Forehead, temporal augmentation and lateral browlift with Ellanse M
Background: Ellanse M, a polycaprolactone-based filler, is a versatile collagen stimulator used in aesthetic treatments, particularly for forehead, temporal rejuvenation and lateral brow lifting. We propose a modified forehead classification system (Type I to V+T) to guide practitioners in determini...
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Korean Society of Korean Cosmetic Surgery and medicine
2024-12-01
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| Series: | Journal of Cosmetic Medicine |
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| Online Access: | http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2024.8.2.88 |
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| author | Larry Wu Bo Wang |
| author_facet | Larry Wu Bo Wang |
| author_sort | Larry Wu |
| collection | DOAJ |
| description | Background: Ellanse M, a polycaprolactone-based filler, is a versatile collagen stimulator used in aesthetic treatments, particularly for forehead, temporal rejuvenation and lateral brow lifting. We propose a modified forehead classification system (Type I to V+T) to guide practitioners in determining the volume of Ellanse required and predicting patient satisfaction. Objective: A retrospective analysis of 86 patients who received Ellanse M filler for upper face rejuvenation from 2016 to 2018 was conducted. Methods: A modified classification system is used to categorise forehead patterns (Types I to V) along with temporal hollowing (T). Type I+T is for forehead with central depression, Type II+T is with bilateral triangular depression, Type III is for Type I and II combined, Type IV+T is for sloping forehead pattern and Type V+T is for more severe sloping forehead pattern. Forehead enhancement and temporal rejuvenation with Ellanse M were performed for forehead rejuvenation and to address temporal hollowing respectively. Patient satisfaction was measured at 3 months post-treatment at optimal collagenesis and 2 years after treatment. A linear regression analysis was performed to correlate forehead classifications with patient satisfaction. Results: The overall patient satisfaction rate was 78% (67/86) at 2-year follow-up. Patients with Type I+T, Type II+T, and Type III+T forehead groups had the highest satisfaction rates. Conversely, the Type V+T group experienced the highest dissatisfaction rate (2/8 patients dissatisfied). This was corroborated with linear regression analysis. Eight patients were lost to follow-up and the results were interpreted using an intention-to-treat analysis. An average of 5.9 vials (1 ml/vial) (range 3 to 7 vials) of Ellanse M was used per patient. Conclusion: Our modified forehead classification identified Type I+T, Type II+T and Type III+T forehead patterns were associated with higher postprocedural satisfaction rates. There was no vascular complications or nodule formation in this series. |
| format | Article |
| id | doaj-art-e32ef09cbd194ef39a605a327d2407ee |
| institution | Kabale University |
| issn | 2586-0585 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Korean Society of Korean Cosmetic Surgery and medicine |
| record_format | Article |
| series | Journal of Cosmetic Medicine |
| spelling | doaj-art-e32ef09cbd194ef39a605a327d2407ee2025-01-06T05:22:11ZengKorean Society of Korean Cosmetic Surgery and medicineJournal of Cosmetic Medicine2586-05852024-12-0182889310.25056/JCM.2024.8.2.88JCM.2024.8.2.88Forehead, temporal augmentation and lateral browlift with Ellanse MLarry Wu0Bo Wang1iCare Medical Centre, SingaporeiCare Medical Centre, SingaporeBackground: Ellanse M, a polycaprolactone-based filler, is a versatile collagen stimulator used in aesthetic treatments, particularly for forehead, temporal rejuvenation and lateral brow lifting. We propose a modified forehead classification system (Type I to V+T) to guide practitioners in determining the volume of Ellanse required and predicting patient satisfaction. Objective: A retrospective analysis of 86 patients who received Ellanse M filler for upper face rejuvenation from 2016 to 2018 was conducted. Methods: A modified classification system is used to categorise forehead patterns (Types I to V) along with temporal hollowing (T). Type I+T is for forehead with central depression, Type II+T is with bilateral triangular depression, Type III is for Type I and II combined, Type IV+T is for sloping forehead pattern and Type V+T is for more severe sloping forehead pattern. Forehead enhancement and temporal rejuvenation with Ellanse M were performed for forehead rejuvenation and to address temporal hollowing respectively. Patient satisfaction was measured at 3 months post-treatment at optimal collagenesis and 2 years after treatment. A linear regression analysis was performed to correlate forehead classifications with patient satisfaction. Results: The overall patient satisfaction rate was 78% (67/86) at 2-year follow-up. Patients with Type I+T, Type II+T, and Type III+T forehead groups had the highest satisfaction rates. Conversely, the Type V+T group experienced the highest dissatisfaction rate (2/8 patients dissatisfied). This was corroborated with linear regression analysis. Eight patients were lost to follow-up and the results were interpreted using an intention-to-treat analysis. An average of 5.9 vials (1 ml/vial) (range 3 to 7 vials) of Ellanse M was used per patient. Conclusion: Our modified forehead classification identified Type I+T, Type II+T and Type III+T forehead patterns were associated with higher postprocedural satisfaction rates. There was no vascular complications or nodule formation in this series.http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2024.8.2.88botox; ellanse; forehead and temporal augmentation; lateral browlift; point of care ultrasound; polycaprolactone filler |
| spellingShingle | Larry Wu Bo Wang Forehead, temporal augmentation and lateral browlift with Ellanse M Journal of Cosmetic Medicine botox; ellanse; forehead and temporal augmentation; lateral browlift; point of care ultrasound; polycaprolactone filler |
| title | Forehead, temporal augmentation and lateral browlift with Ellanse M |
| title_full | Forehead, temporal augmentation and lateral browlift with Ellanse M |
| title_fullStr | Forehead, temporal augmentation and lateral browlift with Ellanse M |
| title_full_unstemmed | Forehead, temporal augmentation and lateral browlift with Ellanse M |
| title_short | Forehead, temporal augmentation and lateral browlift with Ellanse M |
| title_sort | forehead temporal augmentation and lateral browlift with ellanse m |
| topic | botox; ellanse; forehead and temporal augmentation; lateral browlift; point of care ultrasound; polycaprolactone filler |
| url | http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2024.8.2.88 |
| work_keys_str_mv | AT larrywu foreheadtemporalaugmentationandlateralbrowliftwithellansem AT bowang foreheadtemporalaugmentationandlateralbrowliftwithellansem |