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ArteFill
If you're worried about invasive
surgery to remove facial wrinkles, but
you're tired of injectable fillers that
only last a few months, a new solution
to consider is ArteFill. This recently
FDA-approved injectable filler is the
first and only permanent
injectable filler on the market today.
ArteFill, produced by Artes Medical, is
an improved version of Artecoll, which
has been used in Europe and Canada on
more than 400,000 patients during the
past 10 years. ArteFill was FDA approved
in October 2006 for the treatment of
nasolabial folds (smile lines) and has
also been used off-label for lip
augmentation, acne scars, and other
wrinkles.
ArteFill is a gel filler consisting of
millions of synthetic microspheres (polymethylmethacrylate
or PMMA) suspended in purified bovine
(cow) collagen. ArteFill also contains
the local anesthetic lidocaine to reduce
discomfort during injection.
How ArteFill
Works
ArteFill is injected directly beneath
the wrinkle to add a permanent support
structure and
smoothen the area. The synthetic PMMA
microspheres in ArteFill are "non-resorbable,"
which means they are not absorbed into
the body or metabolized, allowing
ArteFill to last significantly longer
than other injectable fillers. The
microspheres stimulate the body to
generate its own natural collagen to
encapsulate each individual microsphere,
resulting in 80% of the patient's
collagen and 20% microspheres (by
volume) to permanently fill in the
wrinkle.
As the injected bovine collagen is
slowly absorbed during a few weeks, the
newly generated collagen replaces it.
This slow breakdown and natural
replenishment process provides ArteFill
with its unique and enduring results.
Recently Artes Medical submitted
five-year safety and efficacy data from
its U.S. clinical trial patients to the
FDA in order to expand the product's
labeling. The data show a statistically
significant improvement of wrinkle
correction between six months and five
years after the initial injection, which
is attributed to the ongoing collagen
remodeling process around the PMMA
microspheres.
Best Candidates for ArteFill
Men and women of any age may receive
ArteFill treatment. Ideal candidates
have already tried temporary injections,
are injection- and credit card-fatigued,
and are sure they want a permanent
result. ArteFill is not given to people
with allergies to bovine collagen or
with chronic skin infections. And it is
not recommended for areas of thinner
skin (such as crow's feet around the
eyes).
ArteFill
Treatment
Thirty days before treatment, our doctor
will administer a simple allergy skin
test for sensitivity to bovine collagen.
ArteFill treatment usually requires only
15-20 minutes, but two treatment
sessions may be necessary to achieve
full wrinkle correction. The treatments
are typically performed three to six
weeks apart. Before receiving ArteFill,
you may first try a temporary filler to
confirm your desired result. Be sure to
seek advice and treatment only from
doctors with sufficient experience in
the ArteFill injection technique, as
well as other injectable fillers.
Side Effects
with ArteFill
Side effects from ArteFill are rare but
may include redness, swelling,
lumpiness, pain, or sensitivity at the
injection site. Some patients may feel a
slight firmness after injection, which
usually resolves over time.
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