Übersichtsarbeit
Alberto Goldman, Uwe Wollina
Das potenzielle Risiko des Overfillings der Lippen für das dermale elastische Fasernetzwerk
The potential risk of lip overfilling for dermal elastic fiber network
Keywords | Summary | Correspondence | Literature
Keywords
aesthetics, elastin, Hyaluronic acid fillers, Lips, overfilling
Schlüsselworte
altersbegleitende Ästhetik, Elastin, Hyaluronsäure-Filler, Lippen, Overfilling
Summary
Elastin is a major component of human skin. It closely interacts with dermal collagen fibers. Elastin is the major protein responsible for skin elasticity. It has a half-life > 70 years, which means damaged elastin cannot be replaced during human lifetime. Lip enhancement has gained increasing popularity of the last two decades. Injection of cross-linked hyaluronic acid by well trained and experienced physicians provides good results, high patients satisfaction with a favorable safety profile. Social media have popularized bizarre, overfilled lips. Overfilling bears long-term risks such as accelerated aging, fibrosis, changes in the sensitivity and functionality of the lip muscles due to extrinsic compression of nerves and vessels, and unnatural smile. Patients and physicians should be aware of these adverse events.
Zusammenfassung
Elastin ist ein Hauptbestandteil der menschlichen Haut. Es interagiert eng mit den dermalen Kollagenfasern. Elastin ist das wichtigste Protein für die Elastizität der Haut. Es hat eine Halbwertszeit > 70 Jahren, was bedeutet, dass geschädigtes Elastin zu Lebzeiten des Menschen nicht ersetzt werden kann. Die Lippenaugmentation hat in den letzten zwei Jahrzehnten an Popularität gewonnen. Die Injektion von vernetzter Hyaluronsäure durch gut ausgebildete und erfahrene Ärzte führt zu exzellenten Ergebnissen und hoher Patientenzufriedenheit bei einem günstigen Sicherheitsprofil. Soziale Medien haben jedoch bizarre, überfüllte Lippen populär gemacht. Ein Overfilling der Lippen birgt langfristige Risiken wie beschleunigtes Altern, Fibrose, Veränderungen der Sensibilität und Funktionalität der Lippenmuskulatur durch extrinsische Kompression von Nerven und Gefäßen und ein unnatürliches Lächeln. Patienten und Ärzte sollten sich dieser unerwünschten Ereignisse bewusst sein.
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Korrespondenz-Adresse
Prof. Dr. Uwe Wollina
Former Head of the Department of Dermatology and Allergology
Städtisches Klinikum Dresden
Academic Teaching Hospital,
DE-01067 Dresden, Germany, and
Adjuvant International Faculty,
Department of Dermatology, Venerology & Leprosy,
Jawaharlal Nehru Medical College,
Datta Meghe Institute of Higher Education & Research
Premier Deemed to be University, Wardha, Maharashtra, India
E-mail: uwollina@gmail.com
Conflict of Interests
Funding: Nil. Conflicts of Interest: None.
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