The author presents an interesting discussion regarding the potential for enhanced neocollagenesis through a patented ArqueDerma® dermal filler technique. A thorough overview is conveyed of the dermal collagen matrix, including the characteristics of type I and type III collagen. The author advocates that administering hyaluronic acid fillers into the dermis leads to significant neocollagenesis and underpins this phenomenon through the ArqueDerma technique as a form of mechanical stimulation, comprising ‘blanketing’ through injection of hyaluronic acid through multidirectional vectors using a sharp needle. Clinical before and after images are provided to illustrate a detailed discussion of the controlled injury and subsequent wound healing response. It may have proved helpful for the author to have considered whether the ArqueDerma ‘blanket’ technique predisposes to a higher risk of bruising and complications owing to minimal undermining prior to the filler placement. The author acknowledges that other techniques have been described to yield neocollagenesis through placement of hyaluronic acid. Consistent with many non-surgical aesthetic procedures, the cosmetic outcome is usually assessed solely by clinical observation; obtaining histological skin analysis of individuals who have undergone treatment with this technique could strengthen the efficacy of this procedure, as part of a future clinical study. This account provides an interesting perspective of a described technique for dermal filler placement.

Using a controlled trauma technique when injecting hyaluronic acid dermal fillers.
Fletcher L.
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Anna Baker

BJN Aesthetic Nurse of the Year 2016.

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