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A Permanent Wrinkle-Eraser?


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The company is not making comments or giving interviews as it awaits FDA approval for ArteFill, according to spokesperson Christine LaMontagne.

Doctors attending the AAD were clearly divided when it came to ArteFill. Some said they'd use it liberally, while others said they won't touch the stuff because the risk of bad results isn't worth it.

Most doctors said they don't believe the permanent filler will completely replace other options, such as Restylane, a filler made of hyaluronic acid that may last up to one year, or collagen, which can last about six months, according to the American Society of Plastic Surgeons. All fillers are injected into wrinkled areas and require a physician skilled in working with the compounds.

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Last year, Americans underwent more than 1.5 million soft tissue filler procedures, according to the American Society of Plastic Surgeons. At least some of these people may be tempted to switch to ArteFill.

"There is a certain percentage of people who are going to want permanence," said Dr. Douglas Hamilton, a dermatologist in Woodland Hills and Beverly Hills, Calif., who participated in the studies of ArteFill and is on the Artes Medical advisory board, for which he receives compensation. But, he added, "it's hard to say how many."

First-timers should consider a more temporary filler first, said Northington. Hamilton agreed, saying, "That's not a bad rule of thumb."

While Artes is asking for approval only for nasolabial folds, some doctors think it could be useful for plumping lips, too. But Northington contended that, "Restylane is always going to be better for the lips."

According to information posted on the Artes Web site, a clinical trial in the United States was completed in 2001 which formed the basis for the "approvable" letter from the FDA, the step that comes before approval. Wrinkle correction endured and improved at the one year mark; five year results are expected this year. Because it contains bovine collagen, patients will need to undergo allergy testing before receiving ArteFill.

ArteFill is expected to cost about 50 percent more than the older filler, Restylane, which is typically about $500 or $600 per syringe or cc, Northington speculated.

More information

To learn more about fillers, visit American Society of Plastic Surgeons ( www.plasticsurgery.org ).

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Copyright © 2006 ScoutNews LLC. All rights reserved.
Last updated 8/17/2006

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SOURCES: Douglas Hamilton, M.D., dermatologist, Beverly Hills and Woodland Hills, Calif. and assistant clinical professor, dermatology, University of California Los Angeles David Geffen School of Medicine; Marian Northington, M.D., assistant professor, dermatology, University of Alabama, Birmingham; Richard Ellenbogen, M.D., cosmetic plastic surgeon, Beverly Hills, Calif.; Christine LaMontagne, spokeswoman, Artes Medical, San Diego


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