DermaLive is a long-term wrinkle reduction product including two types of components: pure
hyaluronic acid, produced in cell culture, and an acrylic
hydrogel. The product was first marketed in France and the rest of Europe in 1998. We have over three years of experience with this product. Several studies have been conducted simultaneously, mainly in Germany and in France. At present,
DermaLive is used in the long-term correction of natural or acquired skin depressions (caused by aging,
trauma) or the creation of volume (lips, sunken cheekbones). It provides a worthwhile alternative to good-quality bioresorbable materials (pure
hyaluronic acid or
collagen)--materials that are so resorbable, in fact, that most patients are ultimately dissatisfied with the results--and to other so-called permanent materials that patients do not tolerate well. Filling involving the use of autologous fat
transplantations, which yields satisfactory results, is not appropriate for ambulatory injection and, therefore, will not be examined in detail. The tolerance experienced with
DermaLive three years on is, at present, considered highly satisfactory. The wrinkle reduction effect obtained after the first injection is long-lasting with 60% resorption of the initial material. Two or three
injections, with an interval of at least three months between each, may be required to bring about the reduction of some wrinkles or the correction of post-
scar depressions. Side effects occurring long after the injection are rare (1.2 for 1,000). They appear mainly as palpable nodules occurring about six months after injection. They are treated by
intralesional injection of
corticoids.
DermaLive and DermaDeep are both filler implants with a long-lasting effect designed for corrective and aesthetic surgery. Instruction of use and intervals between injection sessions must be respected. After
DermaLive or DermaDeep injection,
injections of pure
hyaluronic acid (Juvederm or
Restylane) for treatment of fine lines and superficial defects yield safe and excellent aesthetic results.