Hybrid Skin Booster Injectables Hyaluronic Acid with Growth Factors and/or Hyper Diluted Calcium Hydroxyapatite “For Treating Facial Skin Pigmentations”

Document Type : Original Article

Author

The Department of Oral and Maxillofacial Surgery Specialist, Private Practice, Cairo, Egypt

Abstract

Background: Hyaluronic acid has an important role in skin
viscoelasticity.
Objective: The present study was performed to evaluate
The effect of injecting the non-cross-linked hyaluronic acid with
growth factors and/or hyper-diluted calcium hydroxyapatite for
treating facial skin pigmentations and face rejuvenation, including
texture, elasticity, and firmness through collagen induction.
Methods: 30 female patients who suffered from dry skin
with pigmentations, were included in the study. All patients
were randomly divided into three groups; the first group was
injected with non-cross-linked hyaluronic acid with growth factors,
And the second group was injected with hyper-diluted calcium
hydroxyapatite filler, while the third group was injected
with a hybrid mixture of non-cross-linked hyaluronic acid with
growth factors and hyper-diluted calcium hydroxyapatite filler.
Digital pictures were taken before the injection and immediately
After the injection for assessment of the clinical results
as well as during the follow-up periods (2 weeks, 1 month &
3 months).
Results: The third group showed a marked reduction in
The amount of skin pigmentation at 2 weeks after injection
along with improvement in the skin texture and elasticity, those
Changes remained stable up to three months after treatment.
Conclusion: The use of a hybrid mixture of non-cross
linked hyaluronic acid with growth factors & calcium hydroxyapatite
Filler provides a marked reduction in the amount
of facial pigmentations and provides a better skin texture than
The use of each product alone.

Keywords

Main Subjects


1- Bertucci, Vince, and Carrie B. Lynde: “Current Concepts in
the Use of Small-Particle Hyaluronic Acid.” Plastic and reconstructive
surgery Vol. 136 (5 Suppl): 132S-138S, 2015.
2- De Almeida A.T., Figueredo V., da Cunha A.L.G., Casabona
G., Costa de Faria J.R., Alves E.V., Sato M., Branco A.,
Guarnieri C. and Palermo E.: Consensus Recommendations
for the Use of Hyperdiluted Calcium Hydroxyapatite
(Radiesse) as a Face and Body Biostimulatory Agent. Plast
Reconstr. Surg. Glob Open, 7 (3): e2160, 2019.
3- Siquier-Dameto G., Boisnic S., Boadas-Vaello P. and Verdú
E.: Anti-Aging and Depigmentation Effect of a Hyaluronic
Acid Mechanically Stabilized Complex on Human Skin
Explants. Polymers (Basel), 15 (11): 2438, 2023.
4- Corduff N.: An Alternative Periorbital Treatment Option
Using Calcium Hydroxyapatite for Hyperpigmentation Associated
with the Tear Trough Deformity. Plast Reconstr
Surg. Glob Open, 8 (2): e2633, 2020.
5- Wohlrab J., Wohlrab D. and Neubert R.H.: Comparison of
noncross-linked and cross-linked hyaluronic acid concerning the efficacy of the proliferative activity of cutaneous
fibroblasts and keratinocytes in vitro. J. Cosmet Dermatol.,
12 (1): 36-40, 2013.
6- Huang Y. and Yang P.: Application of Cross-Linked and
Non-Cross-Linked Hyaluronic Acid Nano-Needles in Cosmetic
Surgery. Int J Anal Chem., 2022: 4565260, 2022.
7- Guida S., Longhitano S., Spadafora M., Lazzarotto A., Farnetani
F., Zerbinati N., Pellacani G. and Galadari H.: Hyperdiluted
calcium hydroxylapatite for the treatment of skin
laxity of the neck. Dermatol. Ther., 34 (5): e15090, 2021.
8- de Almeida A.T., Figueredo V., da Cunha A.L.G., Casabona
G., Costa de Faria J.R., Alves E.V., Sato M., Branco A.,
Guarnieri C. and Palermo E.: Consensus Recommendations
for the Use of Hyperdiluted Calcium Hydroxyapatite
(Radiesse) as a Face and Body Biostimulatory Agent. Plast
Reconstr Surg. Glob Open, 7 (3): e2160, 2019.
9- Distante F., Pagani V., and Bonfigli A.: Stabilized hyaluronic
acid of non-animal origin for rejuvenating the skin of the
upper arm. Dermatol Surg., 35 (Suppl 1): 389-394; discussion
394, 2009.
10- Kerscher M., Bayrhammer J., and Reuther T.: Rejuvenating
Influence of a stabilized HA–based gel of non-animal
origin on facial skin aging. Dermatol. Surg.., 34: 720-726,
2008.