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Determination of Hyaluronic Acid Dermal Filler Impurities Using SEM/EDS Analysis
Although hyaluronic acid (HA) filler injections are associated with various non-vascular inflammatory complications, the underlying mode of action remains unclear. The hyaluronic acid filler may not be sufficiently pure, leading to an immune response. The present study attempted to identify any impu...
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Published in: | Polymers 2023-03, Vol.15 (7), p.1649 |
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description | Although hyaluronic acid (HA) filler injections are associated with various non-vascular inflammatory complications, the underlying mode of action remains unclear. The hyaluronic acid filler may not be sufficiently pure, leading to an immune response. The present study attempted to identify any impurities in hyaluronic acid fillers available on the market. Particles were counted after degrading hyaluronic acid filler with hyaluronidase. Particulate matter was subsequently observed using scanning electron microscopy, and the particle components were evaluated using energy-dispersive X-ray spectroscopy. Different quantities of impurity particles (>10 and 25 μm) were detected microscopically. Silicon and aluminum isotopes were also detected. Hyaluronic acid fillers were contaminated with these particles. The degree of contamination varied substantially among the tested filler products. These contaminant particles may evoke reactions in the patient's body. Clinicians should be aware of this source of possible contamination and its effects. |
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The hyaluronic acid filler may not be sufficiently pure, leading to an immune response. The present study attempted to identify any impurities in hyaluronic acid fillers available on the market. Particles were counted after degrading hyaluronic acid filler with hyaluronidase. Particulate matter was subsequently observed using scanning electron microscopy, and the particle components were evaluated using energy-dispersive X-ray spectroscopy. Different quantities of impurity particles (>10 and 25 μm) were detected microscopically. Silicon and aluminum isotopes were also detected. Hyaluronic acid fillers were contaminated with these particles. The degree of contamination varied substantially among the tested filler products. These contaminant particles may evoke reactions in the patient's body. Clinicians should be aware of this source of possible contamination and its effects.</description><identifier>ISSN: 2073-4360</identifier><identifier>EISSN: 2073-4360</identifier><identifier>DOI: 10.3390/polym15071649</identifier><identifier>PMID: 37050263</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Air pollution ; Aluminum isotopes ; Analysis ; Contaminants ; Contamination ; Dermal fillers ; Fillers ; Hyaluronic acid ; Immune response ; Impurities ; Manufacturing ; Pore size ; Scanning electron microscopy ; Scientific imaging ; Skin care products ; X-ray spectroscopy</subject><ispartof>Polymers, 2023-03, Vol.15 (7), p.1649</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-ce18f9902e49d5ebd04ac222ce51dfe08bdae2a324039c2574e9e097d0e8b1263</citedby><cites>FETCH-LOGICAL-c483t-ce18f9902e49d5ebd04ac222ce51dfe08bdae2a324039c2574e9e097d0e8b1263</cites><orcidid>0000-0001-7411-0198 ; 0000-0003-0341-3460 ; 0000-0002-0105-433X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2799745022/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2799745022?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,38516,43895,44590,53791,53793,74412,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37050263$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Won</creatorcontrib><creatorcontrib>Rho, Nark-Kyoung</creatorcontrib><creatorcontrib>Yang, Eun-Jung</creatorcontrib><title>Determination of Hyaluronic Acid Dermal Filler Impurities Using SEM/EDS Analysis</title><title>Polymers</title><addtitle>Polymers (Basel)</addtitle><description>Although hyaluronic acid (HA) filler injections are associated with various non-vascular inflammatory complications, the underlying mode of action remains unclear. The hyaluronic acid filler may not be sufficiently pure, leading to an immune response. The present study attempted to identify any impurities in hyaluronic acid fillers available on the market. Particles were counted after degrading hyaluronic acid filler with hyaluronidase. Particulate matter was subsequently observed using scanning electron microscopy, and the particle components were evaluated using energy-dispersive X-ray spectroscopy. Different quantities of impurity particles (>10 and 25 μm) were detected microscopically. Silicon and aluminum isotopes were also detected. Hyaluronic acid fillers were contaminated with these particles. The degree of contamination varied substantially among the tested filler products. These contaminant particles may evoke reactions in the patient's body. Clinicians should be aware of this source of possible contamination and its effects.</description><subject>Air pollution</subject><subject>Aluminum isotopes</subject><subject>Analysis</subject><subject>Contaminants</subject><subject>Contamination</subject><subject>Dermal fillers</subject><subject>Fillers</subject><subject>Hyaluronic acid</subject><subject>Immune response</subject><subject>Impurities</subject><subject>Manufacturing</subject><subject>Pore size</subject><subject>Scanning electron microscopy</subject><subject>Scientific imaging</subject><subject>Skin care products</subject><subject>X-ray spectroscopy</subject><issn>2073-4360</issn><issn>2073-4360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><recordid>eNptkk1P3DAQhqOqVUGUY6-VpV56CYw_EsenasUuBQnUSpSz5XUmWyPH3toJ0v77GkEpW2EfbM0883pmPFX1kcIJ5wpOt9HvRtqApK1Qb6pDBpLXgrfw9sX9oDrO-Q7KEk3bUvm-OuASGmAtP6x-LHHCNLpgJhcDiQO52Bk_pxicJQvrerIsbuPJufMeE7kct3Nyk8NMbrMLG3Kzuj5dLW_IIhi_yy5_qN4Nxmc8fjqPqtvz1c-zi_rq-7fLs8VVbUXHp9oi7QalgKFQfYPrHoSxjDGLDe0HhG7dG2SGMwFcWdZIgQpByR6wW9OS-lH19VF3O69H7C2GKRmvt8mNJu10NE7ve4L7pTfxXlMA1SrOi8KXJ4UUf8-YJz26bNF7EzDOWbMOoGVCNbKgn_9D7-KcSsWFkkpJUbrJ_lEb41G7MMTysH0Q1QspWiU6ylShTl6hyu5xdDYGHFyx7wXUjwE2xZwTDs9FUtAPY6D3xqDwn1525pn---n8D9xarHE</recordid><startdate>20230326</startdate><enddate>20230326</enddate><creator>Lee, Won</creator><creator>Rho, Nark-Kyoung</creator><creator>Yang, Eun-Jung</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SR</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>COVID</scope><scope>D1I</scope><scope>DWQXO</scope><scope>HCIFZ</scope><scope>JG9</scope><scope>KB.</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7411-0198</orcidid><orcidid>https://orcid.org/0000-0003-0341-3460</orcidid><orcidid>https://orcid.org/0000-0002-0105-433X</orcidid></search><sort><creationdate>20230326</creationdate><title>Determination of Hyaluronic Acid Dermal Filler Impurities Using SEM/EDS Analysis</title><author>Lee, Won ; 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subjects | Air pollution Aluminum isotopes Analysis Contaminants Contamination Dermal fillers Fillers Hyaluronic acid Immune response Impurities Manufacturing Pore size Scanning electron microscopy Scientific imaging Skin care products X-ray spectroscopy |
title | Determination of Hyaluronic Acid Dermal Filler Impurities Using SEM/EDS Analysis |
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