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General Category => Aesthetics => Topic started by: Framboise on October 25, 2017, 01:52:47 AM

Title: HA Paste dangerosity
Post by: Framboise on October 25, 2017, 01:52:47 AM
Hi everyone,

Since I have VERY flat cheeks, I'm tenpted by an HA Paste augmentation. (I'm a girl so having a more feminine face suits me fine)

But, I've read it can irritate soft tissues, lead to infections and never be removed, which is pretty annoying.

My main concern now is about the material itself. HA is often presented as a natural product coming from coral but I've found that in reality it comes from bovine bones.
Not only the idea of stealing bone from cows to glue it in my face is disgusting, but I believe it can be dangerous.

Moreover, knowing how animals are tortured nowadays, the use of HA paste takes issues with my personal ethics.

I would like to know if it is possible to have a bone augmentation with HA coming from coral or our own bones wihout resorption or even an other product.

I saw cartilage augmentation on a Dr's website but the before/after pictures looks so fake to me that I doubt of its effcacity.

Thank you for your thoughts and informations if you can give me some of them :)
Title: Re: HA Paste dangerosity
Post by: kavan on October 25, 2017, 02:20:10 PM


There is hydroxyappatite granules and the paste (cement). The 2 are different. I think but am not exactly sure that the paste is used to FILL in dents to the bone. It is a good material to fill in a dent or dingie, kind of like plaster to fill in a hole in the wall.  Orthopedic surgeons use it for bone fill as do max faxes. But has LIMITATIONS when used to BUILD UP a SHAPE.

Plastic surgeons, such as Mendelson, use the GRANULES which are said to be porous and are mixed with the patients blood and additional collagen (powder) which is said to assist in tailoring a SHAPE to it. HOWEVER, it is used for small volume augmentation. So, it's use would be best for someone where an off the shelf implant would be too BIG for someone needing a small augmentation. But not good if a more significant augmentation was needed.

As to the MATERIAL; hydroxyappetite, it's a calcium phosphate compound like bone and an INORGANIC material LIKE bone.  (Minerals are  inorganic materials even though your bones are made from them.). With regard to the GRANULES, Coral from the ocean is the DEAD skeletans of the coral sessile animals which is mostly lime (cacium carbonate). The porous ocean coral used for the HA granules is formed by a hydrothermal exchange reaction where the calcium carbonate coral is converted to hydroxyappetite such that the porousity remains. With regard to the PASTE or 'cement' used to fill bone dents (and sometimes by max faxs to augment), the HA is higher density--not so porous--. It's usually found in some rocks. But can be synthesized.

What I'm trying to convey here is that  to the best of my knowledge, the HA used either for the bone paste to fill in dents or the granules used is NOT obtained from COWS. However, the collagen powder used WITH the granules (in facial augmentation as some PS's like to use it) might come from cows (or some other mammal). Collagen, along with the patient's BLOOD is mixed with the granules to make it more MOLDABLE to get a SHAPE with it.

So, for face augmenting, providing it's only a SMALL augmentation where an implant could be too BIG, you'd want to have what the PS's use which are the HA GRANULES and not the paste stuff the orthos use to fill bone dents or some max fax docs use to augment with.

Personally, and this is probably JUST ME (given the arthritis in almost every joint), I would NOT use it HA. Because the stuff can crystallize into NEEDLE SHAPES and lodge in the joints. Even people who have not had any of this stuff implanted in them can get Hydroxyapatite crystal deposition disease (arthritis everywhere). PERHAPS it is this type of crystallization or re-Xtalization that MIGHT occur which would explain tissue IRRITATION.

Here is article by a PS who uses the GRANULES for modest augmentation. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2906722/
Title: Re: HA Paste dangerosity
Post by: Framboise on October 26, 2017, 03:53:09 AM
Thank you Kavan once again for all these precisions.

Do you know, by any chance, how much mm advancement is possible within HA paste ?

The result shown in your scientific paper is not astonishing (she still have wrinkles next to the nose).
Title: Re: HA Paste dangerosity
Post by: kavan on October 26, 2017, 08:13:15 AM
Thank you Kavan once again for all these precisions.

Do you know, by any chance, how much mm advancement is possible within HA paste ?

The result shown in your scientific paper is not astonishing (she still have wrinkles next to the nose).

In general, approximately, less than implants which would be in the below 3mm range.