ELLANSE - Breaking Boundaries In Dermal Fillers

Dr Ayham Al-Ayoubi

Ellanse a unique and innovative filler that is known not only provide some instant but also long lasting results which were not possible earlier.

The secret behind the same is that it helps the body in generation of collagen – a protein type that aids in the maintenance of skin tightness, suppleness and elasticity to name few. 

Dr Ayham Al-Ayoubi was the first facial plastic surgeon to introduce Ellanse into the UK. Here he explains why this ground breaking new filler is so special and talk us through a couple of unique treatments he can offer using the product.

Dr Ayham Al-Ayoubi: Dermal fillers are one of the biggest growth areas in facial aesthetics, as women are starting to realise that you don’t necessarily need to have a facelift to knock several years off your age.

Ever since collagen first hit the market in the early 1990s and was found to be effective- if a little problematic- in the battle against ageing, pharmaceutical companies the world over have been embroiled in a race to create the perfect filler.

Dr Ayham Al-Ayoubi: Since the launch of Dermal Fillers in 1996, the majority of dermal fillers have been made from hyaluronic acid- a substance naturally produced within the body, which breaks down over time. HA fillers have many advantages: you don’t need to perform a skin test prior to treatment, as you did with collagen, and they can be easily dissolved if you don’t like the effect.

However, although hyaluronic acid is much more durable than collagen, it still only lasts for six to nine months, which is great when you’re trying a treatment for the first time, but can get expensive over the course of a few years.

Dr Ayham Al-Ayoubi: Ellanse - an advanced version of current options on the market, Ellanse is the first filler of its kind to treat under-eye bags and dark circles, which are not usually treated with dermal fillers. Not only are the results instant, but this all-natural, water based anti-ageing treatment also stimulates the body’s own collagen production to deliver smoother, plumper looking skin and long lasting, natural looking results.

Made of poly-caprolactone (PCI), a well-known totally bioresorbable soft medical polymer, Ellanse retains its volume of between three and five years, before totally resorbed and removed from the body, with no residues of any kind left behind.

As we grow old, the generation of natural collagen in the body is reduced which results in the onset of wrinkles. Ellanse reverses the effects and results in younger looking smooth skin.

Dr Ayham Al-Ayoubi recommends Ellanse to his patients: “When I look at different products to use to treat my patients, I always want to know that they can offer a safe and effective treatment. I also need to know and understand why this particular product is different and better than another on the market, so that I am assured that I can offer my patient the utmost in care and treatment outcome.

Dr Ayham Al-Ayoubi

ELLANSE offers the maximum potential for modelling due to the combination of optimum viscosity, unique elasticity and uniform homogeneity. Hence, the ELLANSE Family can be used in a variety of beautifying indications:

• Correcting wrinkles and folds

• Volumizing

• Contouring

• Sculpting

Dr Ayham Al-Ayoubi explains: ELLANSE is an injectable implant, indicated for deep dermal and sub dermal implantation. The nasolabial folds used in the clinical study are representative for deep and sub-dermal soft tissue augmentation of the facial area. 

Ellanse covers some important points for me when I am choosing which filler to use and why. Firstly when I look at the face, I need to be able to be flexible with treatment – no two patients are the same, and Ellanse offers a flexible product that can be used to create a very bespoke treatment for each individual. For me, this is key.

Ellanse is officially approved by MHRA in the UK and the FDA in the USA and for restoration and/or correction of the signs of facial fat loss (lipoatrophy) and is used for treating facial lines and wrinkles.

Dr Ayham Al-Ayoubi explained that Ellanse is suitable for both woman and men of different ages. It can help with deep folds around the mouth and nose, sunken cheeks, facial scars, deep acne scars and loose skin. Our surgeon will be able to assess your suitability for the Ellanse treatment.

In the 20s: Collagen production slows down and then becomes dormant. This is an ideal time to start Ellanse to keep the collagen reserves active and for skin tightening.

In the 30s and 40s: Ellanse is ideal for long lasting lines and wrinkles correction and enhances cheek volume and stimulates collagen in a natural way.

In the 50s and onward: Ellanse is ideal to restore facial contours and volume and correct facial laxity and improve the jaw line and other areas and patients can achieve full face lifting without the need for aggressive surgery with the result lasting up to 3-4 years.

In clinic I have found Ellanse easy to administer, which can only benefit the patients. The composition of Ellanse is such that we can choose the length of time over which the product can last, and know that it will be completely broken down and eliminated once this period is over.

It helps provide a clear choice for me and my patients, helping me to guide them more effectively and manage their expectations.

Ellanse is the first dermal filler which offers a safe unique Tunable Longevity specifically designed for the field of aesthetic medicine and surgery with the result lasting from 3-5 years.

Dr Ayham Al-Ayoubi explained : Ellanse is made of Poly-caprolactone (PCl), is a well-known totally bioresorbable soft medical polymer. PCl is used in numerous CE-marked and Food and Drug Administration (FDA) approved commercial bloresorbable product applications for several decades world-wide and has demonstrated an excellent safety profile.

