Etermis - a filler with a strong effect: features of application on the lips, which is the best from Merz

Etermis is a line of dermal fillers for injection, consisting of three cosmetic fillers containing mannitol and monophasic hyaluronic acid. Mannitol, as an antioxidant, protects the skin from free radicals by inhibiting the breakdown of hyaluronic acid when filler is injected into the skin. This line of fillers contains products to combat deep expression lines and other wrinkles.

Hyaluronic acid is a naturally occurring sugar in the body that helps retain moisture and keep skin in optimal condition. Etermis restores the volume of skin tissue, making it soft and perfect.

Composition of Etermis

The composition of the drug includes:

85% stabilized hyaluronic acid;
15% native (unstabilized) hyaluronic acid;
mannitol

These substances prevent the aging process of the skin and provide a long-lasting effect of the drug. Mannitol prevents the oxidation of hyaluronic acid, slows down the process of biodegradation and excretion from the body. It enhances the saturation of tissues with moisture. In addition, mannitol relieves swelling and normalizes lymphatic drainage of soft tissues.

The filler is used for preventive purposes. Thanks to it, wrinkles and folds are smoothed out, skin elasticity is improved, and the appearance of the first age-related changes is slowed down.

We recommend reading about Dermalax filler. From the article you will learn about the types and advantages of Dermalax fillers, the technique of administering the drug, the results, and possible side effects. And here you can read more about the benefits of Platinum fillers.

Indications for use of Etermis

Experts recommend injections with Etermis filler for clients over 30 years of age. But you can use it to create more sculpted facial features at a young age.

There are three types of filler in the filler line - Etermis 2, Etermis 3 and Etermis 4. They differ in the concentration of active components.

Etermis 2 is used for:

restoration of skin hydrobalance;
alignment of nasolabial, nasolacrimal folds, mesh around the eyes;
correction of the preorbital zone;
increasing the elasticity of loose, aging skin;
correction of imbalanced facial proportions: increasing the volume of cheekbones, temples, lips, straightening the back of the nose;
smoothing out small wrinkles around the mouth and on the forehead.

Etermis 3 filler is recommended when the following cosmetic defects are observed:

weakening of facial contours, gravitational ptosis;
nasolabial folds, jowls;
scars, stretch marks, scars and acne marks;
deterioration of the contours of the lower jaw.

It is used for contouring of lips, temples, and cheekbone lifting.

The purposes of using Etermis 4 filler are:

filling the cheekbones, lips, cheeks, temples, bridge of the nose, chin with volume;
smoothing the relief of scars and stretch marks;
correction of the correct oval face;
filling deep wrinkles and folds;
correction of the orbital zone and nasolacrimal groove;
improvement of the relief and shape of the lower jaw.

Benefits of using Etermis 3 (Glytone)

The advantages of the expensive German lip filler Etermis 3 compared to some analogues are as follows:

excellent turgor, drug infusions hold their shape perfectly, which is especially important for working conditions: the skin of the lips is the thinnest skin of the human body;
the drug is approved for use in volume correction for middle-aged people; it can be used by young and mature patients up to forty years of age;
excellent performance - it takes no more than three to four days to achieve the maximum effect;
the procedure is very simple and can be carried out even by a low-skilled chiropractor,
the filler works for a long time - it is stated that the full properties of the Etermis 3 filler last up to two years;
excellent biochemical balance:
Glycerol gives an intensive exchange of fluids in the area undergoing therapy.
Mannitol counteracts swelling and reduces the destructive side effects of hyaluronic acid, and also extends the life of the injection (in addition to its main function as an antioxidant).
Hyaluronic acid helps with the generation of collagen, and therefore can have a beneficial effect even on muscles that are not affected by therapy.

Advantages and disadvantages

Before carrying out the procedure, you need to weigh the pros and cons. Injections with Etermis are of a medical nature. Therefore, they have their own characteristics and nuances.

The advantages of using Etermis filler are:

the effect is noticeable literally immediately after the procedure;
a small number of side effects that quickly disappear;
the result is prolonged, lasting for several years;
the drug has a therapeutic effect and corrects existing deficiencies;
pronounced and deep wrinkles disappear, the face is rejuvenated for several years.

The disadvantages of using Etermis include:

The prices for the procedure are quite high.
Not every specialist who knows how to work with fillers has the right to perform the procedure. It can be difficult to find an esthetician who has been trained to work with this substance.

Efficiency of application

After injections of Etermis filler, clients observe the following improvements:

small and large wrinkles are smoothed out;
the nasolabial triangle is aligned;
the oval of the face is tightened and strengthened, a clearer line of the lower jaw appears;
volume appears in the area of the temples and cheekbones, the face regains its lost sculpture;
after enlargement they become more pronounced, attractive and plump;
restores skin elasticity and firmness;
the first signs of age-related changes are eliminated.

