TESORO PRO SUB-Q WITH LIDOCAINE

As the inevitable signs of aging take their toll on facial appearance, Tesoro Pro Sub-Q with Lidocaine emerges as a premium, high-density solution for smoothing deep to severe facial folds, deep wrinkles, and targeted volume restoration. This innovative cosmetic injectable seamlessly integrates with your skin, addressing advanced collagen breakdown, deep volume loss, and repetitive facial motion by providing a clear "lifted-up" effect.

Key Features:

1. Natural Integration: Filler is composed of a dense, highly purified hyaluronic acid matrix, a naturally occurring substance in the skin, promoting rapid, high-projection, and natural facial rejuvenation.

2. Versatile Applications: Indicated for treating structural facial areas requiring significant lifting, including deep smile lines (nasolabial folds), the zygomatic (cheek) area, chin augmentation, the temporal zone, and superciliary arches.

3. Volume & Lifting Enhancement: Particularly effective for restoring lost volume to sunken cheeks and structural facial contours, providing a natural, firm, and attractive lifting effect, reducing the appearance of severe folds.

4. Deep Tissue Correction: Successfully addresses severe hollows and structural facial deflation, providing a subtle, powerful, and natural rejuvenation effect on the deep subcutaneous layers.

5. Key Differences (Tesoro Pro Sub-Q vs. Tesoro Sub-Q):

• Advanced Monophasic Stability: The Pro Sub-Q edition utilizes an upgraded 4-stage SHINE cross-linking process, creating a highly cohesive, denser gel that resists structural deformation under muscular pressure better than the classic Sub-Q.

• Optimized Deep Extrusion: Features a specialized uniform extrusion force calibrated for thicker gels, allowing the provider smoother, more continuous delivery through ultra-thin wall needles without sudden product surges.

• Hydro-Balance Swelling Control: Specially formulated with optimized water binding, which sharply curtails post-injection water absorption (swelling effect), significantly reducing immediate swelling in the cheek and chin areas compared to the standard version.

• Enhanced Dynamic Persistence: Offers superior shape memory within deep tissues, allowing for natural facial mobility while resisting premature biodegradation for a noticeably longer-lasting volume retention.

Treatment Procedure:

After applying a topical anesthetic cream for comfort, filler is injected into the targeted area. While generally safe and effective, it is contraindicated for those with a history of severe allergic reactions or allergies to specific bacterial proteins.

Injection Techniques:

a. Linear Threading and Tunneling Technique:

• Insert the needle or cannula at an approximate angle of 30° (or appropriate clinical angle) parallel to the length of the deep wrinkle or fold.

• It should be injected into the deep dermis or the subcutaneous layer.

• Apply constant low-to-moderate pressure on the plunger while slowly withdrawing the needle. 

b. Serial Puncture Technique:

• Insert the needle at multiple sites along the deep fold or structural zone at the provider's clinical discretion.

• Crucial: Exercise caution to avoid intravascular injection regardless of the technique used.

Observations and Cautionary Measures:

• Observe slight elevation of the skin without significant blanching during both injection techniques.

• Avoid injecting this dense filler into the superficial dermis to prevent visible lumps, hard nodules, or discoloration.

• If immediate blanching occurs, cease injection and massage the area until it returns to normal color.

• Stop injection immediately if the patient exhibits changes in vision, signs of a stroke, blanching of the skin, or unusual pain during or after the procedure.

• Promptly seek medical attention and consider evaluation by a healthcare practitioner specialist if an intravascular injection is suspected.

• Follow the American Society for Dermatologic Surgery guideline, including the potential use of hyaluronidase injection in case of intravascular complications.

Correction and Volume Per Injection:

• Correct to 100% of the desired volume effect without overcorrection.

• The degree and duration of correction depend on the defect's character, tissue stress at the implant site, depth of the implant, and injection technique.

• Markedly indurated defects may pose challenges in correction.

Volume per Injection:

• The average volume required for optimal correction depends on the deep area targeted (e.g., cheek or chin augmentation).

• Emphasize correct volumetric administration to avoid overcorrection and ensure natural contours during facial movement.

Post-Treatment Care: Patients can resume normal activities post-injection, with minor side effects such as redness or localized swelling typically subsiding within a week. Avoiding heat or sun exposure, alcoholic beverages, aspirin, and strenuous exercise for approximately 24 hours is recommended.

Precautions and Contraindications: It is important to consult with a specialist for any abnormal symptoms or side effects. Storage precautions include keeping the product out of reach of children and away from direct sunlight.Contraindications include: Individuals under 18, those with drug intolerance (especially lidocaine), during pregnancy or lactation, autoimmune diseases, diabetes, acute infections or colds, epilepsy, and in the case of open ulcers, wounds, or damaged skin at the injection site. 

Critical Information: Injecting Derma filler into blood vessels may lead to serious complications. Intravascular injection may result in embolization, occlusion of vessels, ischemia, or infarction. Careful injection techniques are crucial to minimize risks. In case of adverse events such as vision changes, signs of a stroke, blanching of the skin, or unusual pain during or after the procedure, immediate cessation of injection is necessary. Patients require prompt medical attention in case of an intravascular injection.

Ingredient: High-Density HA 20 mg/ml / Lidocaine: 0.3%

Composition: 1 syringes × 1.0 ml

Storage: Store in a cool, dry place between 2°C - 25°C. Do not freeze.

Shelf Life: 24 months from the manufacturing date.