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GOLD THREAD ZŁOTE NICI Skin tenser Body filler implant.

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Presentation on theme: "GOLD THREAD ZŁOTE NICI Skin tenser Body filler implant."— Presentation transcript:

1 GOLD THREAD ZŁOTE NICI Skin tenser Body filler implant

2 TOPICS FOR DEVELOPMENT: Historical background Historical background Mechanism of action Mechanism of action Indications Indications Preoperative phase Preoperative phase Technique Technique Postoperative phase Postoperative phase Complications Complications Advantages Advantages Conclusions Conclusions

3 HISTORICAL BACKGROUND Ancient Egypt: threads of pure gold Ancient Egypt: threads of pure gold 1960s: Caux, subdermal gold threads in facial surface 1960s: Caux, subdermal gold threads in facial surface 1970s: J.Conley and D.Baker, implantation of the thread under (and adapting to) the wrinkle 1970s: J.Conley and D.Baker, implantation of the thread under (and adapting to) the wrinkle 1992 : D.Orenes (gold + catgut), vertical and horizontal implantation 1992 : D.Orenes (gold + catgut), vertical and horizontal implantation 1992 : application kit (Lorca Marin, S.A.), combining gold thread with simple catgut 1992 : application kit (Lorca Marin, S.A.), combining gold thread with simple catgut

4 MECHANISM OF ACTION GOLD THREAD: Produces a granulomatous reaction characterized by the appearance of abundant elastic fibres around the implant, together with neovascularization of the implant zone. This affords skin youthening in the implant zone. Produces a granulomatous reaction characterized by the appearance of abundant elastic fibres around the implant, together with neovascularization of the implant zone. This affords skin youthening in the implant zone. POLYGLYCOLIC ACID: Produces minimum acute tissue inflammation, followed by gradual encapsulation by the connective tissue. Posteriorly, gradual tension strength is lost, with hydrolysis-mediated absorption that is completed within days after implantation.

5 MECHANISM OF ACTION Gold + PGA PVDF 180 days - Collagen fibers are observed in the adipose cellular structure, i.e., collagen formation has extended beyond the capsule limits. - The structure is completely surrounded by newly formed blood vessels. - A significant presence of mast cells is observed. - The thread is surrounded by a capsule composed of collagen bundles. - - The presence of mast cells is nonsignificant.

6 INDICATIONS: I ncipient aging I ncipient aging Elimination of flabbiness Elimination of flabbiness Filling of grooves and wrinkles Filling of grooves and wrinkles

7 The correction of facial wrinkles is one of the main challenges in esthetic surgery and exerts a negative psychological and emotional effect upon patients. The correction of facial wrinkles is one of the main challenges in esthetic surgery and exerts a negative psychological and emotional effect upon patients. The existing surgical methods are traumatic and imply the need for anesthesia and postoperative period. The existing surgical methods are traumatic and imply the need for anesthesia and postoperative period. Our aim is therefore to increase efficacy in combating and preventing involutional changes through skin firming with special surgical threads. Our aim is therefore to increase efficacy in combating and preventing involutional changes through skin firming with special surgical threads.

8 SKINGOLD is a filler implant developed by LORCA MARÍN for the prevention of face and neck ptosis, and flabbiness of the inner arm and thigh skin surfaces. SKINGOLD is a filler implant developed by LORCA MARÍN for the prevention of face and neck ptosis, and flabbiness of the inner arm and thigh skin surfaces. SKINGOLD can also be used to correct neck and face wrinkles. SKINGOLD can also be used to correct neck and face wrinkles. SKINGOLD is applied by means of a simple ambulatory surgery technique. SKINGOLD is applied by means of a simple ambulatory surgery technique. SKINGOLD has no adverse effects. SKINGOLD has no adverse effects. SKINGOLD – Gold Thread SKINGOLD affords evident results within one month. SKINGOLD affords evident results within one month. SKINGOLD maintains the visible effects for more than 5 years. SKINGOLD maintains the visible effects for more than 5 years. SKINGOLD is CE certified. SKINGOLD is CE certified. SKINGOLD is a registered trademark of LORCA MARÍN. SKINGOLD is a registered trademark of LORCA MARÍN.