Who are these funds suitable for?

The Etermis range of fillers is suitable for men and women wishing to soften the signs of aging.

Contraindications to the use of Etermis include:

taking anticoagulants;
pregnancy or breastfeeding;
childhood;
hypertrophic or keloid scars;
skin infections or inflammations;
allergy to any of the filler components.

It is strongly recommended to review the medical history of your patients to avoid complications.

Types of fillers Etermis

The Etermis line of drugs includes three types of fillers: 2, 3, 4. Their main difference from each other is the concentration of hyaluronate. Therefore, they are designed to solve various cosmetic problems.

2 filler

The drug is injected only into the upper layers of the epidermis. It is designed to restore moisture balance and prevent the negative impact of the environment on the dermis. The use of Etermis 2 gives an anti-stress effect. Hyaluronic acid is contained in an amount of 20 mg. The ratio of stabilized and unstabilized is 80% to 20%.

The filler is quickly and easily distributed into the tissues. It activates internal processes and effectively moisturizes the dermis. Native hyaluronic acid provides a revitalizing effect. And the stabilized one guarantees a longer life.

Contains sodium phosphate. It relieves inflammation and reduces swelling.

The filler has a single-phase formula. The results from using the drug last for up to 2 years.

3 filler

Experts recommend Etermis 3 to smooth out more pronounced and deep wrinkles and increase lip volume. It is used to straighten nasolacrimal grooves.

This is a monophasic gel with a dense structure. Hyaluronate is in a concentration of 23 mg. The ratio of stabilized and unstabilized is 85% and 15% of the substance.

Native acid quickly restores hydrobalance and regenerates new tissue.

Contains sodium phosphate to eliminate inflammation.

4 filler

The filler is designed to eliminate deep wrinkles, ptosis and correct asymmetry and distortion of proportions. It is injected into the middle and deep layers of the skin. With its help, the cosmetologist replenishes the volume in certain parts of the face.

The amount of hyaluronic acid is 24 mg. The ratio of stabilized and unstabilized is 85% to 15%. Etermis 4 filler acts as an injectable implant.

The effect of use lasts for almost two years.

Description

Filler Etermis series 4 is a concentrated single-phase preparation with balanced plasticity and viscosity indicators. It is distinguished by simple administration, uniform distribution, and slow disintegration. Cross-linked hyaluron molecules effectively restore volume and fill creases, wrinkles, and folds. The effect of the procedure lasts 2 years.

The increased density ensures lasting results and maintains relief and volume for a long time. The main purpose of the drug is to fill wrinkles, correct contours and facial features, but the anti-aging effect is also noticeable. The absence of protein in the formula eliminates gel rejection at the dermal level. Biocompatibility – 100%.

The gel also contains mannitol, a powerful antioxidant that slows down the process of destruction of hyaluronic acid structures, preventing oxidation and disintegration of active components. Sodium phosphate further minimizes the risks of adverse reactions.

Filler injection technique

Only a specialist trained in working with this drug can perform procedures with Etermis. The package must be opened in the presence of the client. It contains two syringes with sterile needles.

Etermis filler is administered as follows:

The injections are intradermal in nature. Depending on the type of Etermis product, it can be injected into the upper, middle or deep layers of the skin.
If the injection is carried out using a linear technique, then the filler enters intradermally into the middle layers of the epidermis. The drug is administered at the moment the needle comes out. Plastic surgery allows you to moisturize the skin, eliminate wrinkles, and even out the oval of the face.

Linear technique

The papular technique involves introducing filler into the upper layers of the skin, and the angle of the needle to the surface of the face should be 45 degrees. As a result of the procedure, the volume of the cheekbones is restored, wrinkles on the forehead and nasolabial folds are smoothed out.
When using a cannula to introduce filler, 1-2 punctures are made. This is the most non-traumatic method. In this case, side effects occur much less frequently.

Instructions for use

Discuss possible side effects, contraindications, and precautions with the patient. Make sure the product is at room temperature. Check the packaging for damage and make sure the filler has a valid expiration date. Disinfect the area of application with an antiseptic and, if necessary, inject an anesthetic. Inject the product slowly according to the instructions on the product insert. The sandwich, fan, point-by-point, grid, or linear injection techniques are suitable for this drug. The amount of injected product depends on the area of correction. After injection, distribute the drug evenly with massage movements.

Ensure proper disposal of used or opened needles and syringes.

How does the procedure work?

