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A Comprehensive Review of Dermal Fillers and Biostimulators for Neck Rejuvenation
Kanthi Bommareddy1, Anastasia Shakhbazova2, Raheel Zubair3
1Department of Dermatology, Larkin Health System, South Miami, Florida.
Summary
Dermal fillers like hyaluronic acid (HA), poly-l-lactic acid (PLLA), and calcium hydroxylapatite (CaHA) effectively rejuvenate the neck, improving wrinkles and skin laxity with good safety.
Area of Science:
- Aesthetic Medicine
- Dermatology
- Cosmetic Surgery
Background:
- Facial rejuvenation is a primary aesthetic goal.
- Increasing focus on neck rejuvenation due to visible neck lines, wrinkles, and skin laxity.
- Addressing aging signs in the neck area is a growing patient and provider concern.
Purpose of the Study:
- To review English literature on fillers for neck rejuvenation.
- To examine hyaluronic acid (HA), poly-l-lactic acid (PLLA), and calcium hydroxylapatite (CaHA) for neck lines, laxity, and wrinkles.
- To synthesize current evidence on filler efficacy and safety for the neck.
Main Methods:
- PubMed database search for interventional and observational studies.
- Included studies focused on neck rejuvenation treatments.
- Excluded case reports with fewer than 10 patients.
Main Results:
- 24 studies with 887 patients were reviewed.
- HA gels, PLLA, and CaHA demonstrated efficacy in improving neck wrinkles and skin laxity.
- All three filler types showed favorable safety profiles for neck rejuvenation.
Conclusions:
- HA, CaHA, and PLLA are effective for neck rejuvenation.
- These fillers offer favorable safety profiles for treating neck aging.
- Further research is needed due to heterogeneity in outcome measures and limited long-term data.
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