Due to the economic turndown of the recent months, most cosmetic surgery procedures have been on the decline. Despite the excellent results of the latest surgical techniques, many people simply cannot afford to spend thousands of dollars for major surgical procedures.
Despite this economic decline, injectable cosmetic treatments such as Juvederm® and Botox® have actually seen a slight increase. This is because the new injectable fillers can reliably enhance our appearance for longer periods of time and at fraction of the cost of surgery. With most of these treatments lasting over six months, the cost is less than that of our daily tall latte.
2009 didn’t only bring change in terms of a new President, it also brings a host of new injectibles to the market.
Reloxin® is the first true competitor to Botox®. It is made by Medicis, the makers of Restylane®. The early news is that the onset is slightly faster than that of Botox®, but it may not last as long. The truth is, we will not know its true nature for at least several months. The good news that it should drive the price of Botox® down. In anticipation of the arrival of Reloxin®, Allergan (makers of Botox) has not raised its price this January for the first time in over a decade.
Evolence® is Johnson and Johnson’s new injectable filler. It is made from porcine collagen (meaning it is derived from pigs for those of you that are kosher or vegetarian). The collagen is cross linked in a special way that J & J claim enable it to last 12-15 months. Unlike other collagen products, no skin testing prior to its use is necessary.
Elevess™ is made by Anika. It is a non-animal based Hyaluronic acid, which is similar to Restylane® and Juvederm®. What makes Elevess™ unique is that it is filled with the numbing agent Lidocaine. In theory, this should make the injections less painful.
Mentor, a leading manufacturer of breast implants, has introduced two new Hyaluronic acid injectables. Prevelle™ is for fine lines such as crow’s feet and those thin lines around lips. Puragen™ is a thicker injectible made for deeper lines (nasolabial folds) and for augmenting cheek bones.
One of the more exciting products on the horizon is Isolagen®. In this product, the treating surgeon takes a biopsy of the patient’s own tissue. The tissue is then sent to the company’s lab where the patient’s own fibroblasts (collagen producing cells) are cloned and sent back to the surgeon for injection. Since the patient’s own live cells are being re-injected, the results should be extremely natural-looking, safe and long lasting (maybe even permanent). While most of the other products are “me toos” this is a truly innovative concept. Stay tuned for further developments.
Atlean (caution: this website is in French!) is a gel that is filled with calcium phosphate. This natural compound stays in the skin for a long time and may even stimulate collagen growth. It is very similar to Radiesse® and should also last 12-18 months. Aquamid® is a gel filled with small plastic beads (polyacarmide). This should give a permanent enhancement to deeper lines. The downside is that there is the potential for permanent bumpiness.
We are all looking to 2009 to be a year of change. For our country we are all hoping for a quick resolution to the economic turmoil and our conflicts abroad. In our own small world of cosmetic surgery, 2009 should bring exciting changes that will hopefully lead to better and longer lasting results. The one caveat is that not all change is for the better. Time will tell which products will work and which will not.