At a preliminary consultation, a cosmetologist assesses the condition of the skin, identifies deficiencies and chooses a method for eliminating them. The specialist also clarifies possible contraindications. If Etermis cannot be administered, then another alternative method is prescribed.

The preparatory stage includes:

One day before, you need to give up smoking, alcohol and caffeinated drinks.
For 7 days you cannot play sports, carry out thermal procedures - go to the sauna and solarium.
You should stop taking medications that may affect blood clotting within a month.

Expert opinion

Alexandra Mityaeva

Cosmetology expert

Before the procedure, the cosmetologist draws up an injection passport. This document is needed for subsequent procedures so that the specialist knows what was administered and when, and how compatible the substances are.

The whole procedure lasts no more than half an hour. The cosmetologist's procedure is as follows:

First, make-up removal and cleansing are required, even if the patient came without makeup.
So that the patient can completely relax, anesthesia with Emla anesthetic cream is first performed.
Before administering Etermis, the skin is treated with an antiseptic.
The drug is administered by the most appropriate method depending on the problems to be solved.
And after the procedure, the skin must be treated with an antiseptic and a special soothing mask is applied. It helps to recover faster after injections.

Watch this video about how lip augmentation works with Etermis 4:

Healing period of lips, face

In order for the results to last as long as possible and to avoid complications, it is necessary to strictly follow the doctor’s recommendations during the recovery period.

Rehabilitation includes prohibitions and advice:

You cannot use cosmetics for two days.
Do not touch your face.
For 2-3 days, only prescribed medications can be applied to speed up healing.
For two weeks it is forbidden to go to the bathhouse, sauna, solarium, take a hot bath or shower.
You cannot drink alcoholic beverages or eat salty or spicy foods.

How to remove the drug from the body

When hyaluronic acid fillers are injected, clients are rarely dissatisfied. Side effects are also not too pronounced.

But if the client is not satisfied with the result, then it can be neutralized. To accelerate the bioderadation of hyaluronic acid, hyaluronidase is introduced. A noticeable effect is observed after two days. Physiotherapy, massage and microcurrents are also used to speed up the removal of filler.

Advantages of Etermis

The latest technologies underlying the production of Glytone (Glyton) have made it possible to endow it with properties that are not possessed by any of the currently known drugs for contouring.

First of all, it should be noted that the gel is highly purified, making it absolutely safe.
The monophase nature of the filler, consisting of particles of the same size, makes it possible to achieve an ideal combination of viscosity and elasticity, which greatly facilitates the administration of the drug and ensures uniform distribution of the implant throughout the entire injection area.
Among the advantages of Etermis is the previously unattainable activity of the hydrogel, which persists for 12-24 months.
Etermis not only has a pronounced prolonged effect, but also allows you to achieve a full corrective effect within the first minutes of filler injection.

Contraindications for Etermis fillers

Before use, you should consult a cosmetologist for contraindications. The drug has a strong therapeutic effect. Therefore, there are a number of restrictions on its use.

Contraindications are:

Herpes oncology;
autoimmune diseases;
poor blood clotting;
all types of diabetes;
ulcers and inflammations on the skin;
taking certain medications (anticoagulants, anti-inflammatory drugs, antibiotics);
individual sensitive reaction;
infectious and viral diseases;
tendency to form scars;
herpes in the acute stage;
pregnancy and lactation.

Contraindications

Contraindications are individual sensitivity to the components of the drug, exacerbation of chronic diseases, inflammation of the skin, pregnancy and breastfeeding.
For a week after the procedure, you should avoid visiting the sauna or solarium, and avoid wearing cosmetics and active facial expressions. Following these simple recommendations will help you avoid unwanted reactions.

Etermis dermal gel in the hands of an experienced cosmetologist will allow you to get rid of existing imperfections in a short time and make your reflection in the mirror close to ideal.

Comparison of the drug with analogues

There are a number of similar drugs. Each has its own characteristics and purpose. The cosmetologist decides which one to use after examining the patient.

The most popular among analogues is Restylane. It is based on hyaluronic acid. The filler has a texture of medium viscosity and density. It is used to smooth out wrinkles and nasolabial, nasolacrimal folds. The result lasts up to a year.

Princess filler is often used to correct imperfections. It contains lidocaine. Therefore, the introduction is painless. This is a popular drug due to its affordable price and prolonged effect. Princess is used to correct a wide range of cosmetic imperfections.

Ellanse is another common filler. Contains safe polycaprolactone ester. Thanks to it, the effect lasts about 4 years. Ellanse helps get rid of deep wrinkles and creases.

We recommend reading about the benefits of using Genial fillers. From the article you will learn about the varieties of the Genial line of drugs, the positive properties of fillers, use for lips, and cost. And here you can read more about the benefits of Korean fillers Neuramis.