9 Case history Case history Treatment: analgesic - antiinflammatory, antibiotic Treatment: analgesic - antiinflammatory, antibiotic Informed consent Informed consent Preoperative photographs Preoperative photographs PREOPERATIVE PHASE :

10 TECHNIQUE : Marking Marking

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12 Preparation of the surgical field, with strict asepsis. Preparation of the surgical field, with strict asepsis. Anesthesia: Anesthesia: o either topical (EMLA° type cream) o or local subdermal infiltration at entry and exit points ml lidocaine 2% ml lidocaine 2% 0,1 ml adrenalin 1%° 0,1 ml adrenalin 1%° 25G 5/8 or 30G ½ needle 25G 5/8 or 30G ½ needle Subdermal implantation of the gold thread (accordion effect) Subdermal implantation of the gold thread (accordion effect) Compression Compression Immobilization? (micropore° dressing) Immobilization? (micropore° dressing) TECHNIQUE :

13 POSTOPERATIVE PHASE Local application of ice Local application of ice Antibiotics (oral and topical) Antibiotics (oral and topical) Immobilization (avoid facial gestures, micropore*) Immobilization (avoid facial gestures, micropore*) Control after one week Control after one week

14 Hematomas – ecchymosis Hematomas – ecchymosis Infection Infection Cords (superficial, granuloma) Cords (superficial, granuloma) Extrusion Extrusion Asymmetries - Dimples Asymmetries - Dimples COMPLICATIONS

15 ADVANTAGES Rapid return to social and labor activity Rapid return to social and labor activity Important youthening Important youthening WITHOUT scars WITHOUT scars NO pain NO pain

16 Experimental clinical group – A. V. Vishnevski Surgical Institute( Moscow). Experimental clinical group – A. V. Vishnevski Surgical Institute( Moscow). These investigators conduced comparative and experimental studies with implants of gold thread + PGA and Trofilene ( PVDF ) in 300 patients. These investigators conduced comparative and experimental studies with implants of gold thread + PGA and Trofilene ( PVDF ) in 300 patients. Study of the mechanism of action of gold thread (morphological changes). Study of the mechanism of action of gold thread (morphological changes). TESTS CARRIED OUT

17 Clinical observations: correction of involutional changes in face and neck. Clinical observations: correction of involutional changes in face and neck. Immediate and long-term effects. Immediate and long-term effects. Assessment of blood flow in the tissues surrounding the implant (SRSV). Assessment of blood flow in the tissues surrounding the implant (SRSV). Evaluation of surrounding tissues. Evaluation of surrounding tissues. Tissue microcirculation. Tissue microcirculation. TESTS CARRIED OUT

18 CONCLUSIONS 1.- Before treating the patient with this technique, evaluation is required of tissue condition – objectively establishing the involutional grade and defining the choice of technique for firming, in order to be able to predict the outcome. 2.- The morphological changes around the implant are characterized by: functional activity of the fibroblasts, collagen production and increased capillaries.

19 3.- The procedure increases the microcirculation indexes between 44-53%, thus favoring nutrition in the area. 4.- firming can be applied as prophylaxis (grade I cases) and as corrective measure (grades II, III and IV).

20 5.- In grade I and II cases, the technique is effective as an independent method (75% good results). 6.- In firming of the infraorbital zone, implants should also be placed in the malar region and temples – with implants in the rest of the face on a unified basis. 7.- In grade III cases it is advisable to implant supplementary threads in the oval facial zone..

21 8.- In grade IV cases it is advisable to combine the procedure with surgical corrective measures (liposuction and ritidectomy / face lift). 9.- No leakage is observed after implantation of over 0,5 cm in young patients In patients over 56 years of age, leakage of tumor-like appearance is observed, with local inflammation.

22 GOLD THREAD KIT / SKINGOLD Ready to use (gold + PGA), 25 cm length, boxes with 12 U Ready to use (gold + PGA), 25 cm length, boxes with 12 U Triangular straight, atraumatic needle (60 mm length) Triangular straight, atraumatic needle (60 mm length) Gold thread (24 kt 99,99% purity) 0,1 mm diameter Gold thread (24 kt 99,99% purity) 0,1 mm diameter Colorless polyglycolic acid thread (caliber 3/0 USP) Colorless polyglycolic acid thread (caliber 3/0 USP) Sterile (EO) Sterile (EO) Histocompatible. Histocompatible.

23 PHOTOGRAPHS OF CASES: BeforeAfter

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40 THANK YOU VERY MUCH THE END IQ MEDICA Tel. (+48 22)


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