Dermal response to combined double filler administration
https://doi.org/10.25207/1608-6228-2020-27-4-72-81
Abstract
Aim. This experimental work presents a comparative assessment of the effect of hyaluronic acid and crystalline calcium hydroxyapatite on derma in separate and combined application setting.
Materials and methods. The study used rats (30 animals) for subdermal injection of 0.05 ml medium. Group 1 was administered calcium hydroxyapatite (Radiesse (Merz, Germany)), group 2 received hyaluronic acid (Restylane (SabQ, Sweden)) and Group 3 — both preparations combined in ratio 1:1 (Mix). Results were evaluated 4 months after the filler injection. Sections were stained with haematoxylin–eosin, van Gieson’s and Masson’s trichrome techniques. Collagen types I and III were detected with polyclonal antibodies (Abcam, England). Fibroblasts were positively identified with vimentin (LabVision), macrophages — with CD68 (LabVision) tagging. Effect of extracellular matrix remodelling was studied with α-SMA actin (Abcam, England).
Results. We demonstrate that separate filling of hyaluronic acid and calcium hydroxyapatite produces different response mechanisms, while their combined administration does not lead to a marked voluming of the dermal extracellular matrix.
Conclusion. Combined administration of the two fillers under study may facilitate a prolonged effect of their combined action exceeding 4 months, due to the absence of fibrosis, complications and side effects.
About the Authors
G. M. Mogilnaya
Kuban State Medical University
Russian Federation
Russian Federation
Galina M. Mogilnaya — Dr. Sci. (Med.), Prof., Head of the Chair of Histology and Embryology
Mitrofana Sedina str., 4, Krasnodar, 350063
E. V. Fomicheva
Kuban State Medical University
Russian Federation
Russian Federation
Evgeniya V. Fomicheva — Cand. Sci. (Biol.); Assoc. Prof., Chair of Histology and Embryology
Mitrofana Sedina str., 4, Krasnodar, 350063
tel: +7-918-151-44-48
References
1. Fisher G.J., Shao Y., He T., Qin Z., Perry D., Voorhees J.J., Quan T. Reduction of fibroblast size/mechanical force down-regulates TGF-β type II receptor: implications for human skin aging. Aging. Cell. 2016; 15(1): 67–76. DOI: 10.1111/acel.12410
2. Quan T., Fisher G.J. Role of Age-Associated Alterations of the Dermal Extracellular Matrix Microenvironment in Human Skin Aging: A Mini-Review. Gerontology. 2015; 61(5): 427–434. DOI: 10.1159/000371708
3. Turlier V., Delalleau A., Casas C., Rouquier A., Bianchi P., Alvarez S., et al. Association between collagen production and mechanical stretching in dermal extracellular matrix: in vivo effect of cross-linked hyaluronic acid filler. A randomised, placebo-controlled study. J. Dermatol. Sci. 2013; 69(3): 187–194. DOI: 10.1016/j.jdermsci.2012.12.006
4. Wang F., Garza L.A., Kang S., Varani J., Orringer J.S., Fisher G.J., Voorhees J.J. In vivo stimulation of de novo collagen production caused by cross-linked hyaluronic acid dermal filler injections in photodamaged human skin. Arch. Dermatol. 2007; 143(2): 155–163. DOI: 10.1001/archderm.143.2.155
5. Dupont S., Morsut L., Aragona M., Enzo E., Giulitti S., Cordenonsi M., et al. Role of YAP/TAZ in mechanotransduction. Nature. 2011; 474(7350): 179–183. DOI: 10.1038/nature10137
6. Quan T., Wang F., Shao Y., Rittié L., Xia W., Orringer J.S., et al. Enhancing structural support of the dermal microenvironment activates fibroblasts, endothelial cells, and keratinocytes in aged human skin in vivo. J. Invest. Dermatol. 2013; 133(3): 658–667. DOI: 10.1038/jid.2012.364
7. Carruthers J.D., Carruthers J.A., Humphrey S. Fillers and neocollagenesis. Dermatol. Surg. 2014; 40 Suppl 12: S134–136. DOI: 10.1097/DSS.0000000000000227
8. Turlier V., Delalleau A., Casas C., Rouquier A., Bianchi P., Alvarez S., et al. Association between collagen production and mechanical stretching in dermal extracellular matrix: in vivo effect of cross-linked hyaluronic acid filler. A randomised, placebo-controlled study. J. Dermatol. Sci. 2013; 69(3): 187–194. DOI: 10.1016/j.jdermsci.2012.12.0066
9. Cheng F., Shen Y., Mohanasundaram P., Lindström M., Ivaska J., Ny T., Eriksson J.E. Vimentin coordinates fibroblast proliferation and keratinocyte differentiation in wound healing via TGF-β-Slug signaling. Proc. Natl. Acad. Sci. USA. 2016; 113(30): E4320–4327. DOI: 10.1073/pnas.1519197113
10. Lemperle G., Gauthier-Hazan N. Foreign body granulomas after all injectable dermal fillers: part 2. Treatment options. Plast. Reconstr. Surg. 2009; 123(6): 1864–1873. DOI: 10.1097/PRS.0b013e3181858f4f
11. Breithaupt A., Fitzgerald R. Collagen Stimulators: Poly-L-Lactic Acid and Calcium Hydroxyl Apatite. Facial. Plast. Surg. Clin. North. Am. 2015; 23(4): 459–469. DOI: 10.1016/j.fsc.2015.07.007
12. Zerbinati N., D’Este E., Parodi P.C., Calligaro A. Microscopic and ultrastructural evidences in human skin following calcium hydroxylapatite filler treatment. Arch. Dermatol. Res. 2017; 309(5): 389–396. DOI: 10.1007/s00403-017-1734-3
13. Mogilnaya G.M., Fomicheva E.V., Blatt Y.E. Status epidermis in introduktion of the drug «radiesse» and «luminaire». Kubanskii Nauchnyi Meditsinskii Vestnik. 2015; 4: 93–96 (In Russ., English abstract). DOI: 10.25207/1608-6228-2015-4-93-96
Review
For citations:
Mogilnaya G.M., Fomicheva E.V. Dermal response to combined double filler administration. Kuban Scientific Medical Bulletin. 2020;27(4):72-81. (In Russ.) https://doi.org/10.25207/1608-6228-2020-27-4-72-81
Views:
535
Email this article 