The longevity is also helpful for my patients because I can discuss with them the advantages and disadvantages of fillers over a period of time, and we can look at older photos of them to gauge how their face ages and is likely to alter over the next years. The immediate correction and then the biostimulation effect of Ellanse makes it very attractive product.

Safety paramount in every treatment in my clinic, so I like Ellanse from this aspect too. It has been thought rigorous testing pre-clinically and clinically, and the gel components have FDA clearance. Overall it’s a product that I enjoy using, have had good satisfaction amongst my patients and I look forward to further development in the Ellanse product selection in the near future.

Dr Ayham Al-Ayoubi was invited to visit Tokyo clinic for the official launch of the revolutionary dermal filler Ellanse to Japan. He had performed a master class in Ellanse which was attended by plastic surgeons and cosmetic Doctors from all around Japan and neighbouring countries to be taught how to use Ellanse from a basics format up to Dr Ayham Al-Ayoubi’s advanced technique as a non-surgical full face lifting.

The clinical programme was planned with special lecture, luncheon seminar and an open panel discussion session on the theme “The latest developments of Art and clinical Science in non-surgical Facial Aesthetic treatments ”. The diverse program content, which was all based on this theme, will promote knowledge and skills in both the aesthetic and reconstructive fields.

Dr Ayham Al-Ayoubi with professor Dr Yoshiaki Hosaka, Professor Emeritus of Showa University. Director, Plastic & Aesthetic Surgery Centre, Tokyo General Hospital & Tokyo clinic.

Dr Ayham Al-Ayoubi was the key speaker where he lectured about his expertise in Ellanse –the latest dermal filler which was introduced into Japan at the conference.

The Tokyo Clinic is one of the World's Leading Centres for Advanced Diagnostics and Treatment. The Tokyo Clinic is Japan's leading centre for cutting-edge medicine. Featuring an "All-Star" list of Japan's leading doctors and specialists, the Tokyo Clinic provides a single destination for the early detection of cancer and other complex illness and its subsequent treatment. Top physicians and surgeons such as Dr. Fukushima, world renowned neurosurgeon at Duke University, use state-of-the-art medical equipment such as PET, MRI and CT to diagnose patients and establish effective treatment plans.

The Tokyo Clinic is widely known for its "Human Dock" or Total Health Evaluation Program consisting of PET, CT, MRI, Echography, simulated stomach endoscopy and a variety of blood and urine tests.

The Tokyo Clinic is also widely known for its innovative cancer therapy including Proton, Immunotherapy, and Hyperthermia treatment. In 2008, the Tokyo Clinic's affiliate hospital has opened the first privately owned Proton treatment centre to remove cancer without surgical intervention."Our mission is to provide the best patient experience medicine can offer". Dr. Miyazaki, President of the Tokyo Clinic.

Dr Ayham Al-Ayoubi said: Patients will travel from all over Japan to have Ellanse treatment at the Tokyo Clinic, which is one of the leading training centres for Ellanse treatment in Japan.

Ellanse is officially approved by MHRA in the UK for restoration and/or correction of the signs of facial fat loss (lipoatrophy) and is used for treating facial lines and wrinkles.

Dr Ayham Al-Ayoubi was also invited to perform a Ellanse advanced master class and workshop, at Wigmore Medical Training Centre in central London following the successful master classes of Ellanse which was organised by Ellanse at different major international conferences and congresses in Europe over the last two years.

The advanced Ellanse master class was attended by 20 Experienced Cosmetic doctors from all around the UK to learn how to use Ellanse, from a basics format up to Dr Ayham Al-Ayoubi's advanced technique as a non-surgical full face lifting.

Dr Ayham Al-Ayoubi explains: The course was aiming to teach the advanced technique in using Ellanse and how to explore the art of facial aesthetics and how the use of dermal fillers can influence the results that patients desire and how to achieve a non-surgical face lift using Ellanse.

This course aims to give practitioners greater choice and experience to be able to offer patients a more comprehensive 'product and service mix' and potentially provide a with a competitive advantage over other dermal fillers.

Advanced injection techniques of Ellanse were demonstrated and doctors had benefited from intensive hands-on experience on model patients of Dr Ayham Al-Ayoubi.

Dr Ayham Al-Ayoubi gave advice on Ellanse patients follow-up care and how to market Ellanse as an advanced treatment and insurance and Focusing on advanced uses of Ellanse as a dermal filler and biostimulator, and their combination with other treatments.

Also Ellanse is ideal to restore facial contours and volume and correct facial laxity and improve the jaw line and other areas and patients can achieve full face lifting without the need for aggressive surgery with the result lasting up to 3-4 years.

Dr Ayham Al-Ayoubi at the end of Ellanse Master Class had a dinner with the delegate where they had the chance to discuss their views of Ellanse, expanded their knowledge and became more familiar with one to one basis with Dr Ayham Al-Ayoubi's advanced techniques of Ellanse treatment, which include non-surgical face lifting, cheek enhancement, jaw line treatment.

The Cosmetic doctors at the conference expressed their gratitude for the knowledge and practical clinical techniques they gained and learned from this advanced Ellanse Master class.