Filler Etermis is a new generation drug. It allows you to eliminate various cosmetic imperfections. Thanks to its composition, it does not cause serious side effects.

Face to face with Etermis: the mystery of the updated filler from Merz

We continue to introduce cosmetologists to new products from Merz.

We recently wrote about the Belotero® Volume line of fillers.

Today we present a review of the updated line of Etermis fillers, which doctors may remember under the old name Glytone.

The updated line consists of two monophasic cohesive fillers based on hyaluronic acid (HA) in combination with mannitol.

Characteristics of Etermis fillers

Etermis – fillers with therapeutic effect

The duration and durability of the effect after filler injections is always an important topic for patients of cosmetologists. The topic becomes especially relevant for the so-called “hyaluronic acid eaters” - this is what doctors call patients in whom the effect of contour correction lasts for a short time, and hyaluronic acid is quickly eliminated from the body. Etermis fillers avoid this problem thanks to the presence of three components, cross-linked and non-cross-linked native hyaluronic acid and mannitol.

Thus, in patients who eat hyaluronic acid and in patients with “skin under stress” (those who are losing weight sharply, smoking, playing sports, actively sunbathing, vegetarians, etc.), the components in the Etermis line have a longer action and effect.

Etermis fillers are homogeneous (homogeneous), differ in the degree of reticulation (stabilization of HA using cross-links), due to which they have a smoother and more elastic consistency, and are easy to introduce and distribute (Fig. 2). The concentration of hyaluronic acid in the filler is 23 and 24 mg/ml (Etermis 3 and Etermis 4, respectively).

Cross-linking of hyaluronic acid reduces the ability of the filler to degrade and guarantees a long-lasting effect of the filler (Attenello, Maas 2015). Etermis allows you to obtain volume with clear contours in the lips, cheekbones, and along the contour of the lower jaw, which is important not only for women, but also for men (Fig. 3, 4). Monophasicity allows you to preserve the “stiffening ribs”. Typically, this was characteristic of biphasic fillers, but now modern developments and data on the safety of drugs have made it possible to apply this property to monophasic fillers.

The updated fillers also contain a special component – mannitol. It provides a good safety profile, low hygroscopicity, strong tissue inertness, good density and viscosity, moisturizing and antioxidant properties.

Data from André and Villain (2017) indicate that the presence of mannitol in the filler reduces inflammation, tissue swelling, and degradation of HA by free radicals (Ohrem et al. 2014), and Korean scientists in 2016 found that the presence of mannitol increases the effect of the procedure for 6 months without affecting tolerability (Kim et al. 2016).

Patients observe pronounced changes after injections into the lip area - they note that in addition to additional volume, the lips acquire a brighter, more saturated color, become moisturized and well-groomed (Fig. 1).

Etermis fillers: evidence base

Open and observational studies with a blinded assessment of the effectiveness of both fillers showed good tolerability of the drugs and a stable long-term effect of the correction.

Etermis 3

Etermis 3 for the correction of nasolabial folds according to the Lemperle scale demonstrated results within 12 months. During this time, 47 patients (mean age: 55.7 ± 3.7 years) showed a decrease in the depth of the nasolabial folds and changes in the structure of the dermis, assessed using ultrasonography within 9 months after injection.

Patients were injected with 2.4 ml ± 1.1 ml of the drug into both nasolabial folds, 10 patients (21%) underwent additional correction, the average dose volume was 1.1 ± 0.4 ml in both nasolabial folds (Fig. 3).

Etermis 3 was well tolerated and patients reported high satisfaction when surveyed (Turlier et al. 2010).

Etermis 4

Similar results were obtained in an observational study of Etermis 4.

Over the course of two weeks, 35 women and 1 man were assessed for the condition and dynamics of correction of nasolabial folds.

After administration of Etermis 4, the average improvement on the Lemperle scale was:

1.61 for nasolabial folds (1.37 ml of filler injected)

1.50 for marionette wrinkles (0.93 ml of filler injected)

1.21 for wrinkles on the cheeks (0.73 ml of filler injected)

Moreover, all patients showed good tolerability of the drug (Clinical Study Report 2012).

conclusions

Etermis fillers provide ample opportunities for aesthetic correction for both the doctor and the patient.
Well tolerated by patients and have low side effects.
Thanks to a special production technology and the presence of mannitol in the composition, they can achieve optimal results in the correction of moderate and severe wrinkles, lip contour and volume.
Ideal for patients who are “hyaluronic acid eaters” and patients with “stressed skin” conditions.

Source: https://www.1nep.ru

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