title: Hyaluron Filler Containing Lidocaine on a CPM Basis for Lip Augmentation: Reports from Practical Experience.
abstract: Lip augmentation with hyaluronic acid fillers is established. As monophasic polydensified hyaluronic acid products with variable density, CPM-HAL1 (Belotero Balance Lidocaine, Merz Aesthetics, Raleigh, NC) and CPM-HAL2 (Belotero Intense Lidocaine, Merz Aesthetics, Raleigh, NC) are qualified for beautification and particularly natural-looking rejuvenation, respectively. The aim of this article was to assess the handling and outcome of lip augmentation using the lidocaine-containing hyaluronic acid fillers, CPM-HAL1 and CPM-HAL2. Data were documented from patients who received lip augmentation by means of beautification and/or rejuvenation using CPM-HAL1 and/or CPM-HAL2. Observation period was 4 months, with assessment of natural outcome, evenness, distribution, fluidity, handling, malleability, tolerability, as well as patient satisfaction and pain. A total of 146 patients from 21 German centers participated. Physicians rated natural outcome and evenness as good or very good for more than 95% of patients. Distribution, fluidity, handling, and malleability were assessed for both fillers as good or very good in more than 91% of patients. At every evaluation point, more than 93% of patients were very or very much satisfied with the product. A total of 125 patients (85.6%) experienced transient injection-related side effects. Pain intensity during the procedure was mild (2.72 ± 1.72 on the 0-10 pain assessment scale) and abated markedly within 30 minutes (0.42 ± 0.57). Lip augmentation with hyaluronic acid fillers produced a long-term cosmetic result. Due to the lidocaine content, procedural pain was low and transient. Accordingly, a high degree of patient satisfaction was achieved that was maintained throughout the observation period.
authors.affiliation: Haut- and Lasercentrum Potsdam, Potsdam, Germany.
authors.forename: Tanja C
authors.initials: TC
authors.lastname: Fischer
authors.affiliation: Rosenparkklinik GmbH, Darmstadt, Germany.
authors.forename: Gerhard
authors.initials: G
authors.lastname: Sattler
authors.affiliation: Department of Aesthetic Dermatology and Laser Medicine, Department of Dermatology and Allergy, Ludwig-Maximilians University, Munich, Germany.
authors.forename: Gerd G
authors.initials: GG
authors.lastname: Gauglitz
mesh_terms: D000328:Adult; D000779:Anesthetics, Local; D001291:Attitude of Health Personnel; D003357:Cosmetic Techniques / Q000009:adverse effects; D000067548:Dermal Fillers / Q000008:administration & dosage*; D004338:Drug Combinations; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage*; D008012:Lidocaine; D008046:Lip; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D012060:Rejuvenation
chemical_list: D000779:Anesthetics, Local; D000067548:Dermal Fillers; D004338:Drug Combinations; D006820:Hyaluronic Acid; D008012:Lidocaine