Ellanse is made of Poly-caprolactone (PCl), is a well-known totally bioresorbable soft medical polymer. PCl is used in numerous CE-marked and Food and Drug Administration (FDA) approved commercial bloresorbable product applications for several decades world-wide and has demonstrated an excellent safety profile.

Dr Ayham Al-Ayoubi explained in his lecture that Ellanse is the first and the only dermal fillers which act as biostimulator of collagen with the results lasting up to 2-5 years.

Ellanse is the first dermal filler which offers a safe unique Tunable Longevity specifically designed for the field of aesthetic medicine and surgery with the result lasting from 3-5 years.

Dr Ayham Al-Ayoubi explained about the benefits of ELLANSE which offers the maximum potential for modelling due to the combination of optimum viscosity, unique elasticity and uniform homogeneity. 

Hence, the ELLANSE Family can be used in a variety of beautifying indications:

The ELLANSE is an injectable implant, indicated for deep dermal and subdermal implantation. The nasolabial folds used in the clinical study are representative for deep and sub-dermal soft tissue augmentat ion of the facial area.

Dr Ayham Al-Ayoubi talked about the use of Ellanse in different age group as following: Collagen production slows down and then becomes dormant. This is an ideal time to start Ellanse to keep the collagen reserves active and for skin tightening.

Ellanse is ideal for long lasting lines and wrinkles correction and enhances cheek volume and stimulates collagen in a natural way.

Ellanse is suitable for both woman and men of different ages. It can help with deep folds around the mouth and nose, sunken cheeks, facial scars, deep acne scars and loose skin.

Dr Ayham Al-Ayoubi Ellanse is ideal to restore facial contours and volume and correct facial laxity and improve the jaw line and other areas and patients can achieve full face lifting without the need for aggressive surgery with the result lasting up to 3-4 years.

Dr Ayham Al-Ayoubi explained: Biocompatibility and Safety due to very smooth spherical-shaped microfloppies. A soft silky smooth formulation in a ready-for-use syringe.

Safe product components with a long safety history of the non-cross-linked soft bioresorbable medical polymer Poly-caprolactone and the aqueous gel.

Elimination of sensitivity testing due to a non-animal, non-bacterial and non-human derived product.Unique Elasticity and Optimum Viscosity provide the additional advantage of targeted placement.

Dr Ayham Al-Ayoubi said: I’m keen to offer my patients as wide a choice as possible, so in my clinic I offer all the major filler brands, as well as the injectable volumising treatment, Collagen Stimulation, and am always on the look-out for the next big thing. In March last year, I discovered Ellanse, brand new dermal filler that offers all the benefits of HA but lasts for up to five years.

Dr Ayham AI-Ayoubi: I was so impressed with the results possible from Ellanse that I decided to introduce it to my practice, and I have had great success with it since. Because of its unique contouring and sculpting capacities, I realised that you can do things with it that are not possible with other dermal fillers, and so I started to experiment with new ideas.

Dimples are caused when the facial muscle is shorter than normal; it pulls on the skin and forms an indentation when smiling. They are genetic trail, so you either have them or you don’t, but over the past few years, with celebrities such as Cheryl Cole hitting the spotlight, they have become a very desirable facial feature. 

Dr Ayham Al-Ayoubi explains: If you know facial anatomy very well- my background is as a facial plastic surgeon- then it is possible to create an impression of a dimple through non-surgical means, and Ellanse is the ideal product with which to do this.

First of all the patient to perform a series of facial manoeuvres, such as whistling, clenching and smiling, while I study the face to see where the muscles are sited and how they move. This shows me where to create the dimple.

I then inject Ellanse around the area to create a circular ring deep in the dermis. An indentation forms in the middle of the ring, which mimics the effect of a dimple. If you did this with HA fillers, they would just dissolve with facial movement, but Ellanse’s make-up means that it will become more defined with the process of inflammation.

“Ellanse is the first of its kind to treat eye bags and dark circles”.

Realistically, at the moment, the effect can only be created with a combination of temporary dermal fillers and injectable volumisers, such as Collagen Stimulation, but the problem is that the effects of Collagen Stimulation, whilst impressive, take a few months to show, by which time the wrinkle-filling benefits of HA filler will have worn off, so you have to start again. 

Dr Ayham Al-Ayoubi said:"I have found that Ellanse is the perfect partner for Collagen Stimulation to create a true injectable facelift, Ellanse instantly gives a dramatic improvement in the treatment of fine lines and wrinkles on the face, whilst Collagen Stimulation will work over a period of months to significantly enhance the shape of the jaw line and the volume of the face".

Because the effects of Ellanse are long lasting, wrinkles are still filled when Collagen Stimulation starts to take visible effects, and because both products work to stimulate your own collagen production they perfectly, giving you an incomparably plumper up, dewy-looking glow, which will last for an astonishing four to five years.

Dr Ayham Al-Ayoubi: I will continue to seek out the best new treatments to offer my patients, because I want to be able to provide a truly exceptional service and give patients the face and body they have always dreamed of. For now, I think Ellanse is the best product on the market to provide both instant and lasting results, without the pillow-face effect.

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