Quantifying Depth of Injection of Hyaluronic Acid in the Dermis: Data from Clinical, Laboratory, and Ultrasound Settings

April 2016 | Volume 15 | Issue 4 | Original Article | 483 | Copyright © April 2016


Patrick Micheels MD,a Stéphanie Besse MD,b Didier Sarazin MD,c Anne Grand Vincent MD,d
Natalia Portnova MD,e Marva Safa Diana MDf

a Private practice, Geneva, Switzerland
b Private radiographic imaging, Institut MedImage, Geneva, Switzerland
c Laboratoire Viollier-Weintraub, Geneva, Switzerland
d Private practice, Paris, France
e Private practice, Riga, Latvia
f Private practice, Neuchâtel, Switzerland

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Angle measurements
Angle of implantation was determined by measuring the penetration angle on profile pictures with a protractor (Rotring®, a transparent resistant geometry set square with fixed grip and precise scaling).
Biopsies
The ultrasound data found in this study was compared to those obtained with biopsies in previous studies.13,14
Photographs
A professional photographer was hired to document live pictures in the office of one of the investigators (PM). The photographer used a digital camera Nikon D3 with a lens 60 mm 2.8 macro. Investigator PM also photographed colleagues’ injection techniques, using a digital camera (NikonD40X with lens AF Micro Nikkor 60mm 1:2.8D). Both the professional photographer and the investigator’s images are shown in the Results section.

Measurements during the live treatments

To measure the length of the needle’s injection into the skin, simple measuring tape and red nail polish were utilized (Figure 2AB). After the needle had been inserted, the nail polish was applied on the non-implanted part of the needle, close to its skin penetration point. After withdrawal of the needle, the
table4