Aesthetics Is Changing. Here’s What We’re Seeing?
Most dermatologists have experienced a shift in patient preferences over the past several years. There is a shift toward a minimalist, natural appearance. Concurrently, many states have opened the floodgates to who can inject, with a vast range in experience and medical expertise.
With respect to hyaluronic acid fillers, there has been an emphasis on assessing safety and overall use. Shah et al conducted an extensive review of all FDA-approved hyaluronic acid dermal fillers. By providing an understanding of the available HA fillers, providers are better able to compare and discuss the different options with their patients.
Poly-L-Lactic acid (PLLA) has become increasingly recognized in the field for its biostimulatory and biorejuvenation properties. Arruda et al examined many of the classic findings seen after PLLA injections, including improvement in Global Aesthetic Improvement Scale (GAIS) scores and texture. However, they took it one step further to analyze histology. This helps to better articulate many of the changes that are seen macroscopically. There can be variability with PLLA injections, with many providers often questioning the optimal reconstitution of PLLA. Baumann et al provide insights into this question by analyzing the product at various commonly used timepoints. They assessed several physicochemical tests as well as stability at the end of each timepoint to provide greater insights into this question.
Finally, aside from the specific fillers and cosmetic procedures, it’s important to understand the underlying psychology of aesthetics. To that end, Dr. Dayan provided a review of the psychology of beauty. Understanding this in the context of the evolving landscape of aesthetics can help us better understand and address patients’ concerns.
REFERENCES
Current Landscape of Hyaluronic Acid Filler Use in the United States
The Psychology of Beauty: Balancing Nature, Confidence, and Authenticity
Immediate Use After Reconstitution of a Biostimulatory Poly-L-Lactic Acid Injectable Implant
