Update on Body Shaping and Volume Restoration: The Role of Hyaluronic Acid

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ORIGINAL ARTICLE

Update on Body Shaping and Volume Restoration: The Role of Hyaluronic Acid Per Hede´n1

 Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020

Abstract After the introduction of facial aesthetic injectables with botulinum toxin (BoNt) in the first half of the 1990s and nonanimal-based hyaluronic acid (HA) fillers in 1996, the interest for minimally invasive procedures has exploded. With this background, it is not surprising that the interest for body contouring with HA has also attracted a lot of interest. The effectiveness and safety for breast augmentation, buttock augmentation and treatment for pectus excavatum has been extensively investigated and published. Generally, patient satisfaction has been high and complications low. Due to several factors such as limited duration and unfavorable cost, HA fillers have been withdrawn from the market. With the development of new HA products, it is possible that its use for body contouring will be reintroduced and popular in the future. Keywords Breast augmentation  Fat grafts  Hyaluronic acid  Implants  Injectable fillers

use of hyaluronic acid for volume restoration in the body has been one of the most cited articles in the APS Journal. This is paralleling the extremely fast growth of minimally invasive techniques which exceed the growth of surgical procedures considerably. With the introduction of aesthetic treatments with botulinum toxin (BoNt) in the first half of the 1990s and nonanimal-based hyaluronic acid (HA) fillers in 1996, the interest in minimally invasive procedures has exploded. The reason for this is that they offer several benefits compared to surgical interventions: • • • • • •

Introduction Since this article [1] was published in 2009, considerable changes in volume restoration techniques have occurred. This is true for both facial and body shaping. It is interesting to note that since 2009, this initial publication on the

Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00266-020-01772-5) contains supplementary material, which is available to authorized users. & Per Hede´n [email protected] 1

Akademikliniken, Stora¨ngsva¨gen 10, 115 42 Stockholm, Sweden

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Can be performed with, and frequently even without, local anesthesia. Do not require hospitalization. Usually have minimal recovery times. Achieve rapid results, with less apparent and dramatic change. Injectable materials such as BoNt and hyaluronic acid fillers are well tolerated. Results of these types of injectables are not permanent and also reversible. In some areas, the duration may be very long lasting (e.g., by stimulation of natural collagen production). Are less costly and short term. Have less risk for complications. Leave now revealing scars, deformities or pigmentary changes.

With this background, it is not surprising that the interest in body contouring with HA has attracted a lot of interest. After this 2009 initial publication, a number o