in 0.7 to 1.4 ml of $Restylane^{(R)}$. The implants were transferred to a 1-ml syringe and injected subcutaneously to the nose of the patients. Among 11 patients, long term follow-up for more than 1 year was possible in 6 patients. The injected implants remained in site without evidence of resorption or loss of correction. All the patients were satisfied with long term results of this method. There was no complication during the follow-up period.

Keywords

References

  1. Yoon FS, Ko HW, Han SK, Kim WK: Advantage of the presence of living dermal fibroblasts within $restylane^{\circledR}$ for soft tissue augmentation. J Korean Soc Plast Reconstr Surg 30: 39, 2003
  2. Knapp TR, Kaplan EN, Daniels JR: Injectable collagen for soft tissue augmentation. Plast Reconstr Surg 60: 398, 1977 https://doi.org/10.1097/00006534-197760030-00013
  3. Boss WK, Usal H, Fodor PB, Chernoff G: Autologous cultured fibroblasts: a protein repair system. Ann Plast Surg 44: 536, 2000 https://doi.org/10.1097/00000637-200044050-00013
  4. Ersek RA, and Beisang AA III: Bioplatique: A new textured copolymer microparticle promises permanence in soft-tissue augmentation. Plast Reconstr Surg 87: 693, 1991 https://doi.org/10.1097/00006534-199104000-00014
  5. Duranti F, Salti G, Bovani B, Calandra M, Rosati ML: Injectable hyaluronic acid gel for soft tissue augmentation: A clinical and histologic study. Dermatol Surg 24: 1317, 1998 https://doi.org/10.1016/S1076-0512(98)00151-4
  6. Sjoerd D, Berend VDL: Long-term results of upper lips treated for rhytides with carbon dioxide laser. Plast Reconst Surg 115: 1731, 2005 https://doi.org/10.1097/01.PRS.0000161674.94678.F9
  7. Alster TS, West TB: Human-derived and new synthetic injectable materials for soft-tissue augmentation: Current status and role in cosmetic surgery. Plasrt Reconstr Surg 105: 2525, 2000
  8. Coleman SR: Long-term survival of fat transplant: controlled demonstrations. Aesthetic Plast Surg 19: 421, 1995 https://doi.org/10.1007/BF00453875
  9. Austin HW, Weston GW: Rejuvenation of the aging mouth. Clin Plast Surg 19: 511, 1992
  10. Beran SJ, Rohrich RJ: The potential role of autologous, injectable dermal collagen($Autologen^{\circledR}$) and acellualr dermal homograft($Alloderm^{\circledR}$/) in facial soft tissue augmentation. Aesthetic Surg 17: 420, 1997 https://doi.org/10.1016/S1090-820X(97)80065-9
  11. Burres SA: Recollagenation of acne scars. Dermatol Surg 22: 364, 1996 https://doi.org/10.1016/1076-0512(95)00582-X
  12. Davidson BA: Up augmentation using the palmaris longus tendon. Plast Reconst Surg 95: 1108, 1995 https://doi.org/10.1097/00006534-199505000-00026
  13. Gatti JE: Permanent lip augmentation with serial fat grafting. Ann Plast Surg 42: 376, 1999 https://doi.org/10.1097/00000637-199904000-00005
  14. Botti G, Villedieu R: Augmentation cheiloplasty by using mucomuscular flaps. Aesthetic Plast Surg 19: 69, 1995 https://doi.org/10.1007/BF00209313
  15. Isenberg JS: Further clinical experience in permanent lip augmentation using autologous breast implant capsule. Ann Plast Surg 40: 265, 1998 https://doi.org/10.1097/00000637-199803000